2021-2022 Enacted Budget Scorecard

FY 2022 30 Day Budget Medicaid Scorecard - Deficit/(Savings)

  • Scorecard is available in Portable Document Format (PDF)
Proposals - (State Share -- $ millions) Article VII/Admin Implementation Date FY 2022 FY 2023
      Gross Non-Fed Gross Non-Fed
Global Cap Base Deficit / (Surplus)     $753 $396 $660 $285
Base Actions     ($135.50) ($57.29) ($20.34) ($10.17)
COVID-19 Managed Care Rate Reductions Admin 2/1/21 ($87.15) ($33.12) $0.00 $0.00
COVID-19 Long Term Care Rate Reduction Admin 2/1/21 ($40.01) ($20.00) $0.00 $0.00
Global Cap Base Re-Estimate Admin 2/1/21 ($8.34) ($4.17) ($20.34) ($10.17)
Mainstream Managed Care Actions     ($128.80) ($64.40) ($120.00) ($60.00)
Discontinue Remaining Mainstream Managed Care (MMC) Quality Pool Payments by 50% Admin 4/1/21 ($120.00) ($60.00) ($120.00) ($60.00)
FY18 MMC Medical Loss Ratio (MLR) Recoupment Admin 4/1/21 ($8.80) ($4.40) $0.00 $0.00
Hospital Actions     ($241.40) ($220.52) ($159.40) ($130.02)
VAPAP Medicaid Reduction Admin 2/1/21 ($99.00) ($99.00) $0.00 $0.00
Essential Plan Investment Impacts on Distressed Need Admin 4/1/21 ($40.00) ($40.00) ($40.00) ($40.00)
Discontinue the Public Indigent Care Pool Article VII 4/1/21 ($65.40) ($65.40) ($65.40) ($65.40)
Reduce Hospital Capital Rate Add-on (from 5% to 10%) Article VII 10/1/21 ($17.00) ($8.50) ($34.00) ($17.00)
Discontinue VBP Readiness Funding Admin 2/1/21 ($20.00) ($7.62) ($20.00) ($7.62)
Long Term Care Actions     ($233.20) ($116.60) ($188.50) ($94.25)
Discontinue Managed Long-Term Care (MLTC) Quality Pool Payments by Remaining 75% Admin 4/1/21 ($103.50) ($51.75) ($103.50) ($51.75)
Electronic Visit Verification (EVV) Savings Admin 4/1/21 ($40.00) ($20.00) ($40.00) ($20.00)
Reduce Workforce Recruitment and Retention Funding by an additional 25% (flexible language states "up to") Article VII 4/1/21 ($45.00) ($22.50) ($45.00) ($22.50)
FY18 Managed Long Term Care MLR Recoupment Admin 4/1/21 ($44.70) ($22.35) $0.00 $0.00
Pharmacy Actions     ($30.80) ($15.40) ($88.54) ($44.27)
Eliminate Prescriber Prevails Article VII 1/1/22 ($13.40) ($6.70) ($53.70) ($26.85)
Reduce Coverage for Over-the-Counter Drugs Article VII 10/1/21 ($17.40) ($8.70) ($34.84) ($17.42)
Other     ($444.21) ($216.79) ($293.66) ($145.38)
1% ATB Admin 4/1/21 ($188.00) ($94.00) ($188.00) ($94.00)
Return Non-Distressed Providers to Lag Admin 4/1/21 ($150.00) ($75.00) $0.00 $0.00
OPWDD Targeted Medicaid Rate Reduction (1%) Admin 7/1/21 ($24.59) ($6.98) ($32.60) ($9.30)
Pilot Medical Respite Article VII 4/1/21 ($2.62) ($1.31) ($3.36) ($1.68)
Comprehensive Telehealth Reform Package Article VII 4/1/21 ($79.00) ($39.50) ($116.00) ($58.00)
Maintain 340B Reinvestment for Community Health Centers Article VII 4/1/22 $0.00 $0.00 $46.30 $17.60
Net Global Cap Savings     ($461) ($295) ($210) ($199)
Financial Plan Minimum Wage Spend Admin 2/1/21 ($100.33) ($50.17) ($100.33) ($50.17)
Net DOH Medicaid Savings     ($561) ($345) ($311) ($249)
Off-Set of State Only Medicaid Costs Admin 4/1/21 ($110.00) ($110.00) $0.00 $0.00
Net Financial Plan Savings     ($671) ($455) ($311) ($249)