| Global Cap Base Deficit / (Surplus) |
|
|
$395.84 |
$284.94 |
|
| Base Actions |
|
|
($98.24) |
($52.07) |
| COVID-19 Managed Care Rate Reductions (FY21 Rate Action) |
Admin |
2/1/21 |
($33.12) |
$0.00 |
| COVID-19 Long Term Care Rate Reduction (FY21 Rate Action) |
Admin |
2/1/21 |
($20.00) |
$0.00 |
| Global Cap Base Re-Estimate |
Admin |
2/1/21 |
($45.12) |
($52.07) |
|
| Mainstream Managed Care (MMC) Actions |
|
|
($4.40) |
$0.00 |
| FY18 MMC Medical Loss Ratio (MLR) Recoupment |
Admin |
4/1/21 |
($4.40) |
$0.00 |
|
| Hospital Actions |
|
|
($16.12) |
($24.62) |
| Reduce Hospital Capital Rate Add-on (from 5% to 10%) |
Article VII |
10/1/21 |
($8.50) |
($17.00) |
| Discontinue Value Base Payment (VBP) Readiness Funding |
Admin |
2/1/21 |
($7.62) |
($7.62) |
|
| Long-Term Care Actions |
|
|
($42.35) |
($20.00) |
| Electronic Visit Verification (EVV) Savings |
Admin |
4/1/21 |
($20.00) |
($20.00) |
| FY18 Managed Long-Term Care MLR Recoupment |
Admin |
4/1/21 |
($22.35) |
$0.00 |
|
| Other |
|
|
($115.81) |
($59.68) |
| Return Non-Distressed Providers to Lag |
Admin |
4/1/21 |
($75.00) |
$0.00 |
| Pilot Medical Respite |
Article VII |
4/1/21 |
($1.31) |
($1.68) |
| Comprehensive Telehealth Reform Package |
Article VII |
4/1/21 |
($39.50) |
($58.00) |
|
| Total Enacted Savings Actions |
|
|
($276.92) |
($156.37) |
| Adds |
|
|
$129.00 |
$147.55 |
| Nursing Home Reforms |
Admin |
4/1/21 |
$32.00 |
$32.00 |
| Young Adult Nursing Home - Pilot |
Article VII |
4/1/21 |
$8.75 |
$8.75 |
| Housing Disregard for Personal Care Services (PCS) and Consumer Directed Personal Assistance Program (CDPAP) |
Article VII |
1/1/22 |
$0.10 |
$0.10 |
| Expands Post-Partum Eligibility Coverage Between 200% and 223% Federal Poverty Level (FPL) |
Article VII |
10/1/21 |
$0.95 |
$1.90 |
| Delay Pharmacy Fee-For-Service (FFS) Transition to FY24 |
Article VII |
4/1/21 |
$87.20 |
$104.80 |
|
| Avails |
|
|
($398.18) |
($301.50) |
| Expanded In-Home Services for the Elderly (EISEP) Investment Savings |
Admin |
4/1/21 |
($11.30) |
($11.30) |
| Updated State Support Associated with the Delay Pharmacy FFS Transition to FY24 |
Admin |
4/1/21 |
($15.00) |
($15.00) |
| Updated State Support Associated with Home and Community Based Service (HCBS) Training Programs |
Admin |
4/1/21 |
($5.00) |
$0.00 |
| Health+Hospitals (H+H) VBP Credit |
Admin |
4/1/21 |
($30.78) |
$0.00 |
| Strengthen H+H Delay to FY22 |
Admin |
4/1/21 |
($207.00) |
($38.10) |
| Nursing Home Case Mix |
Admin |
7/1/21 |
($83.33) |
($100.00) |
| COVID-19 Managed Care Rate Reduction Account Receivable |
Admin |
4/1/21 |
($45.77) |
$0.00 |
| Community First Choice Options (CFCO) Additional Federal Match |
Admin |
4/1/21 |
$0.00 |
($137.10) |
|
| Net Global Cap Savings |
|
|
($150.26) |
($25.39) |
| Updated Financial Plan Minimum Wage Spending |
Admin |
2/1/21 |
($50.17) |
($50.17) |
| Net DOH Medicaid Savings |
|
|
($200.43) |
($75.55) |
| Offset of State-Only Medicaid Costs |
Admin |
4/1/21 |
($110.00) |
$0.00 |
| Net Financial Plan Savings |
|
|
($310.43) |
($75.55) |
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