| Global Cap Base (Surplus)/Deficit |
|
|
($535.35) |
$193.08 |
| S.5973 Donate Life Registration on Electronic Application |
3/22/2022 |
Admin |
($535.347) |
$193.078 |
| S.5560 Covered Lives Assessment (CLA) Early Intervention (EI) Savings |
1/1/2022 |
Admin |
$0.415 |
$0.171 |
| A.2030 Medicaid Assisted Treatment (MAT) |
3/22/2022 |
Legal |
($2.500) |
($2.500) |
| A.3523-A Applied Behavior Analysis |
7/1/2023 |
Legal |
$84.000 |
$84.000 |
| S.6575 Licensed Mental Health Practitioners Medicaid Coverage |
3/29/2022 |
Legal |
$0.000 |
$53.820 |
| S.6576 Licensed Clinical Social Workers Medicaid Coverage |
3/29/2022 |
Legal |
$2.050 |
$2.050 |
| A.259-A Midwifery Birth Centers |
12/31/2021 |
Legal |
$12.100 |
$12.100 |
| A.336-A Opioid Antagonists |
7/1/2022 |
Legal |
($0.094) |
($0.488) |
| Global Cap Forecast with Legislation (Surplus)/Deficit |
|
|
$2.340 |
$2.340 |
|
| Global Cap Index Inflation - CMS Office of the Actuary Medicaid Projection (5-Year Rolling Average) |
4/1/2022 |
Legal |
($437.036) |
$344.571 |
| Health Care Bonus - State Total |
4/1/2022 |
Legal |
($366.000) |
($899.380) |
| Finanical Plan Support for Health Care Bonuses |
4/1/2022 |
Legal |
$861.248 |
$0.000 |
| Global Cap (Surplus)/Deficit |
|
|
($803.036) |
($554.809) |
|
| Budget Actions |
|
|
$803.036 |
$554.809 |
|
| Hospital Actions |
|
|
$350.000 |
$350.000 |
| Distressed Hospital Pool |
4/1/2022 |
Admin |
$100.000 |
$100.000 |
| Distressed Intercept Fund Investment |
10/1/2021 |
Admin |
$250.000 |
$250.000 |
|
| Long Term Care Actions |
|
|
$48.803 |
($15.297) |
| Nursing Home Reforms |
|
|
$161.500 |
$161.500 |
| Nursing Home Support for Compliance with Staffing Regulations |
4/1/2022 |
Admin |
$61.500 |
$61.500 |
| Increase Nursing Home Vital Access Provider (VAP) Funding |
4/1/2022 |
Legal |
$100.000 |
$100.000 |
|
| LTC--Medicaid Diversion |
|
|
($110.564) |
($150.564) |
| Expansion of Licensed Home Care Service Agencies (LHCSA) Marketplace |
4/1/2022 |
Admin |
$0.000 |
($40.000) |
| Long Term Service and Support (LTSS) Coverage in Essential Plan |
1/1/2023 |
Legal |
($110.564) |
($110.564) |
|
| LTC Other Reforms |
|
|
($2.133) |
($26.233) |
| LHCSA Request for Offer (RFO) Re-estimate |
5/1/2022 |
Admin |
$0.000 |
($25.000) |
| LTSS Services Authorization Guidelines |
7/1/2022 |
Legal |
$0.000 |
($5.000) |
| Increasing Private Duty Nursing (PDN) Reimbursement for Nurses Servicing Adult Members |
4/1/2022 |
Legal |
$0.000 |
$25.600 |
| Alzheimer's Program under Medicaid |
4/1/2022 |
Admin |
$1.367 |
$1.367 |
| Fully Implement the Duals Integration Roadmap |
4/1/2022 |
Admin |
($3.500) |
($23.200) |
| Managed Care Actions |
|
|
($34.428) |
($287.428) |
| Postpartum Women in Essential Plan |
1/1/2023 |
Legal |
$0.000 |
($165.000) |
| Moving Integrated Plans to Middle of the Rate Range |
4/1/2022 |
Admin |
$20.000 |
$20.000 |
| Restore MMC/MLTC Quality Pools |
4/1/2022 |
Admin |
$77.250 |
$77.250 |
| Utilize Child Health Plus (CHP) to Access Federal Funding for Enhanced Pregnancy Coverage |
3/1/2023 |
Admin |
($183.000) |
($171.000) |
| Competitively Procure MMC, MLTC, MAP and HARP |
10/1/2023 |
Legal |
$0.000 |
($100.000) |
| Applied Behavior Analysis (ABA) Rates to Incentivize Providers in Managed Care |
4/1/2022 |
Admin |
$36.605 |
$36.605 |
| Adjust HIV SNP Rates to Reflect High Needs Model |
4/1/2022 |
Admin |
$14.717 |
$14.717 |
|
| Pharmacy Actions |
|
|
($41.210) |
($44.450) |
| Eliminate Prescriber Prevails |
6/1/2022 |
Legal |
($41.210) |
($49.450) |
| Establishing Parity and Uniform Clinical Standards across both Medical and Retail Pharmacy Benefits in Fee-For- Service (FFS) |
10/1/2023 |
Admin |
$0.000 |
$5.000 |
|
| Other Actions |
|
|
$462.349 |
$498.369 |
| Increase Medicaid Trend Factor by 1% to Recognize Provider Cost Increases |
4/1/2022 |
Legal |
$318.310 |
$318.310 |
| Restoration of 1.5% Across the Board (ATB) |
4/1/2022 |
Admin |
$140.759 |
$140.759 |
| Investment in Children's Behavioral Health Services |
4/1/2022 |
Admin |
$0.000 |
$42.830 |
| Increase Top 20 Orthotics and Prosthetics Codes to Medicare Rates |
4/1/2022 |
Admin |
$3.750 |
$3.750 |
| Establish Unique Identifier for All Unenrolled Provider Types |
4/1/2022 |
Admin |
($5.000) |
($5.000) |
| Promote Access to Primary Care |
4/1/2022 |
Admin |
$4.930 |
$6.600 |
| Eliminate Unnecessary Requirements from the Utilization Threshold (UT) Program |
4/1/2022 |
Legal |
($0.230) |
($0.230) |
| Enhanced Durable Medical Equipment (DME) Management |
7/1/2022 |
Admin |
($0.170) |
($8.650) |
|
| Maternal Health Actions |
|
|
$4.335 |
$26.760 |
| Improve and Expand Access to Prenatal and Postnatal Care |
6/1/2022 |
Legal |
$6.335 |
$18.760 |
| Advancing Comprehensive Maternal Care in Managed Care |
10/1/2022 |
Admin |
$15.000 |
$25.000 |
| Maternal Health Investments - Avoided Costs |
4/1/2022 |
Admin |
($17.000) |
($17.000) |
|
| Other State of the State Actions |
|
|
$13.187 |
$26.855 |
| Create an Center of Medicaid Innovation to Lower Costs and Improve Care |
4/1/2022 |
Admin |
$1.200 |
$1.200 |
| Promote Health Equity and Continuity of Coverage for Vulnerable Seniors |
1/1/2023 |
Legal |
$5.000 |
$20.000 |
| Patient Access and Developer Portals |
4/1/2022 |
Admin |
$4.057 |
$2.725 |
| Health Care Bonus Enforcement |
4/1/2022 |
Admin |
$2.930 |
$2.930 |
| Total Global Cap (Surplus)/Deficit |
|
|
$0.000 |
$0.000 |
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