2023 Enacted Budget Medicaid Scorecard

  • Scorecard is available in Portable Document Format (PDF)
(State Share ‐‐ $ millions) Implementation Date Article VII/ Admin FY 2023 FY 2024
Global Cap Forecast with Legislation (Surplus)/Deficit     ($437.04) $344.57
Global Cap Index Inflation ‐ CMS Office of the Actuary Medicaid Projection (5‐Year Rolling Average) 4/1/2022 Article VII ($366.00) ($899.38)
Health Care Bonus ‐ State Total 4/1/2022 Article VII $922.75 $0.00
Financial Plan Support for Health Care Bonuses 4/1/2022 Article VII ($922.75) $0.00
Global Cap (Surplus)/Deficit     ($803.04) ($554.81)
Budget Actions     $844.25 $627.01
Hospital Actions     $350.00 $350.00
Distressed Hospital Pool 4/1/2022 Admin $100.00 $100.00
Distressed Provider Account Investment (inc. $100M of Financial Plan Resources) 10/1/2021 Admin $250.00 $250.00
Long Term Care Actions     $48.80 ($15.30)
Nursing Home Reforms     $161.50 $161.50
Nursing Home Support for Compliance with Staffing Regulations 4/1/2022 Admin $61.50 $61.50
Increase Nursing Home Vital Access Provider (VAP) Funding 4/1/2022 Article VII $100.00 $100.00
LTC--Medicaid Diversion     ($110.56) ($150.56)
Expansion of Licensed Home Care Service Agencies (LHCSA) Marketplace 4/1/2022 Admin $0.00 ($40.00)
Long Term Service and Support (LTSS) Coverage in Essential Plan 1/1/2023 Article VII ($110.56) ($110.56)
LTC Other Reforms     ($2.13) ($26.23)
LHCSA Request for Offer (RFO) Re‐estimate 5/1/2022 Admin $0.00 ($25.00)
LTSS Services Authorization Guidelines 7/1/2022 Article VII $0.00 ($5.00)
Increasing Private Duty Nursing (PDN) Reimbursement for Nurses Servicing Adult Members 4/1/2022 Article VII $19.45 $25.60
Use of Federal HCBS funding to support PDN Reimbursement 4/1/2022 Admin ($19.45) $0.00
Alzheimer's Program under Medicaid 4/1/2022 Admin $1.37 $1.37
Fully Implement the Duals Integration Roadmap 4/1/2022 Admin ($3.50) ($23.20)
Managed Care Actions     ($34.43) ($264.68)
Postpartum Women in Essential Plan 1/1/2023 Article VII $0.00 ($165.00)
Moving Integrated Plans to Middle of the Rate Range 4/1/2022 Admin $20.00 $20.00
Restore MMC/MLTC Quality Pools (1‐Year Restoration) 4/1/2022 Admin $77.25 $0.00
Utilize Child Health Plus (CHP) to Access Federal Funding for Enhanced Pregnancy Coverage 3/1/2023 Admin ($183.00) ($171.00)
Applied Behavior Analysis (ABA) Rates to Incentivize Providers in Managed Care 4/1/2022 Admin $36.61 $36.61
Adjust HIV SNP Rates to Reflect High Needs Model 4/1/2022 Admin $14.72 $14.72
Pharmacy Actions     $0.00 $5.00
Establishing Parity and Uniform Clinical Standards across both Medical and Retail Pharmacy Benefits in Fee‐ For‐Service (FFS) 10/1/2023 Admin $0.00 $5.00
Other Actions     $462.35 $498.37
Increase Medicaid Trend Factor by 1% to Recognize Provider Cost Increases 4/1/2022 Article VII $318.31 $318.31
Restoration of 1.5% Across the Board (ATB) 4/1/2022 Admin $140.76 $140.76
Investment in Children's Behavioral Health Services 4/1/2022 Admin $37.26 $42.83
Use of Federal HCBS funding to support Children's Behavioral Health Services 4/1/2022 Admin ($37.26) $0.00
Increase Top 20 Orthotics and Prosthetics Codes to Medicare Rates 4/1/2022 Admin $3.75 $3.75
Establish Unique Identifier for All Unenrolled Provider Types 4/1/2022 Admin ($5.00) ($5.00)
Promote Access to Primary Care 4/1/2022 Admin $4.93 $6.60
Eliminate Unnecessary Requirements from the Utilization Threshold (UT) Program 4/1/2022 Article VII ($0.23) ($0.23)
Enhanced Durable Medical Equipment (DME) Management 7/1/2022 Admin ($0.17) ($8.65)
Maternal Health Actions     $4.34 $26.76
Improve and Expand Access to Prenatal and Postnatal Care 6/1/2022 Article VII $6.34 $18.76
Advancing Comprehensive Maternal Care in Managed Care 10/1/2022 Admin $15.00 $25.00
Maternal Health Investments ‐ Avoided Costs 4/1/2022 Admin ($17.00) ($17.00)
Other State of the State Actions     $13.19 $26.86
Create an Center of Medicaid Innovation to Lower Costs and Improve Care 4/1/2022 Admin $1.20 $1.20
Promote Health Equity and Continuity of Coverage for Vulnerable Seniors 1/1/2023 Article VII $5.00 $20.00
Patient Access and Developer Portals 4/1/2022 Admin $4.06 $2.73
Health Care Bonus Enforcement 4/1/2022 Admin $2.93 $2.93
Adds     $904.83 $408.63
Additional Hospital Funding 4/1/2022 Admin $800.00 $100.00
Maternal Health for Postpartum Coverage for Undocumented 3/1/2023 Article VII $2.33 $53.88
Medicaid Coverage for Undocumented Age 65+ 1/1/2023 Article VII $56.45 $229.25
Additional QIVAPP Support 4/1/2022 Admin $37.40 $0.00
Medicare Savings Program Expansion 1/1/2023 Article VII $5.20 $20.90
Medicaid Ambulance Billing 7/1/2022 Article VII $3.45 $4.60
Avails     ($946.04) ($480.83)
Other Revisions and Timing of Payments Across Fiscal Years 4/1/2022 Admin ($342.34) ($336.93)
Mainstream Managed Care Non‐Federal Share Assumption 4/1/2022 Admin ($486.00) $0.00
Temporary Support for One‐time COVID‐related Hospital Expenses 4/1/2022 Admin ($84.00) ($84.00)
CDPAP Request for Offer (RFO) Re‐estimate 4/1/2022 Article VII ($25.00) ($25.00)
Elderly Pharmaceutical Insurance Coverage (EPIC) Savings Offset related to MSP Expansion 1/1/2023 Article VII ($8.70) ($34.90)
Total Global Cap (Surplus)/Deficit     $0.00 $0.00
Home Care Minimum Wage Increase 10/1/2022 Article VII $362.58 $964.91
Lost MOE Savings associated with the use of Federal HCBS funding in FY 2024 4/1/2023 Admin $0.00 $289.00
Use of Federal HCBS funding to support Home Care Minimum Wage Increase 10/1/2022 Admin ($362.58) ($702.42)
Home Care Minimum Wage Increase Supported Outside the Global Cap     $0.00 $551.48
Financial Plan Support of Home Care Minimum Wage Increase 4/1/2023 Admin $0.00 ($262.48)
Financial Plan Support of Lost MOE Savings 4/1/2023 Admin $0.00 ($289.00)
Total Financial Plan Support For Min Wage Increase in FY 2024     $0.00 ($551.48)