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FY 2007-08 Footnote Reports
| Footnote 21 | Monthly Report of Expenditure and Caseload for Medicaid and CBHP | ||||||||
From SB 07-239 Long Appropriations Bill:
Department of Health Care Policy and Financing, Executive Director's Office -- The Department is requested to submit monthly Medicaid expenditure and caseload reports on the Medical Services Premiums budget to the Joint Budget Committee, by the third Monday of each month. The Department is requested to include in the report the managed care organization caseload by aid category. The Department is also requested to provide caseload and expenditure data for the Children's Basic Health Plan within the monthly report.
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| Footnote 22 | Restructuring the Executive Director's Office Line Item | ||||||||
From SB 07-239 Long Appropriations Bill:
Department of Health Care Policy and Financing, Executive Director's Office - The Department is requested to submit a plan to the Joint Budget Committee on or before October 1, 2007, on how to restructure the Executive Director's Office Division's line item appropriations into a more programmatic format than the current Long Bill structure.
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| Footnote 23 | Amounts Spent on Pharmaceuticals for Managed Care Organizations | ||||||||
From SB 07-239 Long Appropriations Bill:
Department of Health Care Policy and Financing, Executive Director's Office -- The Department is requested to provide a report to the Joint Budget Committee by November 1, 2007 regarding the amount spent on pharmaceuticals by each managed care organization (MCO) that contracts with the Department in the Medicaid program. Included in the report should be information on the prices that each MCO pays for each prescription drug provided on its formulary. The report should compare the prices that each MCO pays compared to the prices the Department pays in the fee-forservice program for the same drug. In making such comparison, the Department should include in its pricing the amount of rebates that the Department receives from drug manufacturers for each drug. The report should also provide information on which drugs are covered on each MCO's formulary compared to the list of drugs available in the fee-for-service program.
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| Footnote 24 | Rate Disparity and Shortfalls for Physician and Acute Care Providers | ||||||||
From SB 07-239 Long Appropriations Bill:
Department of Health Care Policy and Financing, Executive Director's Office, Primary Care Provider Rate Task Force and Study -- The Department is requested to work with the provider community to examine any issues of rate disparity and rate shortfalls for physician and acute care providers. The Department is requested to report on its final analysis by November 1, 2007. The Department's appropriation contains $19,334 total funds for the expenses of any task force that the Department may assemble and for temporary staffing costs for conducting such a study.
Footnote #24 Report Cover Letter
Attachment: Colorado Provider Rate Task Force Report - 9/26/07
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| Footnote 25 | Managed Care Organizations' Capitation Rates | ||||||||
From SB 07-239 Long Appropriations Bill:
Department of Health Care Policy and Financing, Medical Services Premiums -- The Department is requested to submit a report on the managed care organizations' capitation rates for each population and the estimated blended rate for each aid category in effect for FY 2007-08 to the Joint Budget Committee by July 25, 2007. The Department is requested to include in the report a copy of each managed care organization's certification that the reimbursement rates are sufficient to assure the financial stability of the managed care organization with respect to delivery of services to the Medicaid recipients covered in their contract pursuant to Section 25.5-5-403 (1) (l), C.R.S.
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| Footnote 28 | Rules on Home and Community-Based Long-Term Care, Home Health, and Private-Duty Nursing Reimbursement Rate Increases | ||||||||
From SB 07-239 Long Appropriations Bill:
Department of Health Care Policy and Financing, Medical Services Premiums -- The calculations for this line item include $5,081,736 total funds for a 1.5 percent reimbursement rate increase for home and community-based long-term care providers, home health, and private-duty nursing beginning in July 1, 2007. It is the intent of the General Assembly that the Medical Services Board adopt rules to increase reimbursement rates for these provider codes consistent with this footnote. The Joint Budget Committee requests that the Department provide a report to the Joint Budget Committee by August 1, 2007, on the status of the rules adopted by the Medical Services Board regarding this reimbursement rate increase.
Enclosure: Medical Assistance Program Bulletin - July 2007
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| Footnote 29 | Rules on Acute Care Services and Inpatient Hospital Reimbursement Rate Increases | ||||||||
From SB 07-239 Long Appropriations Bill:
Department of Health Care Policy and Financing, Medical Services Premiums -- The calculations for this line item include $15,987,854 total funds for rate increases for acute care services. Included in this calculation is $4,446,001 for a 1.5 percent increase to inpatient hospital rates. The remaining $11,541,853 is for rate increases for other acute care services approved by the Joint Budget Committee based on the rate plan that the Department submitted to the Joint Budget Committee on November 1, 2006. The Joint Budget Committee requests that the Department provide a report to the Joint Budget Committee by August 1, 2007, on the status of the rules adopted by the Medical Services Board regarding these rate increases.
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| Footnote 30 | Hospital Disbursement from the Safety Net Provider Payment Line Item | ||||||||
From SB 07-239 Long Appropriations Bill:
Department of Health Care Policy and Financing, Indigent Care Program, Safety Net Provider Payments -- The Department is requested to submit a report by February 1, 2008, to the Joint Budget Committee, estimating the disbursement to each hospital from the Safety Net Provider Payment line item for FY 2007-08.
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| Footnote 31 | Matching Federal Funding for the Health Care Services Fund | ||||||||
From SB 07-239 Long Appropriations Bill:
Department of Health Care Policy and Financing, Indigent Care Program, The Children's Hospital, Clinic Based Indigent Care -- This line item includes $10,086,000 for funding for community health centers from the Health Care Services Fund pursuant to the requirements in S.B. 06-044. The Joint Budget Committee is aware that the Department may be able to enter into contracts with eligible hospitals to draw down matching federal funds for this funding. The Joint Budget Committee requests that the Department submit a report by February 1, 2008 to the Joint Budget Committee describing any federal financial participation received.
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| Footnote 32 | State Plan Amendment and Federal Match for SB 06-044 | ||||||||
From SB 07-239 Long Appropriations Bill:
Department of Health Care Policy and Financing, Indigent Care Program, Health Care Services Fund Programs -- Senate Bill 06-044 required the Department to submit a state plan amendment for federal financial participation for moneys appropriated to primary care clinic operated by a licensed or certified health care facility. Senate Bill 06-044 authorizes the Department to receive and expend all available federal moneys without a corresponding reduction in cash funds exempt spending authority from the fund if the state plan amendment is approved. The Joint Budget Committee requests that the Department submit a report by February 1, 2008 to the Joint Budget Committee on the status of the state plan amendment and on whether or not any additional federal match is available for distribution.
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| Footnote 35 | Changes to the Benefit Structure or Eligibility Criteria for the Old Age Pension Program | ||||||||
From SB 07-239 Long Appropriations Bill:
Department of Health Care Policy and Financing, Other Medical Services, Services for Old Age Pension State Medical Program clients -- The Department is requested to submit a report by November 1, 2007 recommending changes to the benefit structure or eligibility criteria for the Old Age Pension State Medical Program in order to stay within the current statutory appropriation limits for the program. The report should include the most recent five-year expenditure history for the different medical services categories used by this population. In addition, the report should include a five-year forecast for the caseload and cost of this program if benefits are not reduced.
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| Footnote 36 | SB 97-101 Public School Health Service Program | ||||||||
From SB 07-239 Long Appropriations Bill:
Department of Health Care Policy and Financing, Other Medical Services, S.B. 97-101 Public School Health Services -- The Department is requested to submit a report by November 1 of each year to the Joint Budget Committee on the services that receive reimbursement from the federal government under S.B. 97-101 public school health service program. The report should include information on the type of services, how those services meet the definition of medical necessity, and the total amount of federal dollars that was distributed to each school under the program. The report should also include information on how many children were served by the program.
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