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FY 2008-09 Footnote and Legislative Requests for Information (LRFI) Reports
| Footnote 8 | Rate Study for the Program for All Inclusive Care to the Elderly (PACE) | |||||||||
From HB 08-1375 Long Appropriations Bill:
Department of Health Care Policy and Financing, Executive Director's Office, General Administration, General Professional Services and Special Projects -- It is the intent of the General Assembly that $150,000 of the appropriation be used to conduct a study of the adequacy of the rates paid to the Program for All Inclusive Care to the Elderly (PACE). The Department is requested to work with the Centers of Medicare and Medicaid Services and the provider community in developing the criteria for assessing the frailty of PACE clients compared to the frailty of other Long-term Care clients being served in nursing homes and the home- and- community based programs. The Department is requested to submit the results of the study to the Joint Budget Committee no later than September 30, 2009.
Governor's Response - Submit the report by December 1, 2009.
Footnote #8 Report
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| LRFI 6 | Limiting Inappropriate Proliferation of ICFs/MR | |||||||||
From Appendix A of the HB 08-1375 Long Appropriations Bill Narrative:
Department of Health Care Policy and Financing, Executive Director's Office; and Department of Human Services, Services for People with Disabilities: The Departments are requested to develop a plan with respect to how the State will limit any inappropriate proliferation of intermediate care facilities for the mentally retarded (ICFs/MR) in the community and how it will manage any growth in the number of such facilities to ensure that state and federal funding for persons with developmental disabilities is used efficiently. The Departments are requested to submit such a plan, including any recommendations for statutory changes, by October 1, 2008.
Governor's Response - Submit the report by December 1, 2008
Legislative Request for Information #6 Report
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| LRFI 19 | Monthly Report of Expenditure and Caseload for Medicaid and CBHP | |||||||||
From Appendix A of the HB 08-1375 Long Appropriations Bill Narrative:
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 and mental health capitation line items to the Joint Budget Committee, by the fifteenth or first business day following the fifteenth 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.
Legislative Request for Information #19 Reports
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| LRFI 20 | Managed Care Organizations Capitation Rates | |||||||||
From Appendix A of the HB 08-1375 Long Appropriations Bill Narrative:
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 2008-09 to the Joint Budget Committee by July 25, 2008. The Department is request 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 serves to the Medicaid recipients covered in their contract pursuant to Section 25.5-5-403 (1) (1), C.R.S.
Legislative Request for Information #20 Report
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| LRFI 21 | Medical Services Board Rules on All Reimbursement Rates | |||||||||
From Appendix A of the HB 08-1375 Long Appropriations Bill Narrative:
Department of Health Care Policy and Financing, Medical Services Premiums - The Department is requested to provide a report to the Joint Budget Committee by August 1, 2008 on the status of the rules adopted by the Medical Services Board regarding all changes to reimbursement rates that have been enacted for FY 2008-09.
Governor's Response - Submit the report by November 3, 2008
Legislative Request for Information #21 Report
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| LRFI 22 | Savings by Implementing the Deficit Reduction Act of 2005 | |||||||||
From Appendix A of the HB 08-1375 Long Appropriations Bill Narrative:
Department of Health Care Policy and Financing, Medical Services Premiums -- The Department is requested to submit a report to the Joint Budget Committee on January 2, 2009 regarding potential savings to the Medical Services Premiums line item based on implementing the Deficit Reduction Act of 2005 average manufacture price upper payment limits for pharmacy reimbursement.
Governor's Response - Submit the report by November 3, 2008
Legislative Request for Information #22 Report
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| LRFI 23 | Hospital Disbursement from the Safety Net Provider Payment Line Item | |||||||||
From Appendix A of the HB 08-1375 Long Appropriations Bill Narrative:
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, 2009, to the Joint Budget Committee, estimating the disbursement to each hospital from the Safety Net Provider Payment line item for FY 2007-08.
Legislative Request for Information #23 Report
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| LRFI 24 | SB 97-101 Public School Health Service Program | |||||||||
From Appendix A of the HB 08-1375 Long Appropriations Bill Narrative:
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.
Legislative Request for Information #24 Report
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| LRFI 25 | Implementation of the Medical Home Program | |||||||||
From Appendix A of the HB 08-1375 Long Appropriations Bill Narrative:
Department of Health Care Policy and Financing, Medical Services Premiums - The Department is requested to submit a report to the Joint Budget Committee by February 15, 2009 regarding the implementation of the Medical Home program. The Department is requested to report how many children have been assigned to a Medical Home, the number of providers participating in the program, and an estimate of the costs for the incentive payments.
Legislative Request for Information #25 Report
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| LRFI 26 | Tracking Regional Behavioral Center's Caseload and Capitation Payments | |||||||||
From Appendix A of the HB 08-1375 Long Appropriations Bill Narrative:
Department of Health Care Policy and Financing, Medicaid Mental Health Community Programs, Mental Health Capitation Payments -- The Department is requested to provide recommendations to the Joint Budget Committee by November 1, 2008 on whether greater budget accuracy would be achieved if caseload and capitation payments were estimated and tracked for each Regional Behavioral Center. In developing their recommendations, the Department will note any additional administrative costs associated with changing systems to track caseload data in this manner and to compile and report on the data.
Governor's Response - Do not comply. I am directing the Department not to comply with this request for information for three reasons. First, the Medicaid mental health budget was transferred to the department in FY 2005-06 with the passage of House Bill 04 -1265. Second, the executive maintains the flexibility to adapt budgeting methodology as it best sees fit to ensure accuracy as needed. Finally the department has an impending request for proposal to re-procure the delivery of mental health services. Responses to the request are to be based on the current methodology for caseload and rates which would be invalidated if changes to the methodology occur.
Legislative Request for Information #26 Report
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| LRFI 27 | Yearly Expenditures for Anti-Psychotic Pharmaceuticals | |||||||||
From Appendix A of the HB 08-1375 Long Appropriations Bill Narrative:
Department of Health Care Policy and Financing, Medicaid Mental Health Community Programs -- The Department is requested to report in their annual budget submission the amount of expenditures for each year for anti-psychotic pharmaceuticals.
This report is a part of Exhibit EF of the Department's FY 2009-10 Budget Request submitted on November 3, 2008.
Legislative Request for Information #27 Report
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| LRFI 28 | Federal Reimbursement for School District Medicaid Services | |||||||||
From Appendix A of the HB 08-1375 Long Appropriations Bill Narrative:
Department of Health Care Policy and Financing, Other Medical Services, Public School Health Services -- The Department is requested to report to the Joint Budget Committee on November 1, 2008 regarding the impact that the Centers of Medicare and Medicaid Services rule 2287-F has had on the ability to claim federal reimbursement for Medicaid services provided by school districts.
Legislative Request for Information #28 Report
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| LRFI 29 | Clients on the Colorado Cares RX Program | |||||||||
From Appendix A of the HB 08-1375 Long Appropriations Bill Narrative:
Department of Health Care Policy and Financing, Other Medical Services, ColoradoCares RX Program Contract Costs -- The Department is requested to submit a report to the Joint Budget Committee on November 1, 2008 providing information on the number of clients that have signed up for this program. The report should also contain updated expenditures for the program and revenue estimates for the Colorado Cares Rx Program Fund.
Legislative Request for Information #29 Report
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