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Department of Health and Social Services Division of Medicaid & Medical Assistance

Department of Health and Social Services Division of Medicaid & Medical Assistance. Joint Finance Committee Hearing Fiscal Year 2013 Rosanne Mahaney Division Director Wednesday, February 22, 2012. Overview. Medicaid Delaware Healthy Children Program (CHIP)

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Department of Health and Social Services Division of Medicaid & Medical Assistance

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  1. Department of Health and Social ServicesDivision of Medicaid & Medical Assistance Joint Finance Committee Hearing Fiscal Year 2013 Rosanne Mahaney Division Director Wednesday, February 22, 2012

  2. Overview • Medicaid • Delaware Healthy Children Program (CHIP) • Delaware Prescription Assistance Program (DPAP) • Chronic Renal Disease Program (CRDP)

  3. Medicaid Enrollment

  4. Medicaid Enrollment & Unemployment Rate

  5. Medicaid Service Expenditures

  6. Medicaid Average Monthly CostPer Participant

  7. Evolution of Medicaid

  8. Opportunities & Accomplishments Rebalancing Long-Term Care: • Diamond State Health Plan Plus • Program for All-Inclusive Care for the Elderly (PACE) • Money Follows the Person Program

  9. Opportunities & Accomplishments Enhance Health Information Technology: • EHR Incentive Payments • Coordination with DHIN • Continued Increase in E-Prescribing

  10. Opportunities & Accomplishments Increased Program Integrity Strategies: TPL, Estate, Subrogation and SUR Recoveries Recovery Audit Contractor (RAC) National Correct Coding Initiative (NCCI) New Provider Screening & Enrollment Requirements

  11. Opportunities & Accomplishments Improve Health Outcomes: • Identify High Risk Participants • Care & Disease Management programs • Performance Improvement Projects (PIPs) • Access Standards & Performance Measures • Partnership with UD & HealthCore, Inc.

  12. FY 13 Governor’s Recommended Budget • $20.9 million Projected growth in Medicaid Eligibles • ($4.3 million) Reduction • $4 million Disproportionate Share Hospitals (DSH) • $1 million DHIN Transaction Fees • $693.2 1% HCBS Provider Rate Increase

  13. FY 13 Governor’s Recommended BudgetTobacco Funds • $350.0 Medicaid (Pregnant Women & Infants) • $256.4 Delaware Healthy Children Program

  14. Thank You

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