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Department of Health and Social Services Division of Medicaid & Medical Assistance. Joint Finance Committee Hearing Fiscal Year 2012 Rosanne Mahaney Division Director Thursday, March 3, 2011. Overview. Medicaid Delaware Healthy Children Program (CHIP)

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department of health and social services division of medicaid medical assistance

Department of Health and Social ServicesDivision of Medicaid & Medical Assistance

Joint Finance Committee Hearing

Fiscal Year 2012

Rosanne Mahaney

Division Director

Thursday, March 3, 2011

overview
Overview
  • Medicaid
  • Delaware Healthy Children Program (CHIP)
  • Delaware Prescription Assistance Program (DPAP)
  • Chronic Renal Disease Program (CRDP)
  • Legal Non-Citizen Healthcare Program
opportunities accomplishments
Opportunities & Accomplishments

The Affordable Care Act

Enhanced Federal Match for Medicaid Expansion in 2014

$1 million Health Benefit Exchange Planning Grant

$400,000 MFP/ADRC Grant

Program Integrity Efforts

Recovery Audit Contractor (RAC)

$1 million in Collections in SFY ‘10

National Correct Coding Initiative (NCCI)

opportunities accomplishments cont d
Opportunities & Accomplishments(cont’d)
  • ACA Quality of Care and Payment Improvement Provisions
  • Electronic Health Record (EHR) Incentive Payment Program
  • Money Follows the Person Program
  • Medicaid for Workers with Disabilities Program
cost containment strategies
Cost Containment Strategies

Benefit Restrictions

34 states have implemented benefit restrictions

Service Limitations do not apply to:

Children

Individuals in need of Long Term Care Services

cost containment strategies cont d
Cost Containment Strategies(cont’d)
  • Cost Sharing

45 states have either implemented or plan to increase cost sharing requirements

  • Provider Rate Changes

39 states recently implemented provider rate reductions

fy 12 governor s recommended budget
FY 12 Governor’s Recommended Budget
    • $52 million to fill the gap created by the loss of enhanced federal funding in SFY ’12
    • $55.3 million GF will be carried over from SFY ‘11 due to the 6 month extension of enhanced federal match to June 2011
  • $2.2 million to fully fund DDDS community clients from SFY ’11
  • $295.5 thousand to fully fund the Chronic Renal Disease Program
fy 12 governor s recommended budget cont d
FY 12 Governor’s Recommended Budget (cont’d)

Tobacco Funds (ASF)

  • $1,113.7 to fully fund the Delaware Healthy Children Program
  • $1,027.2 to fully fund the Medical Assistance Transition (MAT) Program
  • ($1,250.0) reduction to DPAP to reflect service and administrative savings
  • ($1,570.0) reduction to the Legal Non-Citizen Program
legal non citizen program
Legal Non-Citizen Program
  • 100% State-funded Program
  • Pregnant Women and Children Moved to Medicaid & CHIP in SFY ‘11.
  • Now Serves 847 adults