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HCR041................................................by HEALTH AND WELFARE
MEDICAID REIMBURSEMENT RATES - Stating findings of the Legislature and
providing that the Department of Health and Welfare shall negotiate and
implement a process for the review of Medicaid reimbursement rates with
providers.
02/11 House intro - 1st rdg - to printing
02/12 Rpt prt - to Health/Wel
]]]] LEGISLATURE OF THE STATE OF IDAHO ]]]]
Fifty-seventh Legislature Second Regular Session - 2004
IN THE HOUSE OF REPRESENTATIVES
HOUSE CONCURRENT RESOLUTION NO. 41
BY HEALTH AND WELFARE COMMITTEE
1 A CONCURRENT RESOLUTION
2 STATING LEGISLATIVE FINDINGS AND PROVIDING THAT THE DEPARTMENT OF HEALTH AND
3 WELFARE SHALL NEGOTIATE AND IMPLEMENT A PROCESS FOR THE REVIEW OF MEDICAID
4 REIMBURSEMENT RATES WITH PROVIDERS.
5 Be It Resolved by the Legislature of the State of Idaho:
6 WHEREAS, the cost of living in Idaho has risen in excess of three percent
7 per year in recent years; and
8 WHEREAS, the annual budget allocations to Medicaid allow only cost-of-
9 living adjustments to certain Medicaid contractors or providers, but do not
10 allow for such adjustments to providers of case management, service coordina-
11 tion, mental health and developmental disability service providers; and
12 WHEREAS, the state employees, including the employees of the Department of
13 Health and Welfare, who administer the state's Medicaid Program have received
14 periodic pay increases in ten of the last thirteen years equaling a total of
15 34.4%; and
16 WHEREAS, private Medicaid providers of case management, service coordina-
17 tion, mental health and developmental disability services have been granted
18 only two cost-of-living adjustments to their rates in the past thirteen years,
19 totaling only 6.5%; and
20 WHEREAS, private providers of case management, service coordination, men-
21 tal health and developmental disability related services continue to experi-
22 ence great difficulties in recruiting and retaining qualified individuals as a
23 result of the providers' inability to offer competitive pay and benefits to
24 employees; and
25 WHEREAS, there is no defined methodology upon which Medicaid providers may
26 rely in this state for establishment of, or the periodic review of reimburse-
27 ment rates; and
28 WHEREAS, it is the desire of the Legislature of the State of Idaho to
29 ensure that contractors and providers of Medicaid services be afforded the
30 opportunity to enter into good faith discussion and review of rates and ser-
31 vice expectation on at least an annual basis with the Department of Health and
32 Welfare and officials administering the Medicaid Program.
33 NOW, THEREFORE, BE IT RESOLVED by the members of the Second Regular Ses-
34 sion of the Fifty-seventh Idaho Legislature, the House of Representatives and
35 the Senate concurring therein, that the Department of Health and Welfare shall
36 negotiate a process and implement a methodology under which the review of ser-
37 vice expectations, and the review of reimbursement rates for case management,
38 service coordination, developmental disability services and mental health
39 related services shall be reviewed with the specific provider groups associ-
40 ated with the provision of such services, and renegotiated when necessary, on
41 not less than an annual basis. Such methodology must result in a written sum-
42 mary of findings, which would justify whatever action or inaction may result
43 from such a review.
44 BE IT FURTHER RESOLVED that the Department of Health and Welfare shall
2
1 issue an annual report to both the Senate and the House of Representatives
2 indicating the progress made in complying with this Concurrent Resolution.
STATEMENT OF PURPOSE
RS 13959
The purpose of this resolution is to give legislative direction
to the Department of Health & Welfare in relation to Medicaid
private providers. During times when money is tight and more
demands are being placed on Medicaid private providers, it is
important for good communication to be maintained between the two
parties.
FISCAL IMPACT
There is no impact to the general fund.
Contact
Name: Representative Janice McGeachin
Phone: 332-1000
STATEMENT OF PURPOSE/FISCAL NOTE HCR 041