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Social Services Appropriations Subcommittee - June 18, 2024
30 House Building
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Recording 1
8:30 Call to Order
Chair Ward called the meeting to order at 8:37 a.m.
8:30 Accountable Base Budget - Division of Family Health
3 - Accountable Base Budget Review - June 2024 - Preliminary Analysis
Sean Faherty discussed the Accountable Base Budget for the Division of Family Health.
Chair Ward invited Noel Taxin, Director, Division of Family Health, to answer questions from the committee.
Rep. Dailey-Provost and Chair Ward discussed a possible motion regarding budget oversight of departments.
8:30 Approval of Minutes
Sen. Balderree moved to approve the minutes from the January 17, 18, 22, 24, 29, 31 as well as February 2 and 5, 2024 meetings.
8:50 Should Pharmacy Benefits Move to Fee-for-Service for all Clients?
Russell Frandsen presented information on a study of making changes to pharmacy benefits for clients.
Jennifer Strohecker, State Medicaid Director, and Jennifer Prather, senior pharmacy management consultant, provided information on Medicaid pharmacy benefits.
Rep. Judkins asked if the experience of clients will be assessed, and Jennifer Strohecker responded.
Sen. Johnson expressed wariness with moving away from private providers and increasing government involvement.
Michael Hales, speaking on behalf of ACO's, expressed concern with areas of analyses omitted from the study.
Chair Ward asked how ACOs differentiate the causes of savings from using different medications, and Michael Hales responded.
9:10 Accountable Base Budget - Department of Workforce Services
Josh Pittman introduced the Accountable Base Budget Review for the Department of Workforce Services (DWS).
Kevin Burt, Deputy Director, DWS, and Jennifer Strohecker explained the potential of automation.
Rep. Lesser asked for elaboration on the federal program, and Kevin Burt responded.
Rep. Judkins asked about a constituent who claimed she must renew her application every month, and Kevin Burt responded.
9:30 Social Services Performance Measures
6a-Social Services Performance Measure Adjustments Table 3
6b-Social Services Performance Measures Adjustments Table 4
6c-Social Services Performance Measure Adjustments Table 2
Sean Faherty introduced the Social Services Performance Measures.
Rep. Judkins asked for clarification on the tables, and Sean Faherty responded.
Sen. Balderree moved to adopt the updated performance measure names for the Department of Health and Human Services and the Department of Workforce Services as found in the column titled “Proposed Name” on the tab titled Table #2 of the document titled "Social Services Performance Measure Adjustments” posted with today’s materials. I move to adopt the updated performance measure targets for the Department of Health and Human Services and the Department of Workforce Services as found in the column titled “Proposed Target” on the tab titled Table #3 of the document titled " Social Services Performance Measure Adjustments” posted with today’s materials. I move to adopt the clarified and simplified performance measure targets for the Department of Health and Human Services and the Department of Workforce Services as found in the column titled “Proposed Target” on the tab titled Table #4 of the document titled "Social Services Performance Measure Adjustments” posted with today’s materials.
9:40 Accountable Base Budget - Primary Care Workforce Programs
7b - NCSL Incentives for Medical Professionals
7c - Primary Care Workforce Programs Accountable Base Budget June Research
Russell Frandsen presented the Accountable Base Budget Review for Primary Care Workforce Programs.
Chair Ward gave a personal example of the positive effects of funding for primary care providers.
Sen. Balderree moved to accept staff reporting recommendations on page 70.
9:50 Accountable Base Budget Review - Children's Health Insurance Program
8b - NCSL CHIP Program Type and Enrollment
Russell Frandsen presented the Accountable Base Budget Review for Children's Health Insurance Program.
Sen. Balderree moved to accept staff reporting recommendations on page 78.
10:00 Differential Home Health Care Reimbursement Rates in San Juan County
Russell Frandson introduced Differential Home Health Care Reimbursement Rates in San Juan County.
Jennifer Strohecker presented information on reimbursement rates and providers in Utah.
Rep. Dailey-Provost asked about auditing reimbursement rates in rural areas, and Jennifer Strohecker responded.
Rep. Judkins asked about reauthorizing pre-authorizations, and Jennifer Strohecker responded.
Kelly Snowball, chief operating officer, Rocky Mountain Home Health, discussed the challenges of providing services in San Juan County.
Sen. Balderree asked about the possibility of having a contact person with a satellite phone in remote communities, and Kelly Snowball responded.
Chair Ward asked about the disparity in reimbursement rates and if this might reduce the overall number of people being served, and Kelly Snowball responded.
10:10 Accountable Base Budget Review - Medicaid Services
10-3 Sources of Ongoing Medicaid Growth FY 2014 to FY 2023
10-4 Medicaid Provider and Faculty Growth
10-5 Medicaid Accountable Base Budget June Research
Russell Frandsen introduced the Accountable Base Budget Review for Medicaid Services.
Sen. Balderree moved to accept staff reporting recommendations on page 87 #2.
Sen. Balderree moved to accept recommendations on rows 8 and 9 of document "Rate Add-ons Differentials List in Medicaid Fiscal Year 2022."
Russell Frandsen continued with the presentation.
10a - UOIG PPC Analysis Report to the Legislature, Item 7, H.B. 7, 2024 Legislative Session (6.4.2024)
10b - DHHS Quality-based Auto Assignment in Medicaid managed care_2024
Russell Frandsen continued the presentation.
10c - DHHS_Health Homes for ACE Kids Legislative Report_2024
Jennifer Strohecker discussed home health benefits for children.
Rep. Dailey-Provost asked for additional information on the grant, and Jennifer Strohecker responded.
Sen. Thatcher moved to adjourn.
Chair Ward adjourned the meeting at 11:05 a.m.
8:30 Call to Order
8:30 Call to Order
8:30 Approval of Minutes
8:30 Approval of Minutes
8:30 Accountable Base Budget - Division of Family Health
8:30 Accountable Base Budget - Division of Family Health
8:50 Should Pharmacy Benefits Move to Fee-for-Service for all Clients?
8:50 Should Pharmacy Benefits Move to Fee-for-Service for all Clients?
9:10 Accountable Base Budget - Department of Workforce Services
9:10 Accountable Base Budget - Department of Workforce Services
9:30 Social Services Performance Measures
9:30 Social Services Performance Measures
9:40 Accountable Base Budget - Primary Care Workforce Programs
9:40 Accountable Base Budget - Primary Care Workforce Programs
9:50 Accountable Base Budget Review - Children's Health Insurance Program
9:50 Accountable Base Budget Review - Children's Health Insurance Program
10:00 Differential Home Health Care Reimbursement Rates in San Juan County
10:00 Differential Home Health Care Reimbursement Rates in San Juan County
10:10 Accountable Base Budget Review - Medicaid Services
10:10 Accountable Base Budget Review - Medicaid Services
10:50 Other Business
10:50 Other Business
AGENDA
AGENDA
MINUTES
MINUTES
NOTICE
NOTICE
3a-Accountable Base Budget Review - June 2024 - Preliminary Analysis
3a-Accountable Base Budget Review - June 2024 - Preliminary Analysis
4a-Medicaid Pharmacy Study 2024_06
4a-Medicaid Pharmacy Study 2024_06
4b-Evaluation of Pharmacy Service Delivery Models for the Utah Medicaid Managed Care Program_DRAFT_5.20.2024
4b-Evaluation of Pharmacy Service Delivery Models for the Utah Medicaid Managed Care Program_DRAFT_5.20.2024
6a-Social Services Performance Measure Adjustments Table 3
6a-Social Services Performance Measure Adjustments Table 3
6b-Social Services Performance Measures Adjustments Table 4
6b-Social Services Performance Measures Adjustments Table 4
6c-Social Services Performance Measure Adjustments Table 2
6c-Social Services Performance Measure Adjustments Table 2
7a-CHIP Accountable Base Budget June Research
7a-CHIP Accountable Base Budget June Research
7b-NCSL Incentives for Medical Professionals
7b-NCSL Incentives for Medical Professionals
7c-Primary Care Workforce Programs Accountable Base Budget June Research
7c-Primary Care Workforce Programs Accountable Base Budget June Research
8a-NCSL CHIP Program Type and Enrollment
8a-NCSL CHIP Program Type and Enrollment
9a-HomeHealth in San Juan County_2024_06
9a-HomeHealth in San Juan County_2024_06
9b-Talking Points - Rural Home Health Reimbursement Multipliers
9b-Talking Points - Rural Home Health Reimbursement Multipliers
10a-UOIG PPC Analysis Report to the Legislature, Item 7, H.B. 7, 2024 Legislative Session (6.4.2024)
10a-UOIG PPC Analysis Report to the Legislature, Item 7, H.B. 7, 2024 Legislative Session (6.4.2024)
10b-DHHS Quality-based Auto Assignment in Medicaid managed care_2024
10b-DHHS Quality-based Auto Assignment in Medicaid managed care_2024
10c-DHHS_Health Homes for ACE Kids Legislative Report_2024
10c-DHHS_Health Homes for ACE Kids Legislative Report_2024
10-1 Rate Add Ons and Differential List in Medicaid FY 2022
10-1 Rate Add Ons and Differential List in Medicaid FY 2022
10-3 Sources of Ongoing Medicaid Growth FY 2014 to FY 2023
10-3 Sources of Ongoing Medicaid Growth FY 2014 to FY 2023
10-4 Medicaid Provider and Facility Growth FY 2018 to FY 2022
10-4 Medicaid Provider and Facility Growth FY 2018 to FY 2022
10-5 Medicaid Accountable Base Budget June Research
10-5 Medicaid Accountable Base Budget June Research
11a-DHHS Behaviorally Complex 2024
11a-DHHS Behaviorally Complex 2024
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