Compendium of Budget Information for the 2012 General Session

Social Services
Appropriations Subcommittee
Subcommittee Table of Contents

Agency: Health

Line Item: Medicaid Management Information System Replacement

Function

The current system used to process and pay medical claims, the Medicaid Management Information System, was implemented in 1983 and was based upon a system that began operations in 1975 in Iowa. The system uses a programming language known as COBOL. New federal requirements continue to add to the system design requirements and add details to the information required for medical billing and reporting. As part of its FY 2010 Appropriations Request, the Department of Health estimated the total cost to replace the Medicaid Management Information System at $85 million ($11 million General Fund) over a three-year period. The Department has indicated that the system replacement could be done incrementally by function.

Intent Language

Under Section 63J-1-603 of the Utah Code the Legislature intends that appropriations provided for Medicaid Management Information System Replacement in Item 207 of Chapter 408 Laws of Utah 2010 not lapse at the close of Fiscal Year 2011. The use of any nonlapsing funds is limited to $3,223,600 for the redesign and replacement of the Medicaid Management Information System.

The Legislature intends that the Department of Health report quarterly to the Office of the Legislative Fiscal Analyst on the status of replacing the Medicaid Management Information System replacement beginning September 30, 2011. The reports should include, where applicable, the responses to any requests for proposals.

Funding Detail

For analysis of current budget requests and discussion of issues related to this budget click here.

Sources of Finance
2008
Actual
2009
Actual
2010
Actual
2011
Actual
2012
Approp
General Fund, One-time $0 $0 $0 $3,000,000 $3,000,000
Federal Funds $0 $0 $0 $1,857,700 $27,693,600
Closing Nonlapsing $0 $0 $0 ($2,488,400) $0
Total
$0
$0
$0
$2,369,300
$30,693,600
 
Programs:
2008
Actual
2009
Actual
2010
Actual
2011
Actual
2012
Approp
Medicaid Management Information System Replacement $0 $0 $0 $2,369,300 $30,693,600
Total
$0
$0
$0
$2,369,300
$30,693,600
 
Categories of Expenditure
2008
Actual
2009
Actual
2010
Actual
2011
Actual
2012
Approp
Personnel Services $0 $0 $0 $466,600 $401,500
In-state Travel $0 $0 $0 $600 $0
Out-of-state Travel $0 $0 $0 $2,900 $0
Current Expense $0 $0 $0 $42,900 $1,645,800
DP Current Expense $0 $0 $0 $170,300 $0
DP Capital Outlay $0 $0 $0 $1,686,000 $0
Other Charges/Pass Thru $0 $0 $0 $0 $28,646,300
Total
$0
$0
$0
$2,369,300
$30,693,600
 
Other Indicators
2008
Actual
2009
Actual
2010
Actual
2011
Actual
2012
Approp
Budgeted FTE 0.0 0.0 0.0 0.0 2.9
Actual FTE 0.0 0.0 0.0 2.7 0.0






Subcommittee Table of Contents