COBI 2015 - Contracts

Overview
Issues
Financials

Sources Uses

FY 2016 Appropriation

This program deals with charges pertaining to the Attorney General contract and the mechanized claim processing system operation contracts.

Funding History

Appropriation Overview

During the 2015 General Session, the Legislature appropriated for Fiscal Year 2016, $1,187,400 from all sources for Contracts. This is a 0 percent reduction from Fiscal Year 2015 revised estimated amounts from all sources. The total includes $225,800 from the General/Education Funds, an increase of 0.4 percent from revised Fiscal Year 2015 estimates.

Intent Language

HB0003: Item 78

Under Section 63J-1-603 of the Utah Code, the Legislature intends up to $475,000 provided for the Department of Health's Medicaid and Health Financing line item in Item 24 of Chapter 13, Laws of Utah 2014 shall not lapse at the close of Fiscal Year 2015. The use of nonlapsing funds is limited to compliance with federally mandated projects and the purchase of computer equipment and software.

HB0003: Item 78

Under Section 63J-1-603 of the Utah Code, the Legislature intends up to $1,000,000 provided for the Department of Health's Medicaid and Health Financing line item in Item 70 of Chapter 282, Laws of Utah 2014 shall not lapse at the close of Fiscal Year 2015. The use of nonlapsing funds is limited to the purchase of telehealth equipment.

SB0002: Item 72

The Legislature intends that the Inspector General of Medicaid Services pay the Attorney General's Office the full state cost of the one attorney FTE that it is using at the Department of Health.

SB0007S01: Item 3

All General Funds appropriated to the Department of Health - Medicaid and Health Financing line item are contingent upon expenditures from Federal Funds - American Recovery and Reinvestment Act (H.R. 1, 111th United States Congress) not exceeding amounts appropriated from Federal Funds - American Recovery and Reinvestment Act in all appropriation bills passed for fiscal year 2016. If expenditures in the Medicaid and Health Financing line item from Federal Funds - American Recovery and Reinvestment Act exceed amounts appropriated to the Medicaid and Health Financing line item from Federal Funds - American Recovery and Reinvestment Act in fiscal year 2016, the Division of Finance shall reduce the General Fund allocations to the Medicaid and Health Financing line item by one dollar for every one dollar in Federal Funds - American Recovery and Reinvestment Act expenditures that exceed Federal Funds - American Recovery and Reinvestment Act appropriations.

SB0007S01: Item 3

The Legislature intends that the Department of Health report on the following performance measures for the Medicaid and Health Financing line item: (1) average decision time on pharmacy prior authorizations (Target = 24 hours or less), (2) percent of clean claims adjudicated within 30 days of submission (Target = 98%), and (3) total count of Medicaid and CHIP clients educated on proper benefit use and plan selection (Target = 90,000 or more) by January 1, 2016 to the Social Services Appropriations Subcommittee.

SB0007S01: Item 14

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Expenditure Category

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Appropriation History by

Sources of Finance	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
General Fund	669,800	611,400	283,800	611,400	217,000	8,000	225,000	800	225,800
Federal Funds	7,088,400	975,600	577,100	561,400	636,500	(62,400)	574,100	0	574,100
Dedicated Credits Revenue	6,209,800	131,500	263,700	114,600	279,500	31,900	311,400	(500)	310,900
Transfers	0	0	0	0	400	(400)	0	0	0
Transfers - Medicaid - DHS	200	0	0	0	0	28,900	28,900	(100)	28,800
Transfers - Medicaid - DWS	(118,300)	0	0	0	0	0	0	0	0
Transfers - Medicaid - Internal DOH	0	0	0	0	0	4,400	4,400	(100)	4,300
Transfers - Within Agency	4,200	126,700	67,400	44,800	76,300	(32,600)	43,700	(200)	43,500
Lapsing Balance	0	0	(55,500)	(144,700)	0	0	0	0	0
Total	$13,854,100	$1,845,200	$1,136,500	$1,187,500	$1,209,700	($22,200)	$1,187,500	($100)	$1,187,400

Show Table | Show Additional Information

Categories of Expenditure	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Current Expense	1,434,300	1,638,400	1,136,500	1,187,500	1,209,700	(22,200)	1,187,500	(100)	1,187,400
Other Charges/Pass Thru	12,419,800	206,800	0	0	0	0	0	0	0
Total	$13,854,100	$1,845,200	$1,136,500	$1,187,500	$1,209,700	($22,200)	$1,187,500	($100)	$1,187,400

COBI contains unaudited data as presented to the Legislature by state agencies at the time of publication. For audited financial data see the State of Utah's Comprehensive Annual Financial Reports.