COBI 2015 - Other Mandatory Services

Overview
Issues
Background
Financials

Sources Uses

FY 2016 Appropriation

Other Mandatory Services includes: Home Health Services, Rural Health Clinic, Federally Qualified Health Centers, Indian Health, Radiology, Laboratory, and Well Child Care (Early Periodic Screening, Diagnosis and Treatment Program). Detailed coverage information is in the Medicaid provider manuals.

Funding History

Funding Issues

New Federal Surplus Property Resale Program

New federal surplus resale program where state agencies can receive dedicated credits from the sale of property/equipment.

Appropriation Overview

During the 2015 General Session, the Legislature appropriated for Fiscal Year 2016, $60,880,900 from all sources for Other Mandatory Services. This is a 14.1 percent increase from Fiscal Year 2015 revised estimated amounts from all sources. The total includes $15,922,600 from the General/Education Funds, a reduction of 12.5 percent from revised Fiscal Year 2015 estimates.

Appropriation Adjustments

In addition to statewide compensation and internal service fund cost increases, the following appropriation adjustments were made during the 2015 General Session:

DescriptionOngoingOne-Time Dedicated Credits Increase$2,000$0

OngoingOne-TimeFinancing Source

$2,000$0Dedicated Credits Revenue

(1) An increase of $802,200 in dedicated credits in FY 2016 in the Department of Health's Executive Director's Operations line item for $383,700 for potential sales from five new products from the All Payer Claims Database, $250,000 for contract for implementing the Master Person Index, and $168,500 for increased fees in vital records to offset declines in fee quantities. (2) An increase of $10,002,000 in dedicated credits in FY 2016 in the Department of Health's Medicaid Mandatory Services line item which is just a shift from the Medicaid Optional Services line item, but no overall increases for dedicated credits in Medicaid services. (3) $27,500 in ongoing dedicated credits beginning in FY 2016 for the Department of Health for a new federal surplus resale program where state agencies can receive dedicated credits from the sale of property/equipment. (4) For the Department of Health's Disease and Prevention Control line item as dedicated credits - Health: "Grant from the Association of Public Health Laboratories for $148,100. The purpose of this proposal is to establish molecular testing (Severe Combined Immunodeficiency) within the Utah Public Health Laboratory. Through this mechanism we explore and implement a cross-testing section process to advance Newborn Screening and the Infectious Disease group. The grant finances research and development work to implement a mandated test. All future cost will be covered completely through revenue generated through test fees."

Emergency Medical Services Amendments$7,502,100$0

OngoingOne-TimeFinancing Source

$7,502,100$0Federal Funds

Enacting this bill could increase revenue to a new expendable special revenue fund by $3,217,400 ongoing beginning in FY 2016 and may increase federal funds received by $7,502,100 ongoing beginning in FY 2016. Enactment of this legislation may cost the Department of Health $3,217,400 in expendable special revenue funds and $7,502,100 federal funds annually beginning in FY 2016. These costs are $40,000 for staff and $10,679,500 for increased reimbursement payments to Medicaid providers of ambulance transportation.

Federally Qualified Health Centers - For specifically designated medical clinics that qualify as federally qualified health centers, Utah Medicaid must pay these clinics their full cost of providing Medicaid services. This is done through an annual adjustment at the end of each fiscal year and usually results in a payment that is higher than what Medicaid would normally pay. Utah has 11 federally qualified health centers.

The federal government pays 100% of the service costs for Indian Health Services. Utah has five Indian Health/Tribal facilities. Medicaid pays these facilities an all-inclusive rate for everything except for physician inpatient services, which use the fee-for-service reimbursement schedule.

Intent Language

HB0003: Item 81

Under Section 63J-1-603 of the Utah Code, the Legislature intends up to $3,500,000 provided for the Department of Health's Medicaid Management Information System Replacement in Item 72 of Chapter 282, Laws of Utah 2014 shall not lapse at the close of Fiscal Year 2015. The use of any nonlapsing funds is limited to the redesign and replacement of the Medicaid Management Information System.

SB0003: Item 121

The Legislature intends that the Medicaid Accountable Care Organizations receive a scheduled two percent increase effective January 1, 2016 consistent with the intent of S.B. 180, 2011 General Session.

SB0007S01: Item 5

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, 2015. The reports should include, where applicable, the responses to any requests for proposals. At least one report during FY 2016 should include the first estimate of net ongoing impacts to the State from the new system.

SB0007S01: Item 5

The Legislature intends that the Department of Health report on the following performance measures for the Medicaid Mandatory Services line item: (1) percent of adults age 45-64 with ambulatory or preventive care visits (Target = 88% or more), (2) percent of deliveries that had a post partum visit between 21 and 56 days after delivery (Target = 60% or more), and (3) percent of customers satisfied with their managed care plan (Target = 85% or more) by January 1, 2016 to the Social Services Appropriations Subcommittee.

SB0007S01: Item 17

Display By:

Funding Source

Expenditure Category

Appropriation Type:

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	50,207,300	14,831,000	31,480,400	75,538,200	15,461,600	2,725,100	18,186,700	50,700	18,237,400
General Fund, One-time	(36,031,400)	961,600	(13,000,000)	(63,088,900)	6,900	0	6,900	(2,321,700)	(2,314,800)
Federal Funds	36,412,300	43,956,900	38,089,200	31,991,800	31,798,700	198,500	31,997,200	7,387,600	39,384,800
American Recovery and Reinvestment Act	5,553,400	0	0	0	0	0	0	0	0
Dedicated Credits Revenue	1,465,800	1,058,900	1,142,000	1,487,800	1,169,800	318,000	1,487,800	30,500	1,518,300
GFR - Medicaid Restricted	0	0	0	41,400	0	0	0	0	0
GFR - Tobacco Settlement	0	0	0	0	0	0	0	2,332,000	2,332,000
Transfers	0	0	0	5,000,000	(100)	100	0	27,700	27,700
Transfers - Administrative Services	0	0	500	500	500	0	500	0	500
Transfers - Corrections	0	0	16,800	23,900	16,800	7,100	23,900	0	23,900
Transfers - Human Services	0	0	1,100	700	1,100	(400)	700	0	700
Transfers - Medicaid - DHS	1,900	0	0	136,000	0	136,000	136,000	0	136,000
Transfers - Medicaid - DWS	29,900	0	0	0	0	0	0	0	0
Transfers - Medicaid - Internal DOH	2,543,600	1,643,700	19,100	19,100	19,100	0	19,100	0	19,100
Transfers - Medicaid - UDC	0	0	0	0	16,800	(16,800)	0	0	0
Transfers - Public Safety	0	0	16,600	5,900	16,600	(10,700)	5,900	0	5,900
Transfers - State Office of Rehabilitati	0	0	0	128,600	0	128,600	128,600	0	128,600
Transfers - Within Agency	0	702,200	1,760,800	1,308,600	1,839,100	(530,500)	1,308,600	1,900	1,310,500
Transfers - Workforce Services	0	0	167,800	70,300	167,800	(97,500)	70,300	0	70,300
Closing Nonlapsing	2,800	0	0	0	0	0	0	0	0
Lapsing Balance	0	0	0	(84,100)	0	0	0	0	0
Total	$60,185,600	$63,154,300	$59,694,300	$52,579,800	$50,514,700	$2,857,500	$53,372,200	$7,508,700	$60,880,900

Categories of Expenditure	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Personnel Services	5,018,100	4,273,600	4,058,500	4,214,300	4,792,600	208,700	5,001,300	168,500	5,169,800
In-state Travel	21,100	30,600	26,900	31,800	26,900	4,900	31,800	0	31,800
Out-of-state Travel	6,200	1,500	8,300	3,700	8,300	(4,600)	3,700	0	3,700
Current Expense	2,065,100	3,134,300	3,161,500	2,540,300	3,185,600	(645,300)	2,540,300	3,900	2,544,200
DP Current Expense	63,600	147,200	68,300	133,700	69,300	64,400	133,700	3,800	137,500
Capital Outlay	0	72,000	22,400	86,100	0	0	0	0	0
Other Charges/Pass Thru	53,011,500	55,495,100	52,348,400	45,569,900	42,432,000	3,229,400	45,661,400	7,332,500	52,993,900
Total	$60,185,600	$63,154,300	$59,694,300	$52,579,800	$50,514,700	$2,857,500	$53,372,200	$7,508,700	$60,880,900

Show Table | Show Additional Information

Other Indicators	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Approp
Budgeted FTE	74.60	79	72.40	68	67.70	(0.50)	67.20	67.20
Actual FTE	63.10	53.90	52.80	53.80	0	0	0	0
Vehicles	1	1	1	0	1	(1)	0	0

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.