FISCAL NOTE

Date Requested: February 28, 2017
Time Requested: 01:14 PM
Agency: Health and Human Resources, WV Department of
CBD Number: Version: Bill Number: Resolution Number:
2807 Introduced HB2739
CBD Subject: Human Services


FUND(S):

8722 CONS FEDERAL FUNDS DIV HUMAN SERVICES GEN ADMIN FD

Sources of Revenue:

Other Fund Federal

Legislation creates:

Neither Program nor Fund



Fiscal Note Summary


Effect this measure will have on costs and revenues of state government.


    The purpose of the bill is to provide that an eligible provider may receive supplemental Medicaid reimbursement, in addition to the rate of payment that the provider would otherwise receive, for Medicaid ground emergency medical transportation services and that the supplemental reimbursement shall be equal to the amount of federal financial participation the department receives as a result of claims submitted for expenditures for services.
    
    The bill would provide government (counties, cities) operated ambulance services with supplemental Medicaid payments. The bill would allow the government entities to "certify their costs" of providing the services as the state matching funds to draw down federal dollars. The combination of the ambulance provider's certified costs and the federal dollars would be supplemental payments, in addition to the normal fee schedule payments. The total of the supplemental and regular fee schedule payments will not exceed 100% of the actual costs of the ambulance entity to provide services for Medicaid members. The bill would require the Department's Bureau for Medical Services to develop and submit a State Plan Amendment tithe Centers for Medicare and Medicaid Services (CMS) for approval of the supplemental payment methodology.
    
    The bill would not require additional state funding for the government operated ambulance entity supplemental payments. The state matching share would be provided by the governmental ambulance entities. The state would incur minimal administrative costs related to cost reporting and audit process for the supplemental payments. The amount of the supplemental payments (and therefore the federal share) cannot be quantified at this time because it would be dependent on the approved methodology.



Fiscal Note Detail


Effect of Proposal Fiscal Year
2017
Increase/Decrease
(use"-")
2018
Increase/Decrease
(use"-")
Fiscal Year
(Upon Full
Implementation)
1. Estmated Total Cost 0 0 0
Personal Services 0 0 0
Current Expenses 0 0 0
Repairs and Alterations 0 0 0
Assets 0 0 0
Other 0 0 0
2. Estimated Total Revenues 0 0 0


Explanation of above estimates (including long-range effect):


    



Memorandum


    



    Person submitting Fiscal Note: Bill J. Crouch
    Email Address: DHHRBudgetOffice@wv.gov