Amendment_Report_for

SECTION 1. The following sum, or so much thereof as may be necessary, is appropriated out of any money in the State General Fund not otherwise appropriated, to the Governor's Office - Division of Medicaid for the purpose of providing medical assistance under the Mississippi Medicaid Law and defraying the expenses of the administration of such law, as provided in Section 43-13-101 et seq., Mississippi Code of 1972, for the fiscal year beginning July 1, 2023, and ending June 30, 2024

............................................ $ 838,953,656.00.

SECTION 2. The following sum, or so much thereof as may be necessary, is appropriated out of any money in the State Treasury to the credit of the Medical Care Fund created by Section 43-13-143, Mississippi Code of 1972, for the purpose of providing medical assistance under the Mississippi Medicaid Law for the fiscal year beginning July 1, 2023, and ending June 30, 2024...........................................

............................................ $ 315,635,553.00.

SECTION 3. The following sum, or so much thereof as may be necessary, is appropriated out of any money in any special fund in the State Treasury to the credit of the Governor's Office - Division of Medicaid which is comprised of special source funds collected by or otherwise available to the Division, for the purpose of providing medical assistance under the Mississippi Medicaid Law and defraying the expenses of the administration of such law, for the fiscal year beginning July 1, 2023, and ending June 30, 2024........ $ 5,484,929,142.00.

Prior period recovery of funds may be maintained and expended by the division when the recovery is received or finalized. Any recoveries due to audits or third party recoveries may be used to offset the cost of such audits and third party recoveries and as such, the division may escalate Contractual Services as needed for these purposes.

SECTION 4. The following sum, or so much thereof as may be necessary, is appropriated out of any money in the State Treasury to the credit of the Health Care Expendable Fund, for the purpose of defraying the expenses of the Governor's Office - Division of Medicaid for the fiscal year beginning July 1, 2023, and ending June 30, 2024.... $ 63,230,003.00.

The above funds shall be allocated as follows:

CHIP Program at up to 209% level of poverty. $ 9,000,000.00.

Medical Program Matching Funds.............. $ 54,230,003.00.

It is the intention of the Legislature that funds may be shifted among the above allocated line items where needed at the discretion of the Executive Director of Governor's Office - Division of Medicaid.

SECTION 5. Of the funds appropriated under the provisions of this act, the following positions are authorized:

AUTHORIZED HEADCOUNT:

Permanent: 921

Time-Limited: 23

With the funds herein appropriated, it shall be the agency’s responsibility to make certain that funds required for Personal Services for Fiscal Year 2025 do not exceed Fiscal Year 2024 funds appropriated for that purpose unless programs or positions are added to the agency’s Fiscal Year 2024 budget by the Mississippi Legislature. The Legislature shall determine the agency’s personal services appropriation, which shall be published by the State Personnel Board. Additionally, the State Personnel Board shall determine and publish the projected annualized payroll costs based on current employees. It shall be the responsibility of the agency head to ensure that actual personnel expenditures for Fiscal Year 2024 do not exceed the data provided by the Legislative Budget Office. If the agency’s Fiscal Year 2024 projected cost exceeds the annualized costs, no salary actions shall be processed by the State Personnel Board with the exception of new hires that are determined to be essential for the agency.

Any transfers or escalations shall be made in accordance with the terms, conditions and procedures established by law or allowable under the terms set forth within this act. The State Personnel Board shall not escalate positions without written approval from the Department of Finance and Administration. The Department of Finance and Administration shall not provide written approval to escalate any funds for salaries and/or positions without proof of availability of new or additional funds above the appropriated level.

No general funds authorized to be expended herein shall be used to replace federal funds and/or other special funds which are being used for salaries authorized under the provisions of this act and which are withdrawn and no longer available.

None of the funds herein appropriated shall be used in violation of Internal Revenue Service’s Publication 15-A relating to the reporting of income paid to contract employees, as interpreted by the Office of the State Auditor.

Funds have been appropriated herein for the purpose of funding Project SEC2 minimum salaries for all employees covered under the Colonel Guy Groff/Neville Kenning Variable Compensation Plan. It shall be the agency’s responsibility to ensure that the funds are used to increase all employees’ salaries up to the minimum level as determined by the State Personnel Board.

SECTION 6. It is the intention of the Legislature that the Governor's Office - Division of Medicaid shall maintain complete accounting and personnel records related to the expenditure of all funds appropriated under this act and that such records shall be in the same format and level of detail as maintained for Fiscal Year 2023. It is further the intention of the Legislature that the agency's budget request for Fiscal Year 2025 shall be submitted to the Joint Legislative Budget Committee in a format and level of detail comparable to the format and level of detail provided during the Fiscal Year 2024 budget request process with the Children's Health Insurance Program (CHIP) being separated from the Medical Services Program and submitted as a separate program. All Medicaid 1915 (C) Home and Community Based Services Waivers shall be presented as a budget program separate from the Medical Services Program. In addition, the performance measures reported for the Medical Services Program shall include an unduplicated case count of individuals served by eligibility status, and the number and the costs of emergency room visits.

SECTION 7. In compliance with the "Mississippi Performance Budget and Strategic Planning Act of 1994," it is the intent of the Legislature that the funds provided herein shall be utilized in the most efficient and effective manner possible to achieve the intended mission of this agency. Based on the funding authorized, this agency shall make every effort to attain the targeted performance measures provided below:

FY2024

Performance Measures Target

Administrative Services

Admin as a Percent of Total Budget 3.66

Third Party Liability Cost Avoided (Thou) 1,176,412.00

Percent of Clean Claims Processed within

30 Days of Receipt 99.50

Percent of Clean Claims Processed within

90 Days of Receipt 100.00

Percent of Applications Processed within

Std. of Promptness - Medicaid 90.00

Third Party Funds Recovered 7,998,051.00

Number of Providers Submitting

Electronic Claims 31,500

Turnover Rate of Employees 15.00

Medical Services

Costs of Emergency Room Visits 171,539,318

Number of Emergency Room Visits 418,177

Medicaid Recipients - Enrolled (Persons) 793,762

Child Physical Exams (Ages 0-20) 317,675

Adult Physical Exams (21-Older) 10,595

Number of Fraud and Abuse Cases Investigated 300

Number of Medicaid Providers 45,000

Number of Medicaid Beneficiaries

Assigned to a Managed Care Company 450,000

Percent of MSCAN Diabetic Members Aged

17-75 Receiving HBA1c Test 88.69

Percent of MSCAN Members with Persistent

Asthma are Appropriately Prescribed

Medication 71.08

Rate of EPSDT Well Child Screening 75.00

Percent Change in Number of Recipients

Enrolled From Last Year 2.50

Percent Change in Number of Providers

From Last Year 29.15

Children's Health Insur Prg (chip)

Number of CHIP Enrollees 47,000

Percent of CHIP Applications Processed

within Std. of Promptness 90.00

Home & Comm-based Waiver Prg

Elderly and Disabled - Persons Served 20,559

Elderly and Disabled - Funded Slots 20,121

Elderly and Disabled - Total Authorized

Slots 22,200

Assisted Living - Persons Served 945

Assisted Living - Funded Slots 918

Assisted Living - Total Authorized Slots 1,100

Independent Living - Persons Served 3,675

Independent Living - Funded Slots 3,615

Independent Living - Total Authorized Slots 5,800

Traumatic Brain Injury - Persons Served 1,103

Traumatic Brain Injury - Funded Slots 1,050

Traumatic Brain Injury - Total

Authorized Slots 1,150

Intellectual Disability - Persons Served 3,250

Intellectual Disability - Funded Slots 3,250

Intellectual Disability - Total

Authorized Slots 4,150