Medicaid-limit on services.

03LSO-0274.L2

                                                         

FISCAL NOTE (HB0180)

 

 

	FY 2004	FY 2005	FY 2006
NON-ADMINISTRATIVE IMPACT
Anticipated Expenditure (Decrease):
FEDERAL FUNDS	(1,579,727)	(663,023)	(871,757)
GENERAL FUND	(1,017,653)	(427,117)	(561,583)

 

Source of Expenditure Decrease: If wavier services are limited, the costs for additional estimated clients would be avoided.

 

Assumptions: The table below lists the estimated number of Assisted Living and Acquired Brain Injury clients that would have been eligible for the waiver services. The expenditure decrease listed above represents waiver costs that would not be incurred.

 

	FY04	FY05	FY06
Assisted Living	25	35	50
Acquired Brain Injury	35	5	5

 

 

 

	FY 2004	FY 2005	FY 2006
NON-ADMINISTRATIVE IMPACT
Anticipated Expenditure Increase:
FEDERAL FUNDS	2,648,051	859,943	1,099,832
GENERAL FUND	1,705,864	553,972	708,508

 

Source of Expenditure Increase: If waivers are limited, individuals that would have been eligible to receive the waivers may have to be served by more expensive services such as institutions or nursing homes.

 

Assumptions: What is detailed is the potential cost of serving estimated Assisted Living and Acquired Brain Injury clients in institutions if the waiver services are not available. The table above lists the estimated number of individuals that would have been eligible for the waiver services. Analysis assumes these individuals are Medicaid eligible and costs reflect the state/federal Medicaid match to serve this population.  Potential litigation costs that may occur related to the Olmstead Supreme Court decision are not included in the costs above.

 

 

 

Prepared by:     Wendy Madsen, LSO            Phone:  777-7881

 

(Information provided by Robert Clabby, Department of Health, 777-7115
and Laura Hudspeth, Department of Health, 777-6997)