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O f f i c e o f t h e G o v e r n o r | M i s s i s s i p p i D i v i s i o n o f M e d i c a i d Medicaid Budget Presentation 2017 O F F I C E O F T H E G O V E R N O R | M I S S I S S I P P I D I V I S I O N O F M E D I C A I

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O F F I C E O F T H E G O V E R N O R | M I S S I S S I P P I D I V I S I O N O F M E D I C A I D 1

Medicaid Budget Presentation

2017

O f f i c e o f t h e G o v e r n o r | M i s s i s s i p p i D i v i s i o n o f M e d i c a i d

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O F F I C E O F T H E G O V E R N O R | M I S S I S S I P P I D I V I S I O N O F M E D I C A I D 2

Mississippi Division of Medicaid

The Mississippi Division of Medicaid has over 900 employees located throughout one central office, 30 regional offices and

ver 80 outstations. We are charged with facilitating the

Medicaid program for the state of Mississippi. Mission: The Mississippi Division of Medicaid responsibly provides

access to quality health coverage for vulnerable Mississippians.

Values: We are committed to accomplishing our mission by conducting

perations with…

Accountability * Consistency * Respect

* * *

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O F F I C E O F T H E G O V E R N O R | M I S S I S S I P P I D I V I S I O N O F M E D I C A I D 3

Medicaid and CHIP Beneficiary Monthly Enrollment

794,859 795,673 796,103 795,550 793,168 790,336 787,144 781,669 780,167 778,511 776,269 775,143 777,866 778,370 780,315 780,117 778,894 777,109 772,356 769,217 767,413 765,050 762,709 759,325

650,000 700,000 750,000 800,000 850,000

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O F F I C E O F T H E G O V E R N O R | M I S S I S S I P P I D I V I S I O N O F M E D I C A I D 4

Fiscal Year Funding Summary

SFY2014 SFY2015 SFY2016 SFY2017 SFY2018

Adjusted Requested Amounts

$911,337,027 $984,928,802 $1,012,904,961 $1,008,332,080 $1,030,595,331

Appropriated w/ Budget Cuts

$840,094,358 $885,438,214 $961,270,595 $919,428,337

Deficit Request

$71,242,669 $99,490,588 $51,634,366 $88,903,743

Deficit Appropriated

$50,000,000 $92,662,369 $51,634,366

Actual Deficit Expenditure

$69,025,158 $102,859,664 $47,459,026

Total Appropriated/ Request

$890,094,358 $978,100,583 $1,017,072,580 $1,008,332,080 $1,030,595,331

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O F F I C E O F T H E G O V E R N O R | M I S S I S S I P P I D I V I S I O N O F M E D I C A I D 5

Medicaid State Law Requirements

Eligibility Requirements

Miss. Code Ann. § 43-13-115

Children Aged (65+) Disabled Dual Eligibles All other covered categories Service and Reimbursement Requirements

Miss. Code Ann. § 43-13-117

Coordinated Care Physician Services Nursing Home Pharmacy All other covered services

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O F F I C E O F T H E G O V E R N O R | M I S S I S S I P P I D I V I S I O N O F M E D I C A I D 6

Appropriation and Budget Cuts

Appropriated w/ Budget Cuts, $919,428,337 91% Deficit, $88,903,743 9% Appropriation Deficit

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O F F I C E O F T H E G O V E R N O R | M I S S I S S I P P I D I V I S I O N O F M E D I C A I D 7

Medicaid Inflation Rate

FY2015 FY2016 FY2017 FY2018 CMS Projections 2.30% 4.10% 4.50% 4.30% DOM Actual 9.40% 5.10%

2.18%

1.25% 2.30% 4.10% 4.50% 4.30% 9.40% 5.10%

2.18%

1.25%

4.00%
2.00%

0.00% 2.00% 4.00% 6.00% 8.00% 10.00%

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O F F I C E O F T H E G O V E R N O R | M I S S I S S I P P I D I V I S I O N O F M E D I C A I D 8

Medicaid Costs per Beneficiary

FY2012 FY2013 FY2014 FY2015 FY2016 FY2017 FY2018 CMS Projection $7,071 $7,318 $7,324 $7,639 $7,903 $8,155 $8,505 DOM Total $6,981 $7,499 $7,377 $7,459 $7,910 $7,817 $7,881 $7,071 $7,318 $7,324 $7,639 $7,903 $8,155 $8,505 $6,981 $7,499 $7,377 $7,459 $7,910 $7,817 $7,881 $6,500 $7,250 $8,000 $8,750

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O F F I C E O F T H E G O V E R N O R | M I S S I S S I P P I D I V I S I O N O F M E D I C A I D 9

Medicaid Funding and Cost Avoidance

FY2016 FY2017 FY2018 Projected $1,017,072,580.00 $1,052,230,176.00 $1,101,727,437.00 Actual $1,017,072,580.00 $1,008,332,080.00 $1,030,595,331.00 $1.00 $1.02 $1.04 $1.06 $1.08 $1.10 $1.12 Billions $115,030,202