Presentation 2017 O F F I C E O F T H E G O V E R N O R | M - PowerPoint PPT Presentation

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 D 1

Mississippi Division of Medicaid The Mississippi Division of Medicaid has over 900 employees located throughout one central office, 30 regional offices and over 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 operations with… Accountability * Consistency * Respect 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

650,000 700,000 750,000 800,000 850,000 794,859 795,673 796,103 Medicaid and CHIP Beneficiary 795,550 793,168 790,336 Monthly Enrollment 787,144 781,669 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 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 3

Fiscal Year Funding Summary SFY2014 SFY2015 SFY2016 SFY2017 SFY2018 Adjusted $911,337,027 $984,928,802 $1,012,904,961 $1,008,332,080 $1,030,595,331 Requested Amounts Appropriated $840,094,358 $885,438,214 $961,270,595 $919,428,337 w/ Budget Cuts Deficit $71,242,669 $99,490,588 $51,634,366 $88,903,743 Request Deficit $50,000,000 $92,662,369 $51,634,366 Appropriated Actual Deficit $69,025,158 $102,859,664 $47,459,026 Expenditure Total $890,094,358 $978,100,583 $1,017,072,580 $1,008,332,080 $1,030,595,331 Appropriated/ Request 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

Medicaid State Law Requirements Service and Reimbursement Eligibility Requirements Requirements Miss. Code Ann. § 43-13-115 Miss. Code Ann. § 43-13-117 Coordinated Care Children Aged (65+) Physician Services Disabled Nursing Home Dual Eligibles Pharmacy All other covered categories All other covered services 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

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

Medicaid Inflation Rate 10.00% 9.40% 8.00% 6.00% 4.50% 5.10% 4.30% 4.00% 4.10% 2.00% 2.30% 1.25% 0.00% -2.00% -2.18% -4.00% FY2015 FY2016 FY2017 FY2018 CMS Projections 2.30% 4.10% 4.50% 4.30% DOM Actual 9.40% 5.10% -2.18% 1.25% 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 Costs per Beneficiary $8,750 $8,505 $8,155 $7,903 $8,000 $7,881 $7,910 $7,639 $7,817 $7,499 $7,324 $7,459 $7,377 $7,250 $7,318 $7,071 $6,981 $6,500 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 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 Funding and Cost Avoidance $1.12 Billions $1.10 $1.08 $ 115,030,202 $1.06 $1.04 $1.02 $1.00 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 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