Expenditures Subject to the Budget Neutrality Cap. For purposes of this section, the term “expenditures subject to the budget neutrality cap” must include all Medicaid expenditures related to the demonstration benefit package described in Section V of the STCs provided to individuals who are enrolled in this demonstration as described in Section IV of the STCs. All expenditures that are subject to the budget neutrality cap are considered demonstration expenditures and must be reported on Forms CMS-64.9 Waiver and/or 64.9P Waiver.
Expenditures Subject to the Budget Neutrality Cap. For purposes of this section, the term “expenditures subject to the budget neutrality cap” must include all Medicaid expenditures on behalf of individuals who are enrolled in this demonstration and for designated state health program expenditures as described in STC 42. All expenditures that are subject to the budget neutrality cap are considered demonstration expenditures, and must be reported on Forms CMS-64.9 Waiver and /or 64.9P Waiver. All expenditures for managed care enrollment for Demonstration Populations 1 and 2 residing in the counties other than those specified in STC 16 who are required to enroll in managed care (“current” mandatory managed care enrollment) will be reported under the Partnership Plan demonstration (11-W-00114/2). These expenditures may not be reported under this demonstration. Mandated Increase in Physician Payment Rates in 2013 and 2014. Section 1202 of the Health Care and Education Reconciliation Act of 2010 (Pub. Law 110-152) requires state Medicaid programs to reimburse physicians for primary care services at rates that are no less than what Medicare pays, for services furnished in 2013 and 2014, with the Federal Government paying 100 percent of the increase. The entire amount of this increase will be excluded from the budget neutrality test for this demonstration. The specifics of separate reporting of these expenditures will be described in guidance to be issued by CMS at a later date.
Expenditures Subject to the Budget Neutrality Cap. For purposes of this section, the term “expenditures subject to the budget neutrality cap” must include all Medicaid expenditures on behalf of individuals who are enrolled in this Demonstration and for designated state health program expenditures as described in STC 39. All expenditures that are subject to the budget neutrality cap are considered Demonstration expenditures, and must be reported on Forms CMS-
Expenditures Subject to the Budget Neutrality Cap. For purposes of this section, the term “expenditures subject to the budget neutrality cap” must include all Medicaid expenditures related to the demonstration benefit package described in sections V and VI of the STCs provided to individuals who are enrolled in this demonstration as described in STC 69(g)(i- xii), subject to the limitation specified in STC 69(h). All expenditures that are subject to the budget neutrality cap are considered demonstration expenditures and must be reported on Forms CMS-64.9 Waiver and /or 64.9P Waiver. Expenditures for individuals enrolled in this demonstration as former xxxxxx care youth as described in STC 23 above, has been determined to be budget neutral based on CMS’ assessment that the waiver authorities granted to provide this demonstration population with Medicaid services are unlikely to result in any increase in federal Medicaid expenditures. There are no additional expenditure authorities associated with this demonstration population. The demonstration will not include a budget neutrality expenditure limit for this demonstration population, and no further test of budget neutrality will be required for this demonstration population. Accordingly, the state will not be allowed to obtain budget neutrality “savings” from providing Medicaid services to this demonstration population. All expenditures associated with the population of former xxxxxx care youth will be reported on the CMS-64 base form(s) for Medicaid State Plan populations in accordance with section 2500 of the State Medicaid Manual.
Expenditures Subject to the Budget Neutrality Cap. For purposes of this section, the term “expenditures subject to the budget neutrality cap” must include all of the following:
Expenditures Subject to the Budget Neutrality Cap. For purposes of this section, the term “expenditures subject to the budget neutrality cap” must include all Medicaid expenditures on behalf of individuals who are enrolled in this Demonstration and for designated State health program expenditures as described in paragraph 45 (e) (i-vii). All expenditures that are subject to the budget neutrality cap are considered Demonstration expenditures and must be reported on Forms CMS-64.9 Waiver and /or 64.9P Waiver. All expenditures for managed care enrollment for Demonstration Populations 1 and 2 residing in the counties other than those specified in Section IV, paragraph 18 who are required to enroll in managed care (“current” mandatory managed care enrollment) will be reported under the Partnership Plan Demonstration (11-W-00114/2). These expenditures may not be reported under this Demonstration.
