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Current as of January 01, 2024 | Updated by Findlaw Staff
(1) Contingent upon legislative appropriation, the department of public health and human services shall develop a report to document the adequacy of current medicaid rates compared to reported medicaid service provider costs at least once every 4 years.
(2) The report must consider the following data sources in the development of rate adequacy:
(a) medicaid service provider cost report information submitted as required in 53-6-1603;
(b) claims data;
(c) United States bureau of labor statistics data;
(d) internal revenue service data;
(e) United States department of agriculture data;
(f) United States census bureau data
(g) peer state comparisons; and
(h) any other relevant regional and national data considered appropriate by the department.
(3) The report must provide information to support a biennial or supplemental budget request as necessary to adjust medicaid service provider reimbursement rates to ensure rate adequacy.
(4) The department shall provide the report at least once every 4 years to the office of budget and program planning, the children, families, health, and human services interim committee, and the interim budget committee in accordance with 5-11-210. The first report is due by September 1, 2026.
(5) In accordance with the Montana Procurement Act, the department may contract with a cost-based reporting expert to assist in completing subsections (1) through (4).
Cite this article: FindLaw.com - Montana Title 53. Social Services and Institutions § 53-6-1604. Reporting - last updated January 01, 2024 | https://codes.findlaw.com/mt/title-53-social-services-and-institutions/mt-code-ann-sect-53-6-1604/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature before relying on it for your legal needs.
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