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Commissioner Brown - DHHS (Health Division) - To Accept and Appropriate the Non-Federal Share of Medicaid Fees Received from the NC Medicaid Managed Care Plans for Separate Directed Payments (100% Medicaid Fees - $1,386,028)
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STAFF CONTACT
Cathy Cheek - Business Services Administrator - DHHS (Public Health Division) - 704-853-5266
BUDGET IMPACT
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Appropriate 100% Medicaid Fee Revenue.
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BUDGET ORDINANCE IMPACT
Increase Medicaid Fee revenue by $1,386,028 and appropriate $1,386,028 into the program project account.
BACKGROUND
Per the NC State Medicaid Plan, local health departments are required to file annual Medicaid cost reports. Based on these cost reports, NC Medicaid issues the Health Departments’ providers an annual cost settlement for the Medicaid federal portion for providers’ covered services. Under the new NC Medicaid Managed Plan, cost settlements for providers’ services are not allowed. Therefore, the Managed Prepaid Health Plans will make quarterly Separate Directed Payments to the Health Departments and include the federal and state (non-federal) share of Medicaid funds. The quarterly state share of the payments must be sent by the Health Department to the NC Division of Health Benefits prior to receiving the Separate Directed Payments from the Prepaid Health Plans. The NC Division of Health Benefits (DHB) will invoice the Health Department for the state share and once this payment is received by DHB, DHB will direct the Prepaid Health Plans to pay the Health Department the Separate Directed Payment. The Health Department will be reimbursed by the Prepaid Health Plans for both the state and federal share. These are non-County funds.
POLICY IMPACT
N/A
ATTACHMENTS
Budget Change Request (BCR)