DHS BUDGET REQUEST FOR FY ($ Amounts in Thousands)

Transcription

1 DHS BUDGET REQUEST FOR FY ($ Amounts in Thousands) Page # of Governor's Executive Budget: APPROPRIATION: Pp. C1.8, C3-4, E30.6, E30.8, E30.15, Medical Assistance - Transportation I. SUMMARY FINANCIAL DATA Actual Available Budgeted State Funds Total $59,573 $63,295 State Sources Itemized Medical Assistance - Transportation $59,573 $58,395 1 Lottery Fund $0 $4,900 $68,174 $63,274 $4,900 Federal Funds Total $72,685 $67,427 Federal Sources Itemized Medical Assistance - Transportation $72,685 $67,427 $74,189 $74,189 Other Funds $0 $0 $0 Total $132,258 $130,722 $142,363 IA. REQUESTED SUPPLEMENTALS (Included above) State Funds ($4,038) Federal Funds $0 Total ($4,038) 1 Includes a recommended appropriation reduction of $4.038 million. Act 1-A of 2014 provided $ million for this program in Fiscal Year

2 II. DETAIL BY MAJOR OBJECT APPROPRIATION: ($ Amounts in Thousands) Medical Assistance - Transportation Change Budgeted Percent Actual Available Budgeted vs. Available Change PERSONNEL State F{Jnds $0 $0 $0 $0 0.00% Other Funds $0 $0 $0 " $0 0.00% Total Personnel $0 $0 $0 $0 0.00% OPERATING Total Operating $0 $0 $0 $0 0.00% FIXED ASSETS Total Fixed Assets $0 $0 $0 $0 0.00% GRANT & SUBSIDY State Funds $59,573 $63,295 $68,174 $4, % Federal Funds $72,685 $63,392 $74,189 $10, % 1y Total Grant & Subsidy $132,258 $126,687 $142,363 $15, % NONEXPENSE Other Funds ' $0 $0 $0 $0 0.00% Total Nonexpense $0 $0 $0 $0 0.00% BUDGETARY RESERVE Federal Funds $0 $4,035 $0 ($4,035) % Total Budgetary Reserve $0 $4,035 $0 ($4,035) % UNCOMMITTED Total Uncommitted $0 $0 $0 $0 0.00%, OTHER Other Funds "$0 $0 $0 $0 0.00% Totai Other $0 $0 $0 $0 0.00% TOTAL FUNDS State Funds $59,573 $63;295 $68,'174 $4, % Federal Funds $72,685,$67,427 $74,189 $6, % Total Funds $132,258 $130,722 $142,363 $11, % 157

3 APPROPRIATION: Medical Assistance - Transportation III. HISTORY OF LAPSES ($ Amounts in Thousands) Estimated State Funds $7,000 $0 $0 IV. COMPLEMENT INFORMATION /31/ /31/2014 Budgeted State/Federally Funded Federally Funded Other Funded Total V. DERIVATION OF REQUEST I LEGISLATIVE CITATIONS I DISBURSEMENT CRITERIA Derivation of Request: The Fiscal Year Budget increases State funding by $4.879 million above the Fiscal Year appropriation level, from $ million to $ million. The Fiscal Year Budget increases Federal Medical Assistance - Transportation funding by $6.762 million from the Fiscal Year appropriation level, from $ million to $ million. Detail on the appropriat(on is outlined in Section VI entitled "Explanation of Changes" on the next page. Le!;lislative Citations: 62 p , 206 Disbursement Criteria: County allocations are based on actual county prior year expenditure trends. 158

4 VI. EXPLANATION OF CHANGES ($ Amounts in Thousands) APPROPRIATION: Medical Assistance - Transportation GRANT & SUBSIDY 1. The Fiscal Year Governor's Executive Budget provides an increase in State funds and Federal Medical Assistance - Transportation funds for a projected increase of 163,550 trips: 2. The Fiscal Year Governor's Executive Budget provides an increase in State funds and Federal Medical Assistance - Transportation funds for a $0.33 increase in the cost per trip: 3. The Fiscal Year Governor's Executive Budget provides an increase in State funds and Federal Medical Assistance - Transportation for Medicaid Expansion: 4. Impact of the change in-the Federal Medical Assistance Percentage (an increase from percent to percent, effective October 1, 2015). Full-year blended rate decreases from percent to percent: 5. Impact of the phasing out of the General Assistance Category on actual Federal Medical Assistance Percentage rate: 6. The Fiscal Year Governor's Executive Budget recommends that $4.900 million be. allocated from the Lottery Fund to provide supplemental funding to the Medical Assistance Transportation appropriation; the same as Fiscal Year : 7. Reflects excess Federal spending authority in Fiscal Years : State $ Federal $ Other $ Total $742 $792 $0 $1,534 $1,848 $1,890 $0 $~,738 $3,481 $6,923 $0 $10,404 $116 ($116) $0 $0 ($1,308) $1,308 $0 $0 $0 $0 $0 $0 $0 ($4,035) $0 ($4,035) TOTAL GENERAL FUND $4,879 $6,762 $0 $11,641 LOTTERY FUND GRANT & SUBSIDY 1. Maintains Lottery Fund at the Fiscal Year level of $4.900 million: TOTAL LOTTERY FUND TOTAL $0 $0 $0 $0 $0 $0 $0 $0 $4,879 $6,762 $0 $1 1,641 L- I ~ 159

5 Medical Assistance - Transportation Fiscal Year Governor's Executive Budget Fiscal Year Cost per Total Federal State Services Clients Service Counties $83,888,825 $41,1 05,524 $42,783,301 4,736,238 95,669 $17.71 Philadelphia Contract $39,.805,668 $20,334,725 $19,470,943 4,298,187 52,397 $9.26 Subtotal $123,694,493 $61,440,249 $62,254,244 9,034, ,066 Healthy PA - Counties $2,040,683 $999,935 $1,040, ,214 5,403 $17.71 Healthy PA - Philadelphia $951,989 $951,989 $0 102,795 2,909 $9.26 Subtotal $2,992,672 $1,951,924 $1,040, ,009 8,312 Transfer'to Lottery Fund $4,900,000 $0 $4,900,000 Total Program Requirements $121,787,165 $63,392,173 $58,394,992 Uncommitted $4,034,827 $4,034,827 $0 Act 1-A of 2014 $129,860,000 $67,427,000 $62,433,000 Surplus/(Deficit) $4,038,008 ($0) $4,038,008 Medical Assistance - Transportation Fiscal Year Governor's Executive Budget Fiscal Year Cost per Total Federal State Services Clients Service Counties $86,626,038 $43,313,019 $43,313,019 4,738,606 97,582 $18.28 Philadelphia Contract $42,341,142 $22,001,516 $20,339,626 4,459,369 53,445 $9.49 Subtotal '$128,967,180 $65,314,535 $63,652,645 9,197, ,027 Medicaid Expansion - Counties $9,043,704 $4,521,852 $4,521, ,708 27,536 $18.28 Medicaid Expansion - Philadelphia $4,352,221 $4,352,221 $0 458,376 14,843 $9.49 Subtotal $13,395,925 $8,874,073 $4,521, ,084 42,379 Transfer to Lottery Fund $4,900,000 $0 $4,900,000 Total Program Requirements $137,463,105 $74,188,608 $63,274,

6 MEDICAL ASSISTANCE - TRANSPORTATION PROGRAM STATEMENT Federal regulations require that transportation is available for Medical Assistance (MA) recipients both to and from medical providers through the Medical Assistance Program. The Department of Human Services carries out this mandate by providing both emergency and non-emergency medical transportation services. Emergency medical transportation services are funded separately through the Medical As~istance-Outpatient appropriation and are reimbursed as a vendor payment. Non-emergency' medical transportation services are provided through the Medical Assistance - Transportation Program (MATP). The MATP is a county based program that ' provides non-emergency medical transportation services to MA recipients who cannot meet their own transportation needs. In Fiscal Year , funds were allocated to 56 Grantees who have considerable flexibility in selecting the administrative methods and modes of transportation provided. The models include direct provision of service by county governments or making payments to agencies that provide these services as part of a total human services delivery system. These services can utilize private means as well as existing public transportation systems. Beginning January 1, 2014, MATP State and Federal funding only reimburses a copayment amount of 15 percent for recipients age 65 and older using the Shared Ride Program for Senior Citizens. Shared Ride Program for Senior Citizen costs are funded through State Lottery Funds. 1 61