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An Act

HOUSE BILL 98-1342

BY REPRESENTATIVES Grampsas, Owen, and Romero;

also SENATORS Lacy, Blickensderfer, and Rizzuto.

Concerning a supplemental appropriation to the department of health care policy and financing.

Be it enacted by the General Assembly of the State of Colorado:

SECTION 1. Part V of section 2 of chapter 310, Session Laws of Colorado 1997, is amended to read:

Section 2. Appropriation.

PART V

DEPARTMENT OF HEALTH CARE POLICY AND FINANCING















(1) EXECUTIVE DIRECTOR'S OFFICE












Personal Services

1,232,123



487,376

(M)



15,000

a



729,747



(20.1 FTE)













Health, Life, and Dental

258,637



127,848

(M)







130,789


Short-term Disability

11,752



5,186

(M)







6,566


Salary Survey and Anniversary Increases

96,795



47,910

(M)







48,885


Operating Expenses

148,824



104,409

(M)







44,415


Legal Services for 3,980 5,264 hours

191,035



95,518

(M)







95,517



252,667



126,334

(M)







126,333


Third Party Recovery/ Legal Services for 1,852 2,201 hours

88,894







88,894

b






105,646







105,646

b





Administrative Law Judge Services for 1,993 2,317 hours

169,166



84,583

(M)







84,583



196,640



98,320

(M)







98,320


Computer Systems Costs

316,441



125,750

(M)



32,471

c



158,220



339,085



137,072

(M)







169,542


Payment to Risk Management and Property Funds

27,456



13,728

(M)







13,728


Capitol Complex Leased Space

208,172



104,086

(M)







104,086


Transfer to the Department of Human Services for Related Administration

275,901



137,951

(M)







137,950


Tobacco Litigation Discovery Costs

600,000







600,000

d







3,025,196














3,753,698


























a This amount shall be from the Cooperative Health Care Agreements Fund.

b This amount shall be from third party recoveries.

c This amount shall be from the Old Age Pension Fund.

d This amount shall be from litigants in State of Colorado ex rel. Norton v. R.J. Reynolds Tobacco Company et al., Case No. 97 CV3432 (Denver District Court).















(2) MEDICAL PROGRAMS













(A) Administration36, 37, 38, 39













Personal Services

6,061,313



2,842,301

(M)







3,219,012



(111.9 FTE)












Operating Expenses

574,664



277,609

(M)







297,055



626,664



303,609

(M)







323,055


Medicaid Management Information System Contract

11,018,631



2,884,712

(M)



146,867

a



7,987,052


Medicaid Management Information System Transition, Phase II40

10,910,782



1,723,800

(M)







9,186,982


Department of Public Health and Environment Facility Survey and Certification

3,269,314



908,485

(M)







2,360,829


Contractual Utilization Review

3,748,435



937,109

(M)







2,811,326


Early and Periodic Screening, Diagnosis, and Treatment Program

2,718,021



1,359,011

(M)







1,359,010


Nursing Home Audits

818,834



409,417

(M)







409,417


Hospital Audits

117,978



58,989

(M)







58,989


Nursing Home Preadmission and Resident Assessments

1,368,583



342,146

(M)







1,026,437



1,139,744



284,936

(M)







854,808


Nurse Aide Certification

267,964



121,138

(M)





12,844

(T)b

133,982


Nursing Home Quality Assessments

28,873



7,218

(M)







21,655


Estate Recovery

500,000



250,000

(M)







250,000


Nursing Facility Appraisals

227,182



113,591

(M)







113,591


Single Entry Point Administration

60,000



30,000

(M)







30,000


Single Entry Point Audits

65,218



32,609

(M)







32,609


Phone Triage/Advice

315,000



78,750

(M)







236,250


Single Entry Point Deinstitutionalization Pilot

70,000



34,411

(M)







35,589


Medicaid Authorization Cards for Non-Medicaid Only Clients

369,898



184,949

(M)







184,949



42,140,792














42,333,851



























a This amount shall be from the Old Age Pension Health and Medical Care Fund pursuant to Section 26-2-117, C.R.S.

b This amount shall be from the Department of Regulatory Agencies.















(B)Medical Services7, 8, 41, 42, 43, 44, 45, 46, 47, 48













Services for 34,036 33,950 Old Age Pensioners (OAP-A) at an average cost of $13,560.42 $13,329.50

461,542,383














452,654,931













Services for 4,805 4,767 Old Age Pensioners (OAP-B) at an average cost of $8,631.24 $8,387.42

41,473,100














40,018,251













Old Age Pension State Medical Program for 3,140 3,251 clients at an average cost of $3,081.79 $3,030.80

9,676,826














9,853,133













Services for 54,874 51,412 Recipients of Aid to the Needy Disabled - Supplemental Security Income at an average cost of $5,944.09 $6,091.72

326,176,063














313,293,183













Services for 158 148 Recipients of Aid to the Blind at an average cost of $3,403.26 $3,352.13

537,716














496,477













Services for 35,792 31,378 Adult Clients Eligible Under the 7/16/96 Aid to Families with Dependent Children Program at an average cost of $2,622.63 $2,698.92

93,869,165














84,832,835













Services for 116,030 107,333 Child Clients Eligible Under the 7/16/96 Aid to Families with Dependent Children Program at an average cost of $1,175.18 $1,224.08

136,356,535














131,533,032













Services for 10,025 10,480 Foster Children at an average cost of $3,201.27 $3,229.05

32,092,745














33,840,043













Services for 6,279 5,058 Baby Care Program Adults at an average cost of $5,599.56 $5,824.16

35,159,646














29,442,355













Services for 10,255 6,228 Baby Care Program Children at an average cost of $1,327.03 $1,395.72

13,608,662














8,754,399













Services for 4,706 4,613 Qualified Medicare Beneficiaries (QMBs) at an average cost of $1,433.66 $1,413.47

6,746,826














6,520,429













Services for 5,579 5,549 Undocumented Aliens Non-citizens at an Average Cost of $2,540.87 $2,606.05

14,175,531














14,573,807













H.B. 95-1081 Payments to the Department of Corrections

29,432













Enhanced Prenatal Care Services

1,350,000














1,172,794,630



559,529,060

(M)


9,853,133

a



603,412,437



1,125,842,307



537,307,436

(M)







578,681,738
















a This amount shall be from the Old Age Pension Health and Medical Care Fund pursuant to Section 26-2-117, C.R.S.















(C) Indigent Care Program













Program Administration

262,116



262,116














(3.0 FTE)










Denver Indigent Care

9,682,775



4,650,637

(M)







5,032,138


Specialty and Outstate Programs49

19,649,662



11,803,980

(M)







7,845,682


University Hospital

10,727,750



5,152,538

(M)







5,575,212


Disproportionate Share Payments to Providers Providers49a

110,886,355



54,335,892

(M)







56,550,463



148,648,938









19,986,672

a

74,326,374



151,208,658














188,971,241



























a This amount represents public funds certified as representing expenditures incurred by Denver Health and The University Hospital as eligible for federal financial participation under Medicaid Disproportionate Share Payments to Providers.
















(D) Other Medical Services













Home Care Allowance for 6,216 5,780 Recipients at an average monthly cost of $228.647, 8

17,054,590



16,326,985






727,605

(L)




15,858,346



15,334,072






524,274

(L)



Adult Foster Care for 359 263 Recipients at an average monthly cost of $198.257, 8 $205.977, 8

854,063



808,432






45,631

(L)




650,010



617,510






32,500

(L)



Physician Incentive Pool

4,431,236



2,128,323

(M)







2,302,913


High Risk Pregnant Women Program

213,208



102,276

(M)







110,932


H.B. 92-1208 Immunizations

20,211



9,695

(M)







10,516



91,175



43,736

(M)







47,439


Poison Control50

1,148,034



1,148,034










University of Colorado Family Medicine Residency Training Programs

1,989,749



954,483

(M)







1,035,266


Enhanced Prenatal Care Training and Technical Assistance

61,500



15,375

(M)







46,125



25,772,591














24,443,258



























(E) Department of Human Services













Transfer to the

Department of Human Services

304,032,830



145,326,233

(M)







158,706,597



303,933,274



144,977,549

(M)







158,955,725


















1,695,949,501














1,685,523,931

























TOTALS PART V














(HEALTH CARE POLICY AND FINANCING)2, 3, 4


$1,698,974,697


$816,299,700




$10,136,365

a

$786,080

b

$871,752,552




$1,689,277,629


$792,789,212




$10,753,117

a

$20,556,290

b

$865,179,010
















a Of this amount, $10,000,000 is included as information for purposes of complying with the limitation on state fiscal year spending imposed by Article X, Section 20 of the State Constitution. As this amount is continuously appropriated by a constitutional provision, it is not subject to the limitation of General Fund appropriations as set forth in Section 24-75-201.1, C.R.S.

b Of this amount, $773,236 $556,774 contains an (L) notation, and $12,844 contains a (T) notation.

FOOTNOTES -- The following statements are referenced to the numbered footnotes throughout section 2.

2(Governor lined through this provision. See L. 97, p. 2057.)

3All Departments, Totals -- The General Assembly requests that copies of all reports requested in other footnotes contained in this act be delivered to the Joint Budget Committee and the majority and minority leadership in each house of the General Assembly.

4(Governor lined through this provision. See L. 97, p. 2058.)

7(Governor lined through this provision. See L. 97, p. 2058.)

8(Governor lined through this provision. See L. 97, p. 2058.)

36(Governor lined through this provision. See L. 97, p. 2059.)

37Department of Health Care Policy and Financing, Medical Programs, Administration -- The Department is requested to report to the Joint on the effectiveness of the primary care rate indexing initiative begun by the Department in FY 1994-95. The report is requested to include the change in the reimbursement for physicians, dentists, and emergency and county transportation for FY 1993-94 through FY 1997-98; the change in the number of Medicaid participating providers for the same time period relative to the need of the Medicaid eligible population; and recommendations for reimbursement methodologies in FY 1998-99. The Joint Budget Committee requests that this information be provided by no later than October 15, 1997.

38(Governor lined through this provision. See L. 97, p. 2059.)

39Department of Health Care Policy and Financing, Medical Programs, Administration; and Department of Law, Special Purpose, Medicaid Fraud Grant -- It is the intent of the General Assembly that all efforts be made to reduce the amount of fraudulent activity occurring within the state Medicaid program. To this end, the General Assembly requests that the departments cooperate to produce a report on Medicaid fraud, including: (1) estimates on the total amount of fraudulent activity; (2) information on which areas within Medicaid are particularly vulnerable to fraud, both fiscal and programmatic; (3) what new and existing efforts are being made by each department to remedy the problem of Medicaid fraud; and (4) recommendations on ways to prevent and catch fraudulent Medicaid claims, such as data systems or investigatory tools. The departments are requested to submit the report to the Joint Budget Committee by November 1, 1997.

40Department of Health Care Policy and Financing, Medical Programs, Administration, Medicaid Management Information System Transition, Phase II -- It is the intent of the General Assembly that the General Fund appropriation for the Medicaid Management Information System Transition, Phase II will be restricted by the State Controller until the Information Management Commission has certified, by letter, that the Department of Health Care Policy and Financing is "Year 2000" compatible, or, that this project specifically addresses a "Year 2000" need.