The bill establishes a standardized cost reporting process for certain Medicaid service providers in Montana, aimed at assessing the adequacy of Medicaid rates. The Department of Public Health and Human Services (DPHHS) is tasked with creating this process, which will include various services such as adult and children's mental health, substance use disorder, developmental disabilities, and senior and long-term care. The bill outlines specific reporting requirements, including the need for providers to submit actual expenditure and revenue data in a standardized format, and mandates that the DPHHS develop a report every four years to evaluate the adequacy of current Medicaid rates based on the collected data.

Additionally, the bill amends existing law by repealing Section 53-6-406, which previously addressed fiscal accountability for home and community-based services, and incorporates new provisions for rulemaking authority related to the cost reporting process. It appropriates $600,000 from the general fund and an equal amount in federal special revenue for the development of the mandated report. The effective date for the implementation of this act is set for July 1, 2025.

Statutes affected:
LC Text: 53-6-402
HB0419_1(1): 53-6-402
HB0419_1: 53-6-402