House Bill No. [insert bill number] aims to establish a standardized cost reporting process for certain Medicaid service providers in Montana. The bill mandates the Department of Public Health and Human Services to create a cost reporting format that includes recognized revenues and expenditures incurred by these providers. It specifies that the cost report will cover services such as adult and children's mental health, substance use disorder, developmental disabilities, and senior and long-term care, with funding sources including Medicaid state plan services and waiver programs. The bill also outlines the requirements for Medicaid service providers to submit actual expenditure and revenue data, and it establishes a process for the department to analyze this data to assess the adequacy of Medicaid rates.

Additionally, the bill includes provisions for the development of a report on Medicaid rate adequacy, which must be produced at least once every four years, contingent upon legislative appropriation. The report will utilize various data sources to support budget requests for adjustments to Medicaid service provider reimbursement rates. The bill also repeals Section 53-6-406, which previously addressed fiscal accountability for home and community-based services, and appropriates $600,000 from the general fund and $600,000 in federal special revenue for the development of the mandated report. The act is set to take effect on July 1, 2025.

Statutes affected:
LC Text: 53-6-402
HB0419_1(1): 53-6-402
HB0419_1(2): 53-6-402
HB0419_1(3): 53-6-402
HB0419_1: 53-6-402