The bill establishes a standardized cost reporting process for certain Medicaid service providers, specifically targeting areas such as adult and children's mental health, substance use disorder, developmental disabilities, and senior and long-term care. The Department of Public Health and Human Services (DPHHS) is tasked with creating a cost reporting format that includes recognized revenues and expenditures, identifying which providers must report, and determining exemptions. The bill mandates that the DPHHS collect data at least once every four years to assess the adequacy of Medicaid rates based on the reported costs, and it allows for the contracting of experts to assist in this process.

Additionally, the bill amends Section 53-6-402 of the Montana Code Annotated and repeals Section 53-6-406, which previously outlined fiscal accountability for home and community-based services. The DPHHS is granted rulemaking authority to implement the new cost reporting provisions, including establishing the types of costs to be reported and the format for submission. The bill appropriates $600,000 from the general fund and an additional $600,000 in federal special revenue for the development of the mandated report, with an effective date of 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(4): 53-6-402
HB0419_1(5): 53-6-402
HB0419_1: 53-6-402
HB0419_X(1): 53-6-402
HB0419_X(10): 53-6-402
HB0419_X(11): 53-6-402
HB0419_X(12): 53-6-402
HB0419_X(2): 53-6-402
HB0419_X(3): 53-6-402
HB0419_X(4): 53-6-402
HB0419_X(5): 53-6-402
HB0419_X(6): 53-6-402
HB0419_X(7): 53-6-402
HB0419_X(8): 53-6-402
HB0419_X(9): 53-6-402
HB0419_X: 53-6-402