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 providers submit actual expenditure and revenue data for their most recent fiscal year and allows for audits of this data. Additionally, the DPHHS is required to develop a report every four years to assess the adequacy of current Medicaid rates based on the reported costs, using various data sources for analysis.

The bill also includes an appropriation of $600,000 from the general fund and $600,000 in federal special revenue to support the development of the mandated report. It 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 cost reporting provisions and establish necessary procedures. 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(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