State of Alaska
Fiscal Note
Bill Version: SB 134
2020 Legislative Session
Fiscal Note Number: 2
(H) Publish Date: 3/24/2020
Identifier: SB134-DHSS-HFIN-MS-3-23-2020 Department: Department of Health and Social Services
Title: MEDICAID COVERAGE OF LIC. COUNSELORS Appropriation: Medicaid Services
Sponsor: WILSON Allocation: Medicaid Services
Requester: (H) FIN OMB Component Number: 3234
Expenditures/Revenues
Note: Amounts do not include inflation unless otherwise noted below. (Thousands of Dollars)
Included in
FY2021 Governor's
Appropriation FY2021 Out-Year Cost Estimates
Requested Request
OPERATING EXPENDITURES FY 2021 FY 2021 FY 2022 FY 2023 FY 2024 FY 2025 FY 2026
Personal Services
Travel
Services 55.9
Commodities
Capital Outlay
Grants & Benefits 3,254.4 3,254.4 3,254.4 3,254.4 3,254.4 3,254.4
Miscellaneous
Total Operating 3,310.3 0.0 3,254.4 3,254.4 3,254.4 3,254.4 3,254.4
Fund Source (Operating Only)
1002 Fed Rcpts (Fed) 2,385.1 2,343.2 2,343.2 2,343.2 2,343.2 2,343.2
1003 GF/Match (UGF) 14.0
1004 Gen Fund (UGF) 911.2 911.2 911.2 911.2 911.2 911.2
Total 3,310.3 0.0 3,254.4 3,254.4 3,254.4 3,254.4 3,254.4
Positions
Full-time
Part-time
Temporary
Change in Revenues
None
Total 0.0 0.0 0.0 0.0 0.0 0.0 0.0
Estimated SUPPLEMENTAL (FY2020) cost: 0.0 (separate supplemental appropriation required)
Estimated CAPITAL (FY2021) cost: 0.0 (separate capital appropriation required)
Does the bill create or modify a new fund or account? No
(Supplemental/Capital/New Fund - discuss reasons and fund source(s) in analysis section)
ASSOCIATED REGULATIONS
Does the bill direct, or will the bill result in, regulation changes adopted by your agency? Yes
If yes, by what date are the regulations to be adopted, amended or repealed? 07/01/21
Why this fiscal note differs from previous version/comments:
This revised fiscal note is the same as the initial except changes GF/MH (1037) funding to UGF (1004) because the Mental Health
(HB206) bill has passed.
Prepared By: Representative Foster Phone: (907)465-3789
House Finance Committee Date: 03/23/2020
Representative Johnston
OUT OF
House Finance Committee REPORTED
Printed 3/24/2020 Page 1 of 2 HFC 03/24/2 020
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 SB 134 - Fiscal Note 2
FISCAL NOTE ANALYSIS
STATE OF ALASKA BILL NO. SB134
2020 LEGISLATIVE SESSION
Analysis
The bill allows licensed professional counselors (LPCs) to enroll and participate in the Medicaid program as individual
billing providers, and receive Medicaid reimbursement for medically necessary services provided to eligible Medicaid
beneficiaries outside of a clinic setting.
Total number of registered LPCs in Alaska: 717
Percentage estimated to accept Medicaid patients: 20%
Estimated LPCs accepting Medicaid patients: 143
Estimated number of patients seen per week by one counselor (one hour each): 20
Percentage of patients estimated to be Medicaid eligible: 20%
Estimated Medicaid patients seen per week by one counselor (one hour each): 4
Current individual psychotherapy hourly reimbursement for LPC: $118.60
143 LPCs x 4 Medicaid patients/week x $118.60/hr cost = $67.8 estimated weekly incremental cost
Estimated annual incremental cost of LPCs (48 working weeks): $3,254.4
To implement this bill a modification of Medicaid Management Information System to add a new provider type and
associated business rules would be required. The work would take an estimated 600 modification hours at a total cost of
$55.9 and would be completed by the system contractor. Adding this provider type would not require additional staff to
maintain the system changes.
(Revised 10/22/19 OMB/LFD) Page 2 of 2
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Statutes affected:
SB0134A, AM SB 134, introduced 01/21/2020: 47.07.030, 47.07.063, 21.42.375, 47.07.900
SB0134Z, AM Enrolled SB 134, introduced 03/26/2020: 47.07.030, 47.07.063, 21.42.375, 47.07.900