Medicaid Global Cap Report Posted 

Situation Report | July 13, 2020

The state Department of Health (DOH) has posted the Medicaid Global Spending Cap report covering April 2019 to February 2020.  

Some highlights include:  

  • State Medicaid spending is $3.15 billion above the Medicaid global spending cap for April 2019 to February 2020.
  • Mainstream Medicaid Managed Care costs were $1.12 billion more than the global cap target amount.
  • Managed Long TermCare costs were $1.28 billion more than the global cap target amount.  
  • Medicaid fee-for-service “Other Long TermCare” (which historically included personal care services) was $22 million less than the global cap target amount.  
  • From state fiscal years 2014 to 2019, MLTC enrollment grew by 88 percent while enrollment in mainstream Medicaid managed care grew by 23 percent.
  • Spending on the Consumer Directed Personal Assistance Program grew by 85 percent — or from $1.3 billion to $2.4 billion — from 2017 to 2018.