Situation Report | June 22, 2020
The state Department of Health (DOH) has posted the Medicaid Global Spending Cap report for April 2019 to January 2020.
The report is here. It shows that:
- State Medicaid spending is $3.1 billion above the Medicaid global spending cap for April 2019 to January 2020.
- Mainstream Medicaid Managed Care costs were $1.23 billion more than the global cap target amount.
- Managed Long Term Care costs were $1.27 billion more than the global cap target amount.
- Medicaid fee-for-service “Other Long Term Care” (which historically included personal care services) was $8 million less than the global cap target amount.
- From state fiscal year 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.