Department of Medical Assistance Services (602)
| Request Title | Implement Medicaid Hospital Readmissions Policy |
| Biennium | 2020-2022 |
| Budget Round | Initial Bill |
| Half Sheet Number | 313 #29c |
Description
|
This amendment adds language to modify the definition of hospital readmissions to change it to 30 days making the readmission criteria for both Medicaid managed care organizations (MCOs) and providers more aligned with Medicare policy. Hospital readmissions after five days but within 30 days shall be paid at 50 percent of the normal rate. |
Funding Details
| By Program | Program Code | Program Title | FY 2020 | FY 2021 |
| 446 | Children'S Health Insurance Program Delivery | ($353,640) | ($330,983) | |
| 456 | Medicaid Program Services | ($14,079,672) | ($14,405,508) | |
| 466 | Medical Assistance Services For Low Income Children | ($353,640) | ($330,983) | |
| By Fund | Fund Code | Fund Title | FY 2020 | FY 2021 |
| 01000 | General Fund | ($5,680,341) | ($5,792,214) | |
| 09780 | Healthcarecoverageassmntfund | ($317,342) | ($328,447) | |
| 10000 | Federal Trust | ($8,789,269) | ($8,946,813) |
Authorized Position Details
| By Program | Program Code | Program Title | FY 2020 | FY 2021 |
p3_opview - Official Enacted Budget View Operating Bullet Details - 06-07-2025 11:27:15
