The mission of the Payments to Public Providers Program is to provide payments to public providers of health care services to Louisiana residents who are eligible for Title XIX (Medicaid) and to administer the Medicaid Program to ensure operations are in accordance with federal and state statues regarding medically necessary services to eligible recipients. Additionally, the Medical Vendor Payments Program assures that reimbursements to providers of medical services to Medicaid recipients are appropriate.
The goal of the Payments to Public Providers Program is to screen children for medical, vision, hearing and dental abnormalities.
The Payments to Public Providers Program provides for direct payments to the following: Louisiana Health Care Authority, LSU Medical Center, State MR/DD Services, State Long Term Care Facilities, Office of Public Health, Office of Substance Abuse, Community Mental Health, Public Psychiatric Free Standing Units, Public Psychiatric Distinct Part Units, State Education, and other public providers.
The Payments to Public Providers Program administers the KIDMED program. KIDMED is Louisiana's name for the federally mandated service that must be offered to economically disadvantaged children under the State's Early Periodic Screening, Diagnosis, and Treatment (EPSDT) program. Federal legislation established EPSDT as a Medicaid service in 1967. Louisiana began providing EPSDT when it became a mandatory service in 1972. In 1990, Louisiana renamed the screening component of its EPSDT program to KIDMED.
OBJECTIVES AND PERFORMANCE INDICATORS
Unless otherwise indicated, all objectives are to be accomplished during or by the end of FY 1999-2000. Performance indicators are made up of two parts: name and value. The indicator name describes what is being measured. The indicator value is the numeric value or level achieved within a given measurement period. For budgeting purposes, performance indicator values are shown for the prior fiscal year, the current fiscal year, and alternative funding scenarios (continuation budget level and Executive Budget recommendation level) for the ensuing fiscal year (the fiscal year of the budget document).
RESOURCE ALLOCATION FOR THE PROGRAM
This program is funded with General Fund, Interagency Transfers, Fees and Self-generated Revenues, Statutory Dedications, and Federal Funds. The Interagency Transfers are derived from the pooling of Medicaid collections from various agencies in the Department of Health and Hospitals and the LSU Health Care Services Division (LSU-HCSD). The Self-generated Revenues in the existing operating budget base derive from prior years' over collections in the LSU-HCSD facilities and the DHH Inpatient Mental facilities. The Statutory Dedication, also only in the existing operating budget, is the Louisiana Medical Assistance Trust Fund which derives its funding source from the collection of provider fees from varying medical providers in the state based on corresponding per bed per day rates. (Per R.S. 39:32B.(8), see table below for a listing of expenditures out of each statutory dedicated fund.) Federal Funds represent federal financial participation in the Medicaid program.
The total means of financing for this program is recommended at 99.3% of the existing operating budget. It represents 93.4% of the total request ($409,286,536) for this program. The only substantive change to this program is the balancing of this program's budget to the expenditures budgeted in the various public agencies which are reimbursable under applicable law in Medicaid claims. The increase in general fund is due to the means of financing substitution removing the $3.6 million of nonrecurring revenue from the base.
PROFESSIONAL SERVICES
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This program does not have funding for Professional Services for Fiscal Year 1999-2000. |
OTHER CHARGES
ACQUISITIONS AND MAJOR REPAIRS
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This program does not have funding for Acquisitions and Major Repairs for Fiscal Year 1999-2000. |