Bill > LC4190

This bill establishes a standardized cost reporting process for certain Medicaid service providers in Montana, focusing on specific healthcare services including adult and children's mental health, substance use disorder, developmental disabilities, and senior and long-term care. The Department of Public Health and Human Services will develop a comprehensive cost reporting framework that requires identified providers to submit detailed financial data about their revenues and expenditures, with the primary goal of analyzing the adequacy of current Medicaid reimbursement rates. The department will collect this data at least once every four years, consulting with providers to develop a standardized reporting format and establishing protocols to protect the confidentiality of the submitted information. The bill mandates that the department create a report using multiple data sources, including claims data, labor statistics, and regional comparisons, to support potential budget requests for adjusting Medicaid service provider reimbursement rates. The first report is due by September 1, 2026, and will be shared with key state budget and legislative committees. To support this initiative, the bill appropriates $600,000 from the general fund and an additional $600,000 in federal special revenue for the biennium beginning July 1, 2025, and repeals a previous reporting requirement to streamline the new cost reporting process.

https://bills.legmt.gov/#/lc/bill/2/LC4190