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ARIZONA STATE SENATE
Fifty-Fifth Legislature, Second Regular Session
developmental disabilities; provider increases
Purpose
Appropriates $30,000,000 from the state General Fund (state GF) and $_____ in Medicaid Expenditure Authority in FY 2023 to the Department of Economic Security (DES) to provide reimbursement rate increases for services to individuals with intellectual and developmental disabilities.
Background
The Division of
Developmental Disabilities (DDD) within DES provides services to individuals
with developmental and intellectual disabilities including cerebral palsy,
autism and epilepsy. Services provided by DDD include: 1) attendant care; 2)
habilitation; 3) home health aide; 4) home nursing; 5) occupational, physical
and speech therapies; 6) respite care; and
7) medical services.
DDD is required to rebase the reimbursement rates for home and community-based services every five years (DES).
S.B. 1230 appropriates $30,000,000 from the state GF and $_____ in Medicaid Expenditure Authority in FY 2023 and $_____ from the state GF and $______ in Medicaid Expenditure Authority in FYs 2024 and 2025 to DES.
Provisions
1. Appropriates the following amounts to DES to provide reimbursement rate increases for services to individuals with intellectual and developmental disabilities:
a) $30,000,000 from the state GF and $_____ in Medicaid Expenditure Authority in FY 2023;
b) $____ from the state GF and $____ in Medicaid Expenditure Authority in FY 2024; and
c) $____ from the state GF and $____ in Medicaid Expenditure Authority in FY 2025.
2. Requires DES to use the FY 2020 rate rebase study and the most recent early intervention services rate rebase study to provide reimbursement rate increases for all services, including early intervention services, to individuals with intellectual and developmental disabilities in FYs 2023, 2024 and 2025 in order for each service to receive an increase in each fiscal year.
3. Requires DES, by the end of FY 2025, to ensure that all reimbursement rates for services to individuals with intellectual and developmental disabilities are at 100 percent of the benchmark rates, including any adjustment needed to account for any minimum wage increases.
4. Directs DES, before implementing provider rate increases, engage community stakeholders regarding DES's plans to increase rates.
5. Requires DES, by September 1 of each fiscal year, to submit a report to the Joint Legislative Budget Committee describing DES's efforts to engage stakeholders and plans to implement provider rate increases for FYs 2023, 2024 and 2025.
6. Contains statement of legislative intent.
7. Becomes effective on the general effective date.
Prepared by Senate Research
February 11, 2022
LMM/sr