Global Medicaid Cap Report

The NYS Global Medicaid Report for state fiscal year ending March 2016 has been released.  It can be found here: http://www.health.ny.gov/health_care/medicaid/regulations/global_cap/monthly/sfy_2015-2016/docs/march_2016_report.pdf

Here are some highlights.

Quote: In summary, this is the fifth consecutive year that the Medicaid health care community has remained below the Global Cap target while expanding health coverage to the State’s neediest populations.

Most categories were overspent.  However, there were enough offsetting items to bring the total under the cap, e.g. Medicaid audit recoveries and local share offsets. Medicaid total enrollment reached 6,195,976 enrollees at the end of March 2016. This reflects a net increase of 19,909 enrollees, or 0.3 percent, since March 2015.  See summary chart on page 3

One item of note is Supportive Housing under the MRT on page 11.

“The Supportive Housing Initiative seeks to ensure that Medicaid members have proper housing that promotes a healthy environment and lifestyle.”

Supportive Housing Allocation Plan – FY 2016 (dollars in millions)

Allocation Plan Disbursed
Capital Funding $63 $62
Rental/Service Subsidies $33 $31
New Supportive Housing Pilot Projects $26 $8
Tracking & Evaluation $1 $0
TOTAL $123 $101

Also, The Global Cap legislation requires the Department to publish actual State Medicaid spending by region.  The regions selected are based on the Governor’s eleven economic development areas.  The chart below represents total provider spending that occurs within the Medicaid claiming system (eMedNY) through March 2016 for each region.   Page 13

Medicaid Regional Spending FY 2016 (dollars in millions)
New York City $15, 413
Long Island $2,483
Mid-Hudson $2,384
Western $1,248
Finger Lakes $1,071
Capital District $891
Central $637
Mohawk Valley $525
Southern Tier $475
North Country $346
Out of State $141
TOTAL $25,614  

More detailed regional information can be found on the Department of Health’s website at: http://www.health.ny.gov/health_care/medicaid/regulations/global_cap/

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