HB 5201 - Medicaid

• Revises the definition of "rural hospital" to include hospitals with up to 100 licensed beds meeting specified population density or geographic criteria, and extends rural hospital status through June 30, 2015 for hospitals that received prior funding.

• Establishes a reconciliation process for the Statewide Medicaid Residency Program beginning in fiscal year 2015-2016 to adjust FTE resident counts based on Medicare cost reports.

• Updates disproportionate share program payment calculations for 2014-2015 to use average 2005-2007 audited data and allows nonstate government-owned hospitals eligible as of July 1, 2011 to continue receiving payments.

• Removes the requirement that certain children receiving prescribed pediatric extended care services be exempt from statewide managed care enrollment and establishes fee-for-service reimbursement for these providers.

• Allows medically needy Medicaid recipients to voluntarily participate in managed care rather than mandatory enrollment, contingent upon federal approval and with potential $10 monthly premium cost-sharing.

• Allocates $13.5 million in nonrecurring funds for specific health facility projects and $28.3 million for primary care programs and grants to local entities.