Identify budget issues/barriers will be covered in today presentation – Deeper breakdown of top 5% - provided in MaineCare by the Numbers – Part II SPA Waivers will be covered in today’s presentation – Cost data MaineCare staff currently working on this Cost data and current caseload – Current Caseload data MaineCare staff currently working on this information will be provided. – Implementation of Section 32 (children) approximately Nov. 21 – It was mentioned that these meetings provide the opportunity to out “flesh specifics” for MaineCare redesign and interaction during the presentations was encouraged. Presentation by Verma Handout located at: and Rob Dalmer The presentation provided a comparison of Maine’s costs to other states regarding short term savings for mandatory and options benefits, med term savings for pharmacy and program integrity, outlined the impact of Medicaid managed care in other states, presented long term savings options. Discussion: The federal medical assistance percentage will drop by 1.9% in FY and could ’13 possibly drop 2.7% in FY The FY rate will be finalized in the spring of ’14. ’14 ’13 and could change. Maine is below the national average in Medicaid per enrollee for the aged and adult populations. This presentation does not consider all state funding. More information is needed to clarify amount spent for each population. Maine is far above average for spending in disabled and children populations. Task force members requested additional information regarding the cost kids”, “high the severity, Maine’s rate of disability, and information regarding policy decisions that may have driven up the cost. States that are limiting ED visits are being challenged in the courts. This is shifting costs to the hospitals, may want to consider restrictive Medicaid cards as an option. Maine currently is piloting a project using restrictive care and urgent care Presentation by Seema Verma options which is producing significant savings. Members asked if this program and Rob Dalmer cont. could expand. It was suggested that the matrix mentioned previously include
Identify budget issues/barriers – will be covered in today presentation Deeper breakdown of top 5% - provided in MaineCare by the Numbers – Part II SPA Waivers – will be covered in today’s presentation Cost data – MaineCare staff currently working on this Current Caseload data – MaineCare staff currently working on this Implementation of Section 32 (children) – approximately Nov. 21 It was mentioned that these meetings provide the opportunity to “flesh out specifics” for MaineCare redesign and interaction during the presentations was encouraged. Cost data and current caseload information will be provided. Presentation by Verma and Rob Dalmer Presentation by Seema Verma and Rob Dalmer cont. Handout located at: The presentation provided a comparison of Maine’s costs to other states regarding short term savings for mandatory and options benefits, med term savings for pharmacy and program integrity, outlined the impact of Medicaid managed care in other states, presented long term savings options. Discussion: The federal medical assistance percentage will drop by 1.9% in FY ’13 and could possibly drop 2.7% in FY ’14. The FY ’14 rate will be finalized in the spring of ’13 and could change. Maine is below the national average in Medicaid per enrollee for the aged and adult populations. This presentation does not consider all state funding. More information is needed to clarify amount spent for each population. Maine is far above average for spending in disabled and children populations. Task force members requested additional information regarding the “high cost kids”, the severity, Maine’s rate of disability, and information regarding policy decisions that may have driven up the cost. States that are limiting ED visits are being challenged in the courts. This is shifting costs to the hospitals, may want to consider restrictive Medicaid cards as an option. Maine currently is piloting a project using restrictive care and urgent care options which is producing significant savings. Members asked if this program could expand. It was suggested that the matrix mentioned previously include
minutes-10-9-12.docx