limitations: 6/1/11 retro to $4.4M $1.7M See See above See above 9/1/10 Developmental & behavioral clinic services: 7/1/10 Behavioral health services: 7/1/10 Transportation: 8/1/10 Rate reductions Occupational & physical (cont.) therapy: 4/1/12 (pending) 10% reduction - Podiatrist: 4/1/12 IMD/ICFMR Private non-medical services: 10/1/10 Family planning: 7/1/11 Community support services: 7/1/10 Behavioral Health (Methadone): 4/1/12, 1/1/13 (pending) homes: 7/1/12 Benefit changes Eliminate - Smoking Elimination - $0.7M $0.3M May reduce savings Implementation Timeline: Pros: cessation products (except Chiropractic care Immediate savings for long term 6-12 mo. for pregnant 10/1/12 Cons: initiatives, Savings Realization Timeline: (pending) adversely impact chiropractors 12 mo.+ Eliminate - Ambulatory Changes: Systems surgical center services: Communication: Providers 9/1/12 (pending) Document: SPA Eliminate - STD screening clinic services Limit - Optometry visits for adults (1/3 years)
Rate reductions (cont.) limitations: 6/1/11 retro to 9/1/10 Developmental & behavioral clinic services: 7/1/10 Behavioral health services: 7/1/10 Transportation: 8/1/10 Occupational & physical therapy: 4/1/12 (pending) Podiatrist: 4/1/12 Private non-medical services: 10/1/10 Family planning: 7/1/11 Community support services: 7/1/10 Behavioral Health (Methadone): 4/1/12, 1/1/13 (pending) homes: 7/1/12 10% reduction - IMD/ICFMR $4.4M $1.7M See See above See above Benefit changes Eliminate - Smoking cessation products (except for pregnant 10/1/12 (pending) Eliminate - Ambulatory surgical center services: 9/1/12 (pending) Eliminate - STD screening clinic services Limit - Optometry visits for adults (1/3 years) Elimination - Chiropractic care $0.7M $0.3M Pros: Immediate savings Cons: adversely impact chiropractors May reduce savings for long term initiatives, Implementation Timeline: 6-12 mo. Savings Realization Timeline: 12 mo.+ Changes: Systems Communication: Providers Document: SPA
recommendation-report12-15-2012.docx