FISCAL NOTE
FUND(S):
Sources of Revenue:
Other Fund N/A
Legislation creates:
Neither Program nor Fund
Fiscal Note Summary
Effect this measure will have on costs and revenues of state government.
The purpose of this bill is to establish pilot projects to operate various types of patient centered medical homes throughout the state. This bill was recommended for passage during the 2009 Regular Session by Select Committee D on Health.
Based on the information provided, no fiscal impact to the Department of Health and Human Resources can be determined; however given the nature of this as a pilot project there are concerns that requiring Medicaid to participate may impact whether Federal Medicaid Assistance Percentages (FMAP) can be claimed for the services provided under the pilot project.
Fiscal Note Detail
| Effect of Proposal |
Fiscal Year |
2009
Increase/Decrease
(use"-") |
2010
Increase/Decrease
(use"-") |
Fiscal Year
(Upon Full
Implementation) |
| 1. Estmated Total Cost |
0 |
0 |
0 |
| Personal Services |
0 |
0 |
0 |
| Current Expenses |
0 |
0 |
0 |
| Repairs and Alterations |
0 |
0 |
0 |
| Assets |
0 |
0 |
0 |
| Other |
0 |
0 |
0 |
| 2. Estimated Total Revenues |
0 |
0 |
0 |
Explanation of above estimates (including long-range effect):
Memorandum
Depending on the approach taken with this pilot project, Medicaid participation may jeopardize the ability to claim FMAP. Additionally, it is noted that national organizations are moving in the direction of including rather than excluding nurse practitioners. This legislation excludes nurse practitioners, which will impact access to medical homes and providers in rural areas.
Person submitting Fiscal Note: Martha Yeager Walker
Email Address: dhhrbudgetoffice@wv.gov