Date Requested:March 04, 2013
Time Requested:08:38 AM
Agency: Health and Human Resources, Department of
CBD Number: Version: Bill Number: Resolution Number:
2013R1385 Introduced SB30
CBD Subject: MEDICAID DENTAL COVERAGE
FUND(S)
0403 Division of Human Services General Administration Fund, 8722 Cons Federal Funds Div Human Services Gen Admin Fund
Sources of Revenue
General Fund,Other Fund Federal
Legislation creates:
A New Program

Fiscal Note Summary

Effect this measure will have on costs and revenues of state government.

    The purpose of this bill is to require the Department of Health and Human Resources and Medicaid to provide dental coverage to an eligible mother for two years following the birth of her child.
    The Department of Health and Human Resources, Bureau for Medical Services estimates the cost to implement the proposed legislation to be $1,313,139 annually ($936,662 Federal, $376,477 State) based on a blended state fiscal year 2014 FMAP of 71.33% Federal, 28.67% State. These costs are based on the assumption that a request for waiver to CMS would be submitted and approved as outlined in the memorandum section of the fiscal note response.
    

Fiscal Note Detail
Over-all effect
Effect of Proposal Fiscal Year
2013
Increase/Decrease
(use"-")
2014
Increase/Decrease
(use"-")
Fiscal Year
(Upon Full
Implementation)
1. Estmated Total Cost 0 1,313,139 1,313,139
Personal Services 0 0 0
Current Expenses 0 1,313,139 1,313,139
Repairs and Alterations 0 0 0
Assets 0 0 0
Other 0 0 0
2. Estimated Total Revenues 0 0 0
3. Explanation of above estimates (including long-range effect):
    The estimated costs of the proposed legislation includes the following assumptions: 1. Eligibility will be established under Waiver or State Plan authority; 2. Benefits for the eligibility group will be limited to preventive and basic emergency dental care, which exceeds the current benefit available to other eligible adult Medicaid members; and 3. Each eligible member would remain eligible for the entire 2 year period.
    Calculation assumes 102,031 member months annually (based on actual SFY12 dental claims experience) at a rate of $12.87 per member, per month. At the blended Federal/State FMAP for SFY 2014 of 71.33%, the Federal share would be $936,662 and the State share at 28.67% would be $376,477.
    


Memorandum
Person submitting Fiscal Note:
Rocco S Fucillo
Email Address:
dhhrbudgetoffice@wv.gov
    Implementation of this bill would require the Department to complete and submit an application for a waiver from CMS in order to enable us to provide services to persons who are not otherwise financially eligible for Medicaid services. The waiver would also be required to receive permission to provide limited services (dental coverage only) for those mothers who are not otherwise eligible for Medicaid services. The proposed legislation requires the coverage to be effective July 1, 2013, which if the waiver is not approved by that date, would require the Department to fund the program with state dollars.