MEDICAID SERVICES TO INDIVIDUALSGovernor's Recommendations
2026-27
Current Year Budget
2025-26
Difference
DollarsPositionsDollarsPositionsDollarsPositions
$26,791,070,5510.00$26,189,087,6980.00$601,982,8530.00
 
Budget Issues (Continuation and New)
 Show Funding SourceGovernor's Recommendations
2026-27
Current Year Budget
2025-26
Difference
 DollarsPositionsDollarsPositionsDollarsPositions
Policy Area: HEALTH SERVICES TO INDIVIDUALS
ANNUALIZATION OF ISSUES PARTIALLY FUNDED IN PRIOR YEAR      
 ANNUALIZATION FOR AIR AMBULANCE EMERGENCY SERVICES RATE INCREASE$00.00$103,5310.00($103,531)0.00
 ANNUALIZATION FOR EARLY INTERVENTION SERVICES RATE INCREASE$00.00$404,9240.00($404,924)0.00
 ANNUALIZATION FOR FEDERALLY QUALIFIED (FQHC) AND RURAL HEALTH CENTERS (RHC) RATE INCREASE$1,419,5660.00$1,796,8640.00($377,298)0.00
 ANNUALIZATION FOR GROUND AMBULANCE EMERGENCY MEDICAL TECHNICIAN (EMS) RATE INCREASE$00.00$1,559,5670.00($1,559,567)0.00
 ANNUALIZATION FOR MEDICAL FOSTER CARE RATE INCREASE$00.00$155,2300.00($155,230)0.00
 ANNUALIZATION FOR THE NURSING HOME REIMBURSEMENT RATE ADJUSTMENT$00.00$319,9910.00($319,991)0.00
 ANNUALIZATION FOR THE STATEWIDE INPATIENT PSYCHIATRIC PROGRAM (SIPP) RATE INCREASE$00.00$2,527,7790.00($2,527,779)0.00
 ANNUALIZATION FOR THERAPEUTIC GROUP HOME RATE INCREASE$00.00$103,9750.00($103,975)0.00
 ANNUALIZATION OF HEALTH CARE - CH 2024-15, LOF (SB7016)$00.00$64,009,9150.00($64,009,915)0.00
 ANNUALIZATION OF PEDIATRIC PHYSICIAN FEE INCREASE$00.00$7,141,3490.00($7,141,349)0.00
BUDGET REDUCTIONS      
 BASE BUDGET REDUCTION BASED ON HISTORICAL REVERSIONS$00.00($14,545,351)0.00$14,545,3510.00
ENSURING ACCESS TO CARE      
 BEHAVIORAL HEALTH HOME & COMMUNITY BASED SERVICES TO MITIGATE INSTITUTIONAL CARE$10,925,5510.00$00.00$10,925,5510.00
 ELECTROCARDIOGRAM RECORDING AND SCANNING ANALYSIS$00.00$157,1480.00($157,148)0.00
 FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) AND RURAL HEALTH CENTERS (RHC) RATE INCREASE$00.00$15,355,4710.00($15,355,471)0.00
 FUNDING TO SUPPORT INSTITUTION FOR MENTAL DISEASE (IMD) MEDICAID WAIVER$54,318,9100.00$00.00$54,318,9100.00
 GRADUATE MEDICAL EDUCATION - RECONCILIATION$776,8110.00$00.00$776,8110.00
 GRADUATE MEDICAL EDUCATION PROGRAM$00.00$38,062,5000.00($38,062,500)0.00
 NURSING HOME REIMBURSEMENT RATE ADJUSTMENT$00.00$1,184,1150.00($1,184,115)0.00
 PRESCRIBED PEDIATRIC EXTENDED CARE (PPEC) RATE INCREASE$00.00$12,589,8590.00($12,589,859)0.00
 PRIVATE DUTY NURSING REDESIGN$7,132,0570.00$00.00$7,132,0570.00
 STATEWIDE INPATIENT PSYCHIATRIC PROGRAM (SIPP) REDESIGN$6,405,0880.00$00.00$6,405,0880.00
 TARGETED CASE MANAGEMENT REIMBURSEMENT RATE INCREASE$00.00$5,000,0000.00($5,000,000)0.00
ESTIMATED EXPENDITURES      
 ESTIMATED EXPENDITURES - OPERATIONS$26,189,087,6980.00$25,822,231,9660.00$366,855,7320.00
NONRECURRING EXPENDITURES      
 HEALTH CARE SERVICES($1,344,447)0.00($5,923,135)0.00$4,578,6880.00
 NURSING HOME REIMBURSEMENT RATE ADJUSTMENT($791,500)0.00$00.00($791,500)0.00
PRICE LEVEL INCREASES      
 INSTITUTIONAL AND PRESCRIBED DRUG PROVIDERS$100,308,0170.00$2,310,791,4610.00($2,210,483,444)0.00
PROGRAM REDUCTIONS      
 MANAGED CARE CAPITATION - DRAFT TO FINAL ADJUSTMENT($47,363,700)0.00$00.00($47,363,700)0.00
 STATEWIDE MEDICAID MANAGED CARE EFFICIENCY SAVINGS($69,082,730)0.00$00.00($69,082,730)0.00
PROJECT FUNDING      
 HEALTH CARE SERVICES$00.00$1,344,4470.00($1,344,447)0.00
WORKLOAD      
 MEDICAID SERVICES$539,279,2300.00($2,075,283,908)0.00$2,614,563,1380.00
Total Policy Area: HEALTH SERVICES TO INDIVIDUALS$26,791,070,5510.00$26,189,087,6980.00$601,982,8530.00