MEDICAID LONG TERM CAREGovernor's Recommendations
2026-27
Current Year Budget
2025-26
Difference
DollarsPositionsDollarsPositionsDollarsPositions
$9,159,563,0150.00$8,872,368,5890.00$287,194,4260.00
 
Budget Issues (Continuation and New)
 Show Funding SourceGovernor's Recommendations
2026-27
Current Year Budget
2025-26
Difference
 DollarsPositionsDollarsPositionsDollarsPositions
Policy Area: LONG-TERM CARE
ADMINISTRATIVE EFFICIENCIES      
 INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES PILOT PROGRAM$00.00$44,167,7940.00($44,167,794)0.00
ANNUALIZATION OF ISSUES PARTIALLY FUNDED IN PRIOR YEAR      
 ANNUALIZATION FOR ASSISTIVE CARE SERVICES PROVIDER RATE INCREASE$00.00$297,0300.00($297,030)0.00
 ANNUALIZATION FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES PILOT PROGRAM$44,167,7940.00$00.00$44,167,7940.00
 ANNUALIZATION FOR THE NURSING HOME REIMBURSEMENT RATE ADJUSTMENT$00.00$82,284,5240.00($82,284,524)0.00
 ANNUALIZATION FOR THE PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE)$43,573,8160.00$7,225,7990.00$36,348,0170.00
BUDGET REDUCTIONS      
 BASE BUDGET REDUCTION BASED ON HISTORICAL REVERSIONS$00.00($42,234,398)0.00$42,234,3980.00
ENSURING ACCESS TO CARE      
 NURSING HOME REIMBURSEMENT RATE ADJUSTMENT$00.00$245,506,6580.00($245,506,658)0.00
ESTIMATED EXPENDITURES      
 ESTIMATED EXPENDITURES - OPERATIONS$8,872,368,5890.00$7,986,300,7810.00$886,067,8080.00
INTER-AGENCY REORGANIZATIONS      
 TRANSFER TO THE AGENCY FOR PERSONS WITH DISABILITIES HOME AND COMMUNITY BASED SERVICES WAIVER($1,877,058)0.00($1,641,599)0.00($235,459)0.00
NONRECURRING EXPENDITURES      
 BASE BUDGET REDUCTION BASED ON HISTORICAL REVERSIONS$42,234,3980.00$00.00$42,234,3980.00
 NURSING HOME REIMBURSEMENT RATE ADJUSTMENT($164,104,460)0.00$00.00($164,104,460)0.00
PRICE LEVEL INCREASES      
 INSTITUTIONAL AND PRESCRIBED DRUG PROVIDERS($126,437,192)0.00$133,568,5150.00($260,005,707)0.00
PROMOTING QUALITY OF CARE      
 PACE EXPANSION - ADD$00.00$16,796,2240.00($16,796,224)0.00
WORKLOAD      
 MEDICAID SERVICES$449,637,1280.00$400,097,2610.00$49,539,8670.00
Total Policy Area: LONG-TERM CARE$9,159,563,0150.00$8,872,368,5890.00$287,194,4260.00