NOTE: As provided in LFC policy, this report is
intended only for use by the standing finance committees of the
legislature. The Legislative Finance Committee does not assume
responsibility for the accuracy of the information in this report when used for
other purposes.
The most recent FIR
version (in HTML & Adobe PDF formats) is available on the Legislative
Website. The Adobe PDF version includes
all attachments, whereas the HTML version does not. Previously issued FIRs and attachments may be
obtained from the LFC in
SPONSOR: |
Herrera |
DATE TYPED: |
|
HB |
91 |
||
SHORT TITLE: |
Medicaid Reimbursement for Chiropractor |
SB |
|
||||
|
ANALYST: |
Maloy |
|||||
APPROPRIATION
Appropriation
Contained |
Estimated
Additional Impact |
Recurring or
Non-Rec |
Fund Affected |
||
FY03 |
FY04 |
FY03 |
FY04 |
|
|
|
|
|
$1,566.5 |
Recurring |
General
fund |
|
|
|
$4,822.3 |
Recurring |
Federal/ Medicaid |
|
|
|
$6,388.8 |
Recurring |
Total |
Responses
Received From
Human
Services Department
SUMMARY
Synopsis of Bill
House Bill 91 proposes
to require Medicaid to reimburse licensed chiropractic physicians for services
rendered within their scope of practice.
Significant Issues
Currently, Medicaid
does not reimburse for services prescribed by licensed chiropractors. Including chiropractors and their services in
the Medicaid program is an expansion of the program.
FISCAL IMPLICATIONS
It is estimated that including chiropractors in
the Medicaid program would result in a need for approximately $6,388.8 to
support the added eligible providers and services. This figure is based on 12%
of all Medicaid recipients (both fee-for-service and managed care) having two
visits to a Chiropractor on an annual basis.
The estimated recurring impact is $1,566.5 to the general fund and
$4,822.3 to federal funds.
ADMINISTRATIVE
IMPLICATIONS
The Medical Assistance Division (MAD) would have
to create a new service category,
promulgate new regulations, write new billing instructions,
and update the Medicaid
Management Information System (MMIS) to allow
new procedure codes and providers for the new provider type and specialty.
Medicare does
cover some chiropractic services, but on a very limited basis.