APPROPRIATIONS - HEALTH AND WELFARE - MEDICAID - Appropriates $2,445,650,500 for the Medicaid Division in the Department of Health and Welfare for fiscal year 2019; limits the number of authorized full-time equivalent positions to 216.00; provides for transfers to the Cooperative Welfare Fund; directs transfers from trustee and benefit payments; provides for program integrity; requires reports on Medicaid expenditures and forecasts, for managed care implementation, and flexible spending authority; limits program transfers; provides legislative intent for non-emergency medical transportation; requires cost-sharing; and appropriates an additional $58,296,900 for the Medicaid Division for fiscal year 2018.

This is the FY 2019 original appropriation bill and the FY 2018 supplemental appropriation bill for the Department of Health and Welfare, Division of Medicaid. For FY 2019 it appropriates $2,445,650,500, limits the number of authorized full-time equivalent positions at 216.00, and provides for nine sections of legislative intent language. For FY 2018 the bill provides for a net increase of $58,296,900. For FY 2019, the bill includes the following adjustments. For benefit costs, the bill removes $1,450 per eligible FTP to bring the annual employer contribution for health insurance down to $11,650 by including a two-month employee and employer premium holiday, adds a 6.8% increase for life insurance, and adjusts funding for workers' compensation in amounts that vary by agency. For statewide cost allocation, $4,700 is reduced for risk management costs. An annualization of $8,088,700 is provided for the rate increase for community-based providers that provide personal care services. The bill also provides funding for a 3% ongoing merit-based salary increase for permanent employees, to be distributed at the discretion of the director, and a 3% increase in the compensation schedule. The bill funds eight line items. The first line item adds $2,000,000 for the MMIS independent verification. The second line item provides $1,181,600 for the Jeff D. Settlement implementation; these moneys were transferred from the Children's Mental Health Program. The third line item provides $2,553,000 for the provider-data software improvements. The fourth line item reduces $1,126,700 for the infant toddler early intervention services that were transferred to the Community Developmental Disability Services Program. The fifth line item provides $2,892,000 for provider enrollment changes. The sixth line item provides $1,613,300 for a rate increase for developmental disability agencies that provide services for children. The seventh line item provides $5,202,500 for a rate increase for assisted