53-6-1604. Reporting.
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53-6-1604 . Reporting.
(1)Contingent upon legislative appropriation, the department of public health and human services shall develop a report to document the adequacy of current medicaid rates compared to reported medicaid service provider costs at least once every 4 years.
(2)The report must consider the following data sources in the development of rate adequacy:
(a)medicaid service provider cost report information submitted as required in 53-6-1603 ;
(b)claims data;
(c)United States bureau of labor statistics data;
(d)internal revenue service data;
(e)United States department of agriculture data;
(f)United States census bureau data
(g)peer state comparisons; and
(h)any other relevant regional and national data considered appropriate by the department.
(3)The report must provide information to support a biennial or supplemental budget request as necessary to adjust medicaid service provider reimbursement rates to ensure rate adequacy.
(4)The department shall provide the report at least once every 4 years to the office of budget and program planning, the children, families, health, and human services interim committee, and the interim budget committee in accordance with 5-11-210 . The first report is due by September 1, 2026.
(5)In accordance with the Montana Procurement Act, the department may contract with a cost-based reporting expert to assist in completing subsections
(1)through (4).