§ 53-6-1604 — Reporting

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).

Legislative History

En. Sec. 4, Ch. 654, L. 2025.