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Program C: Medicare Buy-Ins and Supplements

PROGRAM DESCRIPTION

The mission of the Medicare Buy-Ins and Supplements Program is to allow states to enroll certain groups of needy people in the supplemental medical insurance program and pay their premiums. The Medicaid buy-ins and supplementals may permit the State, as part of its total assistance plan, to provide medical insurance protection to designated categories of needy individuals who are eligible for Medicaid and also meet the eligibility requirements. It has the effect of transferring some medical costs for this population from the Title XIX Medicaid Program, which is partially State financed, to the Title XVIII Program, which is financed by the federal government. Federal matching money is available through the Medicaid Program to assist the states with the premium payments for certain buy-in enrollees.

The goal of the Medicare Buy-Ins and Supplements Program is to avoid additional Medicaid cost by utilizing buy-in (premiums) for Medicare eligibles.

The Medicare Buy-Ins and Supplements is a supplemental medical insurance program that provides exemption of premiums for indigent people.

OBJECTIVES AND PERFORMANCE INDICATORS

Unless otherwise indicated, all objectives are to be accomplished during or by the end of FY 1999-2000. Performance indicators are made up of two parts: name and value. The indicator name describes what is being measured. The indicator value is the numeric value or level achieved within a given measurement period. For budgeting purposes, performance indicator values are shown for the prior fiscal year, the current fiscal year, and alternative funding scenarios (continuation budget level and Executive Budget recommendation level) for the ensuing fiscal year (the fiscal year of the budget document).

 

 

RESOURCE ALLOCATION FOR THE PROGRAM

SOURCE OF FUNDING

This program is funded with General Fund and Federal Funds. Federal funds represent federal financial participation in the Medicaid program.

ANALYSIS OF RECOMMENDATION

GENERAL FUND

TOTAL

T.O.

DESCRIPTION

 

 

 

 

 

$26,044,871

$89,383,150

0

 

ACT 19 FISCAL YEAR 1998-1999

 

 

 

 

 

 

 

 

 

BA-7 TRANSACTIONS:

$0

$0

0

 

None

 

 

 

 

 

$26,044,871

$89,383,150

0

 

EXISTING OPERATING BUDGET - November 20, 1998

 

 

 

 

 

($2,247,359)

($7,574,515)

0

Other Adjustments - An adjustment to balance this program to the most recent expenditure projections

($17,046)

$0

0

Means of Financing Substitution(s) - Replace general fund with federal funds in response to the change in the Federal Medical Assistance Percentage from 29.71% in FY 1999 to 29.67% in FY 2000 and to need to properly align the revenue base in this program

 

 

 

 

 

$23,780,466

$81,808,635

0

 

TOTAL RECOMMENDED

 

 

 

 

 

($2,264,405)

($7,574,515)

0

 

DIFFERENCE (TOTAL RECOMMENDED AND EXISTING OPERATING BUDGET)

The total means of financing for this program is recommended at 91.5% of the existing operating budget. It represents 90.4% of the total request ($90,532,595) for this program. The major change is the removal of a projected surplus in the existing operating budget.

PROFESSIONAL SERVICES

This program does not have funding for Professional Services for Fiscal Year 1999-2000.

OTHER CHARGES

$81,808,635

 

 Payments of Medicare premiums and supplements

     

$81,808,635

TOTAL OTHER CHARGES

ACQUISITIONS AND MAJOR REPAIRS

This program does not have funding for Acquisitions and Major Repairs for Fiscal Year 1999-2000.


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