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F I S C A L   I M P A C T   R E P O R T

 

 

SPONSOR:

Herrera

 

DATE TYPED:

1/29/03

 

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

 

SOURCES OF INFORMATION

 

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. 

 

These administrative functions can be absorbed by existing staff and budget resources.

 

SUBSTANTIVE ISSUES

 

Medicare does cover some chiropractic services, but on a very limited basis.

 

SJM/sb:njw:prr