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DHS BUDGET REQUEST FOR FY ($ Amounts in Thousands)

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DHS BUDGET REQUEST FOR FY 2015-2016

($ Amounts in Thousands)

Page # of Governor's Executive Budget: APPROPRIATION:

Pp. C1.8, C3-4, E30.6, E30.8, E30.15, 30.17 Medical Assistance - Transportation

I. SUMMARY FINANCIAL DATA

2013-2014 2014-2015 Actual Available

State Funds Total $59,573 $63,295

State Sources Itemized

Medical Assistance - Transportation $59,573 $58,395 1

Lottery Fund $0 $4,900

Federal Funds Total $72,685 $67,427

Federal Sources Itemized

Medical Assistance -Transportation $72,685 $67,427

Other Funds $0 $0

Total $132,258 $130,722

IA. REQUESTED SUPPLEMENTALS (Included above)

State Funds ($4,038)

Federal Funds $0

Total ($4,038)

1 Includes a recommended appropriation reduction of $4.038 million. Act 1-A of 2014 provided $62.433 million for this program in Fiscal Year 2014-2015.

2015-2016 Budgeted $68,174 $63,274 $4,900 $74,189 $74,189 $0 $142,363

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II. DETAIL BY MAJOR OBJECT APPROPRIATION:

($ Amounts in Thousands) Medical Assistance - Transportation

Change

2013-2014 2014-2015 2015-2016 Budgeted Percent

Actual Available Budgeted vs. Available Change

PERSONNEL State F{Jnds $0 $0 $0 $0 0.00% Federal Funds $0 $0 $0 $0 0.00% Other Funds $0 $0 $0 " $0 0.00% Total Personnel $0 $0 $0 $0 0.00% OPERATING State Funds $0 $0 $0 $0 0.00% Federal Funds $0 $0 $0 $0 0.00% Other Funds $0 $0 $0 $0 0.00% Total Operating $0 $0 $0 $0 0.00% FIXED ASSETS State Funds $0 $0 $0 $0 0.00% Federal Funds $0 $0 $0 $0 0.00% Other Funds $0 $0 $0 $0 0.00%

Total Fixed Assets $0 $0 $0 $0 0.00%

GRANT & SUBSIDY

State Funds $59,573 $63,295 $68,174 $4,879 7.71%

Federal Funds $72,685 $63,392 $74,189 $10,797 17.03%

Other Funds $0 $0 $0 $0 0.00%

1y

Total Grant & Subsidy $132,258 $126,687 $142,363 $15,676 12.37%

NONEXPENSE State Funds $0 $0 $0 $0 0.00% Federal Funds $0 $0 $0 $0 0.00% Other Funds ' $0 $0 $0 $0 0.00% Total Nonexpense $0 $0 $0 $0 0.00% BUDGETARY RESERVE State Funds $0 $0 $0 $0 0.00% Federal Funds $0 $4,035 $0 ($4,035) -100.00% Other Funds $0 $0 $0 $0 0.00%

Total Budgetary Reserve $0 $4,035 $0 ($4,035) -100.00%

UNCOMMITTED State Funds $0 $0 $0 $0 0.00% Federal Funds $0 $0 $0 $0 0.00% Other Funds $0 $0 $0 $0 0.00% Total Uncommitted $0 $0 $0 $0 0.00% , OTHER State Funds $0 $0 $0 $0 0.00% Federal Funds $0 $0 $0 $0 0.00% Other Funds "$0 $0 $0 $0 0.00% Totai Other $0

$0

$0 $0 0.00%

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APPROPRIATION:

Medical Assistance - Transportation

III. HISTORY OF LAPSES 2014-2015

($ Amounts in Thousands) 2012-2013 2013-2014 Estimated

State Funds $7,000 $0 $0

IV. COMPLEMENT INFORMATION

2015-2016

12/31/2013 12/31/2014 Budgeted

State/Federally Funded

Authorized N/A N/A N/A

Filled N/A N/A N/A

Federally Funded

Authorized N/A N/A N/A

Filled N/A N/A N/A

Other Funded

Authorized N/A N/A N/A

Filled N/A N/A N/A

Total

Authorized N/A N/A N/A

Filled N/A N/A N/A

V. DERIVATION OF REQUEST I LEGISLATIVE CITATIONS I DISBURSEMENT CRITERIA Derivation of Request:

The Fiscal Year 2015-2016 Budget increases State funding by $4.879 million above the Fiscal Year 2014-2015 appropriation level, from $58.395 million to $63.274 million. The Fiscal Year 2015-2016 Budget increases Federal Medical Assistance - Transportation funding by $6.762 million from the Fiscal Year 2014-2015 appropriation level, from $67.427 million to $74.189 million.

Detail on the appropriat(on is outlined in Section VI entitled "Explanation of Changes" on the next page.

Le!;lislative Citations: 62 p .5. §§ 201, 206

Disbursement Criteria:

County allocations are based on actual county prior year expenditure trends.

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VI. EXPLANATION OF CHANGES

($ Amounts in Thousands)

GRANT & SUBSIDY

1. The Fiscal Year 2015-2016 Governor's Executive Budget provides an increase in State funds and Federal Medical Assistance - Transportation funds for a projected increase of 163,550 trips: 2. The Fiscal Year 2015-2016 Governor's Executive

Budget provides an increase in State funds and Federal Medical Assistance - Transportation funds for a $0.33 increase in the cost per trip:

3. The Fiscal Year 2015-2016 Governor's Executive Budget provides an increase in State funds and Federal Medical Assistance - Transportation for Medicaid Expansion:

4. Impact of the change in-the Federal Medical Assistance Percentage (an increase from 51.82 percent to 52.01 percent, effective

October 1, 2015). Full-year blended rate decreases from 52.245 percent to 51.9625 percent:

5. Impact of the phasing out of the General Assistance Category on actual Federal Medical Assistance Percentage rate:

6. The Fiscal Year 2015-2016 Governor's Executive Budget recommends that $4.900 million be

. allocated from the Lottery Fund to provide supplemental funding to the Medical Assistance Transportation appropriation; the same as Fiscal Year 2014-2015:

7. Reflects excess Federal spending authority in Fiscal Years 2015-2016:

TOTAL GENERAL FUND LOTTERY FUND GRANT & SUBSIDY

1. Maintains Lottery Fund at the Fiscal Year 2014-2015 level of $4.900 million:

TOTAL LOTTERY FUND TOTAL

APPROPRIATION:

Medical Assistance - Transportation

State $ Federal $ Other $ Total

$742 $792 $0 $1,534 $1,848 $1,890 $0 $~,738 $3,481 $6,923 $0 $10,404 $116 ($116) $0 $0 ($1,308) $1,308 $0 $0 $0 $0 $0 $0 $0 ($4,035) $0 ($4,035) $4,879 $6,762 $0 $11,641 $0 $0 $0 $0 $0 $0 $0 $0 $4,879 $6,762 $0 $11,641

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Medical Assistance - Transportation

Fiscal Year 2015-2016.Governor's Executive Budget

Fiscal Year 2014-2015

Cost per

Total Federal State Services Clients Service

Counties $83,888,825 $41,105,524 $42,783,301 4,736,238 95,669 $17.71 Philadelphia Contract $39,.805,668 $20,334,725 $19,470,943 4,298,187 52,397 $9.26 Subtotal $123,694,493 $61,440,249 $62,254,244 9,034,425 148,066 Healthy PA - Counties $2,040,683 $999,935 $1,040,748 115,214 5,403 $17.71 Healthy PA - Philadelphia $951,989 $951,989 $0 102,795 2,909 $9.26 Subtotal $2,992,672 $1,951,924 $1,040,748 218,009 8,312

Transfer'to Lottery Fund $4,900,000 $0 $4,900,000

Total Program Requirements $121,787,165 $63,392,173 $58,394,992

Uncommitted $4,034,827 $4,034,827 $0

Act 1-A of 2014 $129,860,000 $67,427,000 $62,433,000

Surplus/(Deficit) $4,038,008 ($0) $4,038,008

Medical Assistance - Transportation

Fiscal Year 2015-2016 Governor's Executive Budget Fiscal Year 2015-2016

Cost per

Total Federal State Services Clients Service

Counties $86,626,038 $43,313,019 $43,313,019 4,738,606 97,582 $18.28

Philadelphia Contract $42,341,142 $22,001,516 $20,339,626 4,459,369 53,445 $9.49

Subtotal '$128,967,180 $65,314,535 $63,652,645 9,197,975 151,027

Medicaid Expansion - Counties $9,043,704 $4,521,852 $4,521,852 494,708 27,536 $18.28

Medicaid Expansion - Philadelphia $4,352,221 $4,352,221 $0 458,376 14,843 $9.49

Subtotal $13,395,925 $8,874,073 $4,521,852 953,084 42,379

Transfer to Lottery Fund $4,900,000 $0 $4,900,000

Total Program Requirements $137,463,105 $74,188,608 $63,274,497

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MEDICAL ASSISTANCE - TRANSPORTATION

PROGRAM STATEMENT

Federal regulations require that transportation is available for Medical Assistance (MA) recipients

both to and from medical providers through the Medical Assistance Program. The Department of Human

Services

carries out this mandate by providing both emergency and non-emergency medical

transportation services. Emergency medical transportation services are funded separately through the

Medical

As~istance-Outpatient

appropriation and are reimbursed as a vendor payment. Non-emergency

'

medical transportation services are provided through the Medical Assistance - Transportation Program

(MATP).

The MATP is a county based program that

'

provides non-emergency medical

transportation

services to MA

recipients

who cannot meet their own transportation needs. In Fiscal

Year

2014-2015,

funds

were allocated to 56 Grantees who have considerable

flexibility

in selecting

the

administrative

methods and modes of transportation provided. The models include direct provision of service by county

governments or making payments to agencies that provide these services as part of a total human

services delivery system.

These services can utilize private means as well as existing public

transportation

systems.

Beginning January 1, 2014, MATP State and Federal funding only

reimburses

a copayment

amount of 15 percent for recipients age 65 and older using the Shared Ride Program for Senior Citizens.

Shared Ride Program for Senior Citizen costs are funded through State Lottery Funds.

References

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