Utah Admin. Code R523-2-8 - Formula for Allocation of Medicaid Match Funds
(1) The Division shall obtain the following
data from the Utah Department of Health:
(a)
the number of eligible Medicaid recipients in each county, for each month of
the previous state fiscal year hereinafter called Medicaid Member Months;
and
(b) the actuarially established
rates for each county;
(2) The Division shall calculate county need
for Medicaid match funds by multiplying each county's total Medicaid Member
Months by their corresponding actuarial rates for the most current 12 month
period.
(3) The Division shall sum
all county need to determine the state Medicaid match need.
(4) The percent of total Medicaid match funds
for each local authority shall be determined by dividing the sum of county need
by the state Medicaid match need.
(5) LMHAs and LSAAs that do not participate
in the Medicaid prospective payment-capitation plan shall receive the amount of
funds they would have received if the funds had been distributed using state
population.
(6) Each LMHA and LSAA
shall provide funding from tax revenues assessed by the County legislative body
equal to at least 20% of the Medicaid match funds, and:
(a) if a LMHA or LSAA is unable to provide
the required matching funds, the LMHA or LSAA shall be allocated the amount the
LMHA or LSAA can match; and
(b)
excess funds may be allocated on a one-time basis to local authorities with the
ability to provide matching funds.
Notes
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