| Changes from FY 2009-10 Year to Date:
| 1. Deletions. The Senate bill eliminated numerous boilerplate sections, including but not limited to: Salvation Army Harbor Light's contract (412), a Healthy Michigan 2010 report by the State Surgeon General (651), report on nursing home case mix reimbursement (1695), Adult Benefit Waiver enrollment consistency (1716), Medicaid eligibility errors (1725), a required study of the current nursing home occupancy ceiling (1789), a required examination of strategies of IT changes to promote the sharing of medical records (1796), expansion of the beneficiary monitoring program (1826), and language requiring the creation of a physician QAAP and mandating GF/GP reductions if the QAAP is not implemented. (1830)
| 2. Consolidation of Coordinating Agencies. Current law boilerplate was modified to require reimbursement for substance abuse services be made through Pre-Paid Inpatient Health Plans by April 1. (Sec. 407)
| 3. CMH Funding Adjustments. New boilerplate required the DCH to continue to utilize the funding formula mandated for the distribution of CMH Non-Medicaid funds in FY 2009-10. The language expressed legislative intent to remove geographic factors from rate setting for the next re-bid of CMH Medicaid services. (Sec. 462)
| 4. Mental Health/Substance Abuse Subcontractor Standards. New boilerplate required the DCH to establish a workgroup to develop a plan to establish uniformity in the standards required of providers contracting with PIHPs, CMHSPs and substance abuse coordinating agencies. (Sec. 490)
| 5. Food and Custodial Contracting for Facilities. New boilerplate required the DCH to contract with private entities for the provision of food and custodial services at state hospitals where contracting for these services has been determined to be cost effective. (Sec. 608)
| 6. Medical Marihuana Contract. Current law boilerplate was replaced with new language requiring the DCH to implement a bid process to identify a private or public entity to manage the State's medical marihuana program. (Sec. 727)
| 7. Genetic Diagnostic and Counseling Services for the Children's Special Health Care Services (CSHCS) Program. The Substitute deleted language allowing the Department to provide such services to CSHCS clients, reflecting a dollar decision. (Sec. 1202)
| 8. CSHCS and Medicaid Managed Care. Current law boilerplate was adjusted to require the DCH and Medicaid health plans to identify a method of reimbursing health plans for CSHCS services. Language further required recipients enrolled in CSHCS and Medicaid, without an established physician relationship, to enroll in a Medicaid health plan. (Sec. 1204)
| 9. Medicaid Cost Sharing. Current law boilerplate was modified in the Senate bill to reflect an increase in the required Medicaid cost share for the first day of inpatient hospitalization from $50 to $100. (Sec. 1631)
| 10. Ambulatory Surgery Centers. The Substitute added additional language setting guidelines for the reimbursement of ambulatory surgery centers using Medicaid funds. (Sec. 1642)
| 11. Medicaid Emergency Room Physician Reimbursement Methodology. The Substitute removed specific requirements on emergency room reimbursement changes, including the requirement that payments not exceed 70% of Medicare payment rates. (Sec. 1711)
| 12. Low-Day Medicaid Hospital Reimbursement. New boilerplate required the Department to reimburse hospitals for Medicaid admissions of 24 hours or less as outpatient observation stays. (Sec. 1786)
| 13. Nursing Home Quality Incentives. New language required the DCH to create a workgroup to examine the creation of budget-neutral quality incentive payments for Medicaid nursing home services. (Sec. 1838)
| 14. Adult Benefits Waiver (ABW) Workgroup. New language required the DCH to create a workgroup to explore modifications in the ABW program that would focus physical and mental health services to single low-income adults with serious mental illness. (Sec. 1839)
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