Montana Code 53-6-406. Fiscal accountability for home and community-based services — report to legislature
53-6-406. Fiscal accountability for home and community-based services — report to legislature. (1) (a) A provider of home and community-based services shall submit cost information to the department each year if personal assistance, community supports, private-duty nursing, or attendant services or supports are funded:
Terms Used In Montana Code 53-6-406
- Department: means the department of public health and human services provided for in 2-15-2201. See Montana Code 53-6-401
- Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
- Home and community-based services: means , as provided for in section 1915 of Title XIX of the Social Security Act, 42 U. See Montana Code 53-6-401
- Legislative session: That part of a chamber's daily session in which it considers legislative business (bills, resolutions, and actions related thereto).
- State: when applied to the different parts of the United States, includes the District of Columbia and the territories. See Montana Code 1-1-201
(i)as a state plan service;
(ii)through a medicaid state plan option available to the state under 42 U.S.C. § 1396n(k); or
(iii)under a home and community-based services waiver that is operated through a division of the department that administers home and community-based services.
(b)The information provided to the department must reflect costs incurred during the provider’s most recent fiscal year.
(2)The department shall develop a standardized format for the information that includes the recognized revenues and expenditures incurred by providers.
(3)The department shall analyze cost information submitted by providers to determine at a minimum:
(a)the reasonable cost of providing the home and community-based services detailed in the report;
(b)the percentage of a provider’s cost represented by payment of wages and benefits for direct-care employees; and
(c)the level of profit or loss that each provider incurred in delivering the service. The profit or loss must be determined by comparing the recognized cost of providing the service with the medicaid reimbursement provided for the same service.
(4)The department shall establish protocols to protect provider-specific confidential data from public disclosure.
(5)By September 1 of the year preceding a regular legislative session, the department shall report to the children, families, health, and human services interim committee in accordance with 5-11-210 on all information in this section.