Commission briefed on Medicaid overspend and forecasting risks for counties
County staff were warned that Medicaid forecasting errors have widened, with a presenter citing an overspend of about $100M and saying a Medicaid commission will present recommendations in December that could lead to state cuts affecting counties.
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At the start of the budget discussion Alan (S2) told commissioners that, while a June forecast had offered cautious optimism after higher-than-expected income-tax revenue, Medicaid has again overspent and that the state may need to make immediate cuts. "Medicaid has overspent yet again, probably by at least a $100,000,000," Alan said, flagging forecasting as a recurring problem and noting OSPB director Mark Ferandino plans to address the commission on Medicaid the following day.
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