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State hospitals accredited; committee hears rising civil commitment costs and 60-day Medicaid billing risk
Summary
Analysts told the Joint Finance-Appropriations Committee that all three state psychiatric hospitals are accredited and able to bill Medicaid for eligible stays, while department officials warned that rising civil-commitment costs and an increase in long stays are shifting more costs to the general fund.
Alex Leanson, a budget and policy analyst with the Legislative Services Office, briefed the committee on the Division of Psychiatric Hospitalization, which includes Community Hospitalization and three state psychiatric hospitals (State Hospital South in Blackfoot, State Hospital North in Orofino, and State Hospital West in Nampa).
Leanson said the division has 467 authorized FTP and is primarily driven by personnel and operating expenditures. He flagged one-time and ongoing enhancements in recent years, including electronic medical record updates, facility alterations, accreditation updates and a FY2025 request related to civil-commitment expenditures.
Director Alex Adams confirmed all three state hospitals have received…
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