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Committee flags $14.5 million projected gap for support-coordinator costs tied to Medicaid waiver expansion
Summary
Staff warned that Medicaid reimbursement covers about 48% of county support-coordinator costs and adding new waiver slots would create a projected $14,500,000 funding gap; the committee asked staff and budget office to outline options before next meeting.
Ariel McAloon told the Legislative Committee the county’s Medicaid reimbursement rates cover roughly 48% of the cost of county support coordinators and that expansion of waiver slots will create a projected $14,500,000 funding gap. The language was added to the draft state legislative program to highlight the issue and the county’s need for state support.
Supervisor Alcorn asked what would happen if the funding gap is not covered at state or local levels and whether the county would be forced to return waiver slots. Staff said budget and program staff (Daryl or other budget officials) should be consulted and they committed to outline the process and report back at the next meeting. The chair agreed staff should prepare a budget-oriented briefing and explain options for covering the projected shortfall.
The committee treated the item as urgent and requested staff coordinate with budget officers to produce a clear pathway and timeline for decisions related to submitting or accepting new waiver slots.
