R523-2-5. Formula for Allocation of Medicaid Match Funds

(1) For this section, "Medicaid member month" means the number of eligible Medicaid recipients in each county for each month of the previous state fiscal year. (2) The division shall obtain the following data from the division's Medicaid program: (a) each Medicaid member month; and (b) the actuarially established rates for a capitated Medicaid service system as determined by the Department of Health and Human Services and approved by the federal government for each county. (3) The division shall calculate county need for Medicaid match funds by multiplying each county's total Medicaid member months by that county's corresponding actuarial rates for the most current 12-month period. (4) The division shall sum county need to determine the state Medicaid match need. (5) The percent of total Medicaid match funds for each local authority shall be determined by dividing the sum of county need by the state Medicaid match need. (6) LMHAs and LSAAs that do not participate in the Medicaid prospective payment-capitation plan shall receive the amount of funds the LMHA or LSAA would have received if the funds had been distributed using state population as a determinate.