Amendment #9 to H3400

Methodology for PACE Medicaid Capitation Payments

Mr. McMurtry of Dedham moves to amend the bill by adding the following section:

"Section XXXX:

The Secretary of the Executive Office of Health and Human Services is directed to develop a methodology for establishing capitation rates to be paid by Medicaid to PACE programs. The methodology shall be based on an actuarially sound determination of reasonable costs incurred for the services provided by PACE but in no case shall the rate determined be in excess of the Upper Payment Level.  The rate shall be reviewed on an annual basis. The methodology used shall be made available to PACE providers."