OFFICE OF FISCAL ANALYSIS
Legislative Office Building, Room 5200
Hartford, CT 06106 (860) 240-0200
http://www.cga.ct.gov/ofa
sSB-1483
AN ACT CONCERNING THE PATIENT -CENTERED MEDICAL
HOME-PLUS PROGRAM.
Primary Analyst: LD 4/1/25
Contributing Analyst(s): ES
Reviewer: ES
OFA Fiscal Note
State Impact:
Agency Affected Fund-Effect FY 26 $ FY 27 $
Social Services, Dept. GF - Cost 1,280,000 None
Note: GF=General Fund
Municipal Impact: None
Explanation
The bill results in a cost of $1,280,000 in FY 26 to the Department of
Social Services (DSS) related to requiring the agency to pay federally
qualified health centers (FQHCs) participating in the Person-Centered
Medical Home-Plus (PCMH+) program the amounts they were due
under the program for November and December of 2024.
For reference, FQHCs are eligible for monthly prospective payments
for care coordination. These monthly payments are based on the
number of Medicaid enrollees assigned to the FQHCs. The payments
are limited based on the appropriation for them and if they are
exhausted in a given year, no further payments are made. This occurred
in September 2024 and FQHCs participating in the PCMH+ program
did not receive care coordination payments for November or December
of that year.
The Out Years
The annualized ongoing fiscal impact identified above would
continue into the future subject to inflation.