LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 82ND LEGISLATIVE REGULAR SESSION March 21, 2011 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S O'Brien, Director, Legislative Budget Board IN RE:SB874 by Fraser (Relating to establishing a separate provider type for prosthetic and orthotic providers under the medical assistance program.), As Introduced No significant fiscal implication to the State is anticipated. The bill would require the Health and Human Services Commission (HHSC) to establish a separate provider type for prosthetic and orthotic providers under the Medicaid program; HHSC would be prohibited from classifying these providers under the durable medical equipment provider type. According to HHSC, separate provider types would need to be added to the Medicaid claims processing system for prosthetic and orthotic providers (providers are currently enrolled under the durable medical equipment provider type); existing prosthetic and orthotic providers may be required to re-enroll under a different provider type. It is assumed that any cost to modify the claims processing system or to re-enroll providers would be minimal and could be absorbed within existing resources. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies:529 Health and Human Services Commission LBB Staff: JOB, CL, LR, MB, NB LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 82ND LEGISLATIVE REGULAR SESSION March 21, 2011 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S O'Brien, Director, Legislative Budget Board IN RE:SB874 by Fraser (Relating to establishing a separate provider type for prosthetic and orthotic providers under the medical assistance program.), As Introduced TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S O'Brien, Director, Legislative Budget Board IN RE: SB874 by Fraser (Relating to establishing a separate provider type for prosthetic and orthotic providers under the medical assistance program.), As Introduced Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services John S O'Brien, Director, Legislative Budget Board John S O'Brien, Director, Legislative Budget Board SB874 by Fraser (Relating to establishing a separate provider type for prosthetic and orthotic providers under the medical assistance program.), As Introduced SB874 by Fraser (Relating to establishing a separate provider type for prosthetic and orthotic providers under the medical assistance program.), As Introduced No significant fiscal implication to the State is anticipated. No significant fiscal implication to the State is anticipated. The bill would require the Health and Human Services Commission (HHSC) to establish a separate provider type for prosthetic and orthotic providers under the Medicaid program; HHSC would be prohibited from classifying these providers under the durable medical equipment provider type. According to HHSC, separate provider types would need to be added to the Medicaid claims processing system for prosthetic and orthotic providers (providers are currently enrolled under the durable medical equipment provider type); existing prosthetic and orthotic providers may be required to re-enroll under a different provider type. It is assumed that any cost to modify the claims processing system or to re-enroll providers would be minimal and could be absorbed within existing resources. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies: 529 Health and Human Services Commission 529 Health and Human Services Commission LBB Staff: JOB, CL, LR, MB, NB JOB, CL, LR, MB, NB