{"data":{"id":"us-mt/53-6-1604","jurisdiction":"us-mt","citation":"53-6-1604","heading":"Reporting.","body":"(1) Contingent upon legislative appropriation, the department of public health and human services shall develop a report to document the adequacy of current medicaid rates compared to reported medicaid service provider costs at least once every 4 years.\n(2) The report must consider the following data sources in the development of rate adequacy:\n(a) medicaid service provider cost report information submitted as required in 53-6-1603;\n(b) claims data;\n(c) United States bureau of labor statistics data;\n(d) internal revenue service data;\n(e) United States department of agriculture data;\n(f) United States census bureau data\n(g) peer state comparisons; and\n(h) any other relevant regional and national data considered appropriate by the department.\n(3) The report must provide information to support a biennial or supplemental budget request as necessary to adjust medicaid service provider reimbursement rates to ensure rate adequacy.\n(4) The department shall provide the report at least once every 4 years to the office of budget and program planning, the children, families, health, and human services interim committee, and the interim budget committee in accordance with 5-11-210. The first report is due by September 1, 2026.\n(5) In accordance with the Montana Procurement Act, the department may contract with a cost-based reporting expert to assist in completing subsections (1) through (4).","path":["TITLE 53. SOCIAL SERVICES AND INSTITUTIONS","CHAPTER 6. HEALTH CARE SERVICES","Part 16. Standardized Cost Reporting"],"source_url":"https://mca.legmt.gov/bills/mca/title_0530/chapter_0060/part_0160/section_0040/0530-0060-0160-0040.html","current_through":"Montana Code Annotated 2025","vintage":"","retrieved_at":"2026-09-14T04:57:18Z","sha256":"a6c7bb3e5298eb54c89377100488b5ca8b9881fede2c446fdc5a87353dd18dd4","source_id":"us-mt","stale":false,"prev":"us-mt/53-6-1603","next":"us-mt/53-6-1605"},"notice":"GroundRules: Original legal text. Not legal advice."}