Implementing cost reporting for certain Medicaid service provider types

HB 419 establishes a standardized process for certain Medicaid service providers in Montana to report their actual costs and revenues. It directly affects providers offering adult mental health, children’s mental health, substance use disorder, developmental disabilities, and senior/long-term care services funded through Medicaid or state programs. The bill requires these providers to submit annual cost data using a uniform format, which the Department of Public Health and Human Services will analyze every four years to assess whether Medicaid reimbursement rates adequately cover costs. The analysis will inform future budget requests to adjust rates, with the first report due by September 1, 2026.