| • |
|
| |
Decreases funding based on the most recent forecast of Medicaid expenditures. Medicaid expenditures are projected to increase in FY 2015 by 4.6 percent and in FY 2016 by 5.3 percent. Medicaid expenditures in FY 2014 were lower than budgeted. Factors decreasing expenditures as compared to last year's forecast include lower managed care rate increases, smaller hospital supplemental payments, higher savings from behavioral health reforms, and less enrollment than expected from outreach efforts through the federal exchange for health insurance. The revised forecast also includes the Governor's policy changes as part of the "A Healthy Virginia" program. This includes expenditures related to the Governor's Access Program for individuals that have a serious mental illness, an increase in enrollment from outreach efforts for children, providing dental coverage for pregnant women, and funding for behavioral health homes. |
| |
| |
FY |
FY |
| General Fund |
($127,849,278) |
($66,522,654) |
| Nongeneral Fund |
($168,983,829) |
($83,541,881) |
|
| • |
|
| |
Modifies the appropriation for the Health Care Fund to reflect the latest revenue estimates. Tobacco taxes are projected to decline by $7.6 million in FY 2015 and $9.8 million in FY 2016 based on the Department of Taxation's revised forecast. The other change is a downward adjustment in revenue from pharmacy rebates of $15.3 million each fiscal year as the retroactive collection of managed care rebates stabilizes. The FY 2015 revenue loss is offset by the June 30, 2014, cash balance of $74.2 million. Since the fund is used as state match for Medicaid, any change in revenue to the fund impacts general fund support for Medicaid. |
| |
| |
FY |
FY |
| General Fund |
($51,376,931) |
$24,877,282 |
| Nongeneral Fund |
$51,376,931 |
($24,877,282) |
|
| • |
|
| |
Decreases funding for the program to reflect the latest forecast of expenditures. The main reason for the lower costs in FY 2015 is due to a delay in reinstating coverage for pregnant women through the FAMIS MOMS program. In the 2014 Session, the program was restored and funded by the General Assembly; however, restarting the program and gaining federal approval has taken longer than expected. In addition, managed care rates for the program are expected to be less than previously forecast. |
| |
| |
FY |
FY |
| General Fund |
($15,679,480) |
($5,902,907) |
| Nongeneral Fund |
($29,119,034) |
($27,352,905) |
|
| • |
|
| |
Provides funding for the continuing costs of the Cover Virginia Central Processing Unit (CoverVa CPU). In July of 2014, the CoverVa call center was upgraded to a CPU for one year, using balances from FY 2014, to clear the federal exchange application backlog. The call center was originally created to comply with federal requirements for allowing telephonic Medicaid applications. However, due to an increase in overall Medicaid applications and the backlog of processing federal exchange applications, it was determined that Virginia needed to support centralized application processing and the CoverVa call center was upgraded to a CPU capable of processing applications through to a final determination. The CoverVa CPU will process eligibility for applications forwarded to Virginia from the Federally Facilitated Marketplace (FFM), all telephonic applications, and all health care coverage-only applications submitted online through the CommonHelp portal. |
| |
| |
FY |
FY |
| General Fund |
$0 |
$4,283,004 |
| Nongeneral Fund |
$0 |
$12,839,006 |
| Positions |
0.00 |
1.00 |
|
| • |
|
| |
Adjusts the Medicaid appropriation for reimbursement for state mental health and intellectual disabilities facilities. The adjustments are the result of changes in the forecast of facility discharges. This request reflects the Medicaid portion of the facility transition waivers, the on-going facility closure costs and associated facility savings resulting from compliance with the Department of Justice (DOJ) settlement agreement. The funding estimates include facility transition waiver expenses, severance costs, post closure costs, pre-closure costs, and training center facility and Medicaid savings. |
| |
| |
FY |
FY |
| General Fund |
$535,369 |
$5,146,644 |
| Nongeneral Fund |
$535,369 |
$5,146,644 |
|
| • |
|
| |
Decreases the appropriation for Piedmont and Catawba geriatric hospitals to reflect a change in enrollment from hospitals to nursing homes for the purposes of Medicaid reimbursement to comply with federal requirements. In March of 2014, the federal Inspector General for Health and Human Services released a report indicating these two hospitals were not in compliance with federal Medicaid rules. This change reflects the savings from lower Medicaid reimbursement, mainly due to the loss of eligibility for disproportionate share hospital funding. This loss in Medicaid revenue is offset by increased general fund support in the Department of Behavioral Health and Developmental Services budget. |
| |
| |
FY |
FY |
| General Fund |
($992,476) |
($3,969,902) |
| Nongeneral Fund |
($992,476) |
($3,969,902) |
|
| • |
|
| |
Increases funding for the cost of hospital and physician services for persons subject to an involuntary mental commitment. The most recent forecast of expenditures projects higher spending than last year's estimate mainly due to the new policy extending the length of temporary detention orders by an additional 24 hours. |
| |
| |
FY |
FY |
| General Fund |
$3,126,498 |
$1,498,988 |
|
| • |
|
| |
Provides funding and four staff to begin the procurement phase necessitated by the June 2018 expiration of the current contract for the Medicaid Management Information System (MMIS) system. Virginia is required to maintain a federally-approved MMIS. In 2018 the current system will be 15 years old and will no longer meet newer federal standards. The system costs are eligible for an enhanced federal match rate of 90 percent for professional services and 75 percent for licenses and hardware. The positions will provide the agency with dedicated project staff though the process to avoid diverting current staff from other operational duties.
|
| |
| |
FY |
FY |
| General Fund |
$0 |
$302,414 |
| Nongeneral Fund |
$0 |
$2,721,722 |
| Positions |
0.00 |
4.00 |
|
| • |
|
| |
Adjusts funding for the Commonwealth's Medicaid Children's Health Insurance program. This program applies to children between the ages of 6 through 19 with family income from 100 to 133 percent of the federal poverty level. The slight decrease in funding for FY 2015 and increase in FY 2016 reflect the latest forecast of expenditures for the program. |
| |
| |
FY |
FY |
| General Fund |
($400,831) |
$315,943 |
| Nongeneral Fund |
($743,565) |
$1,464,018 |
|
| • |
|
| |
Provides authority and funding to implement a re-design of the Day Support waiver. This represents the first step in the home and community-based care waivers redesign process to ensure that Virginia meets the demands of its residents with intellectual and developmental disabilities (IDD). The redesign will be phased in over multiple years. The FY 2016 funding will support the cost of converting the Day Support waiver into the "Building Independence" waiver. The redesigned waiver enhances the former Day Support waiver by adding supported employment, integrated day services, shared living, and independent living (the latter to be complemented by non-waiver funded rental assistance). In addition, the waiver would increase from 300 to 500 slots. The next steps in the process involves the redesign of the Intellectual Disability and Developmental Disabilities waivers. |
| |
| |
FY |
FY |
| General Fund |
$0 |
$1,200,000 |
| Nongeneral Fund |
$0 |
$1,200,000 |
|
| • |
|
| |
Provides five additional staff for the Third Party Liability (TPL) recovery unit. Under state and federal law, the Medicaid program is intended to be the payer of last resort for medical claims for eligible recipients. Early identification of possible TPL cases greatly increases the agency's chances to effectively research and pursue recovery of medical expenses paid. The number and complexity of TPL cases (especially casualty cases) filed have been steadily increasing over several years. This amendment increases the TPL staff from 15 to 20 with the staff costs offset by increased TPL recoveries. |
| |
| |
FY |
FY |
| General Fund |
$0 |
($500,425) |
| Nongeneral Fund |
$0 |
($500,425) |
| Positions |
0.00 |
5.00 |
|
| • |
|
| |
Funds the agency's upgrade to a newer and supported version of the Oracle Financial System. This is a vital system for the operation of the state's Medicaid agency and beginning in 2015 without software support the agency will be at much greater risk of system issues that could be disruptive to agency operations, both financially and programmatically. One-time costs include contracts with professional service providers experienced with this upgrade to assist DMAS staff with the implementation, as well as one-time software and hardware costs. On-going costs include annual VITA costs to support hardware an annual licensing costs. |
| |
| |
FY |
FY |
| General Fund |
$72,500 |
$403,333 |
| Nongeneral Fund |
$72,500 |
$403,333 |
|
| • |
|
| |
Authorizes the Department of Medical Assistance Services (DMAS) to limit overtime hours that may be provided by attendants who are providing care under the consumer-directed service option in the Medicaid waivers. Specifically, the language authorizes: 1) time and a half up to 56 hours for a single attendant who works more than 40 hours per week; 2) require that an Employer of Record (EOR) act on behalf of only one individual except when there is more than one individual in the same household receiving these services; and 3) provide that attendants shall to be employed by only one EOR. Funding for DMAS to comply with this new federal rule is included in the Official Consensus Medicaid forecast for FY 2016.
|
| |
| |
FY |
FY |
| General Fund |
$0 |
($325,702) |
| Nongeneral Fund |
$0 |
($327,357) |
|
| • |
|
| |
Increases the agency position level by 23. Of these, 19 positions are required for the agency to fill information technology positions that the agency is converting from contractors as part of their approved FY 2015 savings plan. There are no costs associated with the 19 positions because they are funded from the costs of the contracts. In addition, two positions are provided to oversee implementation of new initiatives. Lastly, two positions are recommended to enhance the agency's financial analysis and reporting capabilities. |
| |
| |
FY |
FY |
| General Fund |
$0 |
$181,380 |
| Nongeneral Fund |
$0 |
$181,380 |
| Positions |
0.00 |
23.00 |
|
| • |
|
| |
Provides emergency regulatory authority to allow, beginning in FY 2015, for a supplemental Medicaid payment to Virginia Department of Health (VDH) clinics of $300,000 annually. The state share will be funded by a $150,000 intergovernmental transfer from VDH resulting in net revenue to VDH of $150,000. |
| |
| |
FY |
FY |
| Nongeneral Fund |
$150,000 |
$150,000 |
|
| • |
|
| |
Transfers general fund from the Department of Medical Assistance Services (DMAS) to the Department for Aging and Rehabilitative Services (DARS) for support of the ombudsman program. In the 2013 Session, funding was provided to DMAS for the Commonwealth Coordinated Care program (dual eligible demonstration). Of the administrative funding provided, $48,351 was provided to increase ombudsman services at DARS in support of the program. DARS operates the state's ombudsman program so the funding should be transferred to avoid annual administrative transfers. There is an offsetting adjustment at DARS, so this amendment nets to zero. |
| |
| |
FY |
FY |
| General Fund |
($48,351) |
($48,351) |
|
| • |
|
| |
Provides authority for the Department of Medical Assistance Services to develop a pilot assessment on hospitals of up to six percent of their revenue. The revenue raised by the state would be used as state match to increase reimbursement to hospitals through the Medicaid program. |
| • |
|
| |
Authorizes the expansion of Medicaid on January 1, 2016, to non-elderly adults with incomes up to 133 percent of the federal poverty level. This action would result in 400,000 Virginians gaining health insurance paid for with 100 percent federal funding ($482 million) in FY 2016. In addition, the state would achieve savings as new Medicaid funding would supplant state-supported indigent care costs, mental health services provided by Community Services Boards, and inpatient hospital costs for state correctional inmates. After accounting for the administrative costs to implement, the net savings to the Commonwealth would be about $105 million general fund in FY 2016. This savings would be deposited to a special fund for future Medicaid costs or deposits to the Revenue Stabilization Fund. This coverage expansion would result in reduced indigent care costs for hospitals across the Commonwealth, resulting in improvements to their financial condition, especially for rural hospitals. |
| • |
|
| |
This amendment adds $14.9 million from the general fund and $16.0 million from nongeneral funds the first year and $104.3 million from the general fund and $119.9 million from nongeneral funds the second year to (i) provide limited medical services, including coverage of prescription medicines, and a robust set of behavioral health services to 21,600 adults with serious mental illness with incomes at or below 60 percent of the federal poverty, (ii) provide comprehensive dental care for an estimated 45,000 pregnant women in the Medicaid and FAMIS MOMS programs, (iii) provide additional funding to enroll an estimated 35,000 additional children in the Medicaid and FAMIS children's health insurance programs, and (iv) extend FAMIS eligibility to children of low-income state employees who would otherwise be eligible for the program. Language is added to specifically authorize these changes to the Medicaid and FAMIS programs. Language requires the Department of Medical Assistance Services (DMAS) to amend its demonstration project to modify eligibility criteria set forth in the demonstration project for individuals with serious mental illness and authorizes amendments to the FAMIS MOMS and FAMIS Select demonstration waiver to add comprehensive dental coverage for FAMIS MOMS and extend FAMIS coverage to children of low-income state employees who would otherwise be eligible for the program. Finally, language provides the department with the authority to implement the necessary changes prior to the completion of the regulatory process. |
| |
| |
FY |
FY |
| General Fund |
$14,944,222 |
$104,310,918 |
| Nongeneral Fund |
$15,988,267 |
$119,973,768 |
|
| • |
|
| |
This amendment decreases funding in the Department of Medical Assistance Services based on the recent November 2014 Medicaid forecast. Medicaid expenditures are expected to increase in fiscal year 2015 by 4.6 percent and in fiscal year 2016 by 5.3 percent. Projected expenditures are lower than amounts budgeted during the 2014 Special Session I. This appropriation change was not made in the introduced budget because the funding was allocated to the Governor's Healthy Virginia initiative. A companion amendment provides authority to implement a program to provide behavioral health services and prescription medicine to individuals with serious mental illness with incomes at or below 60 percent of the federal poverty level and to address the health safety net. |
| |
| |
FY |
FY |
| General Fund |
($14,793,515) |
($104,008,407) |
| Nongeneral Fund |
($15,570,389) |
($106,153,420) |
|
| • |
|
| |
This amendment captures savings of $21.9 million from the general fund and $21.9 million from matching federal Medicaid funds in the second year contained in the Medicaid forecast for two technical adjustments. The Medicaid forecast assumed that $14.1 million from the general fund and a like amount of nongeneral funds would be spent in fiscal year 2016 to implement a federal Department of Labor (DOL) rule to require the "Employer of Record" to pay overtime for personal care attendants providing home care in the Medicaid waiver programs. The amendment strikes language in the introduced budget implementing this rule, due to a recent federal court decision that struck down these provisions in the DOL rule. The second technical adjustment reduces $7.8 million from the general fund and a like amount of nongeneral funds from Medicaid savings actions taken in Chapter 2, 2014 Special Session I, that should have been adjusted in the second year. |
| |
| |
FY |
FY |
| General Fund |
$0 |
($21,891,902) |
| Nongeneral Fund |
$0 |
($21,891,902) |
|
| • |
|
| |
This amendment decreases funding in the Department of Medical Assistance Services based on the recent November 2014 FAMIS forecast. Expenditures are expected to decline from amounts budgeted during the 2014 Special Session I due to delays in reinstating coverage for pregnant women through the FAMIS MOMS program and lower than expected managed care rates than were previously forecast. This appropriation change was not made in the introduced budget because the funding was allocated to the Governor's Healthy Virginia initiative. A companion amendment in Item 301 provides specific authority to implement a program to extend comprehensive dental services to pregnant women enrolled in the FAMIS MOMS program and extend FAMIS coverage to children of low-income state employees who otherwise would be eligible. |
| |
| |
FY |
FY |
| General Fund |
($339,872) |
($3,672,801) |
| Nongeneral Fund |
($683,513) |
($17,019,037) |
|
| • |
|
| |
This amendment reduces $2.9 million the first year and $5.7 million the second year from the general fund and provides a corresponding increase in the Health Care Fund to reflect a revised estimate of tobacco tax revenues that are deposited to the Health Care Fund. This estimate assumes tobacco tax projections will decline by 1.2 percent each year as compared to a three percent decline estimated in the introduced budget. Since the Health Care Fund is used as state match for the Medicaid program, any change in revenue results in a corresponding offset in general fund support. |
| |
| |
FY |
FY |
| General Fund |
($2,879,658) |
($5,663,502) |
| Nongeneral Fund |
$2,879,658 |
$5,663,502 |
|
| • |
|
| |
This amendment provides funding to increase rates for in-home residential services, day services, therapeutic consultation services, congregate residential services, and skilled nursing services effective July 1, 2015. These increases are based on the analysis from the recent rate study of Medicaid waiver rates, which indicates that the rates are inadequate to build the appropriate community capacity to move individuals out of state training centers. The Intellectual Disability, Developmental Disability and Day Support waivers are currently being redesigned and will likely change in fiscal year 2017. The funding in this amendment provides an investment in the new rates to move the Commonwealth forward to a community-based system for individuals with intellectual or developmental disabilities Language is also added to require the Department of Medical Assistance Services and the Department of Behavioral Health and Developmental Services to report on plans to redesign the Medicaid comprehensive Intellectual and Developmental Disability waivers prior to a submission of a request to the Centers for Medicare and Medicaid Services to amend the waivers. The report is required to be submitted by November 1, 2015. |
| |
| |
FY |
FY |
| General Fund |
$0 |
$8,179,904 |
| Nongeneral Fund |
$0 |
$8,179,904 |
|
| • |
|
| |
This amendment provides $3.5 million from the general fund and $3.5 million from nongeneral funds the second year to increase the rates for personal care and respite care services by two percent in fiscal year 2016. Currently, the rate for consumer-directed care is $8.86 per hour in the rest of the state and $11.47 per hour in Northern Virginia. For agency-directed, the rate is $12.91 per hour in the rest of the state and $15.20 per hour in Northern Virginia. |
| |
| |
FY |
FY |
| General Fund |
$0 |
$3,459,081 |
| Nongeneral Fund |
$0 |
$3,459,081 |
|
| • |
|
| |
This amendment provides funding in the second year and adds language to offset savings assumed in the Department of Medical Assistance Services budget from pending and reducing payment for claims from emergency room physicians who treat Medicaid recipients when a retrospective review determines that the individuals could have received care in an outpatient setting. Emergency room physicians have no choice in treating individuals who present in emergency rooms and must do so as required by federal law. Reduction of payment for certain "non-emergency" Medicaid claims places an unreasonable financial burden on these providers. |
| |
| |
FY |
FY |
| General Fund |
$0 |
$2,230,000 |
| Nongeneral Fund |
$0 |
$2,230,000 |
|
| • |
|
| |
This amendment reduces $1.0 million from the general fund and $3.0 million from nongeneral funds in the second year and adds budget language to specify how much funding was added in the introduced budget to modify the Cover Virginia Call Center into a centralized processing unit (CPU) to make final eligibility determinations for Medicaid applications. In addition, a report is required on the workload and costs of the CPU. The CPU was authorized to provide temporary relief related to the increase in Medicaid applications at local departments of social services and a backlog of applications from the Federally Facilitated Marketplace. With the second year of enrollment through the federal exchange wrapping up, it is expected that the volume of cases should begin to even out, requiring less funding to handle the cases expected in fiscal year 2016. |
| |
| |
FY |
FY |
| General Fund |
$0 |
($1,000,000) |
| Nongeneral Fund |
$0 |
($3,000,000) |
|
| • |
|
| |
This amendment provides funding for Physician Supplemental Payments for additional support for Children's Hospital of the King's Daughters (CHKD). These payments help cover the cost of caring for thousands of children facing life-threatening illnesses, traumatic injuries and chronic conditions as well as those who need access to routine well-child care regardless of their families' ability to pay for services. These payments also ensure that CHKD's patients have access to every type of pediatric subspecialist, surgeon and pediatrician needed in a highly coordinated, efficient and regionalized system of care in greater Hampton Roads. Furthermore, Physician Supplemental Payments help CHKD address critical workforce development needs as the region's only teaching hospital for pediatrics, for the EVMS pediatric and family medicine residencies, and for every school of nursing within the region. Physician Supplemental Payments currently cover less than a third of CHKD's $13 million physician costs. |
| |
| |
FY |
FY |
| General Fund |
$0 |
$1,381,730 |
| Nongeneral Fund |
$0 |
$1,381,730 |
|
| • |
|
| |
This amendment eliminates $1.2 million from the general fund and $1.2 million from nongeneral funds for new waiver slots associated with the proposed redesign of the Medicaid Day Support Waiver. Language is also eliminated authorizing the submission of amendments to the waiver to the federal Centers for Medicare and Medicaid Services. Instead, a companion amendment in this item requires the Department of Medical Assistance Services, in collaboration with the Department of Behavioral Health and Developmental Services, to provide a detailed report on its plans to redesign the Medicaid comprehensive Intellectual and Developmental Disability waivers prior to a submission of a request to the Centers for Medicare and Medicaid Services to amend the waivers. The General Assembly's Medicaid reform efforts have been focused on redesigning the comprehensive Intellectual Disability and Developmental Disability waivers to address the needs of the most disabled individuals, including those transitioning from training centers to the community and those at imminent risk of institutional care. |
| |
| |
FY |
FY |
| General Fund |
$0 |
($1,200,000) |
| Nongeneral Fund |
$0 |
($1,200,000) |
|
| • |
|
| |
This amendment adds $200,000 from the general fund and $600,000 from federal matching Medicaid funds in the second year for the Department of Medical Assistance Services to implement a contract for preadmission screening for children in need of long-term care services to ensure screenings are completed within statutory required timeframes. Language also requires the agency to track and monitor all requests for screenings and report on those not completed within statutory timeframes. The department is required to report on the timeliness of such screenings as well as the implementation of the contract for children's preadmission screenings prior to the 2016 Session. Finally, language is added to provide the agency with emergency regulatory authority to implement the contract in fiscal year 2016 prior to the completion of the regulatory process. |
| |
| |
FY |
FY |
| General Fund |
$0 |
$200,000 |
| Nongeneral Fund |
$0 |
$600,000 |
|
| • |
|
| |
This amendment increases the general fund appropriation for Medicaid by $221,568 and reduces a like amount of nongeneral funds the second year, reflecting reduced revenues to the Virginia Health Care Fund (VHCF). Because revenues in the fund are required to be used as the state share of Medicaid, a reduction in revenue results in a need to increase the general fund amount for the program. The reduction in revenue is attributable to the elimination of a proposed $12 per roll fee for tax stamps contained in the introduced budget. |
| |
| |
FY |
FY |
| General Fund |
$0 |
$221,568 |
| Nongeneral Fund |
$0 |
($221,568) |
|
| • |
|
| |
This amendment provides funding and adds language to hold harmless any nursing facility which was negatively impacted by the conversion from a cost-based reimbursement methodology to a price-based reimbursement methodology for Medicaid nursing facility payments because the methodology did not account for recent facility improvements to provide high quality care. The transition rates that would be imposed on such facilities are based on a three-year period, which penalizes facilities which have recently improved care and invested significant funds to improve the facility. Language is added to outline criteria to reimburse facilities in such circumstances at the price-based operating rate instead of the transition operating rate effective July 1, 2015. |
| |
| |
FY |
FY |
| General Fund |
$0 |
$160,061 |
| Nongeneral Fund |
$0 |
$160,061 |
|
| • |
|
| |
This amendment adds language directing the Department of Medical Assistance Services (DMAS) to conform its managed care contracts to the provisions in House Bill 1942/Senate Bill 1262, which simplifies, streamlines and applies consistency to the prior authorization process used for drug benefits that is required by carriers in health insurance provider contracts. Language requires DMAS to report on such changes by December 1, 2015. |
| • |
|
| |
This amendment modifies the definition of eligibility criteria for the Medicaid Alzheimer's Assisted Living waiver to more broadly define eligible individuals that may be served by the waiver program. Currently, eligibility criteria for the waiver set forth in the Virginia Administrative Code defines those eligible as individuals with a diagnosis of Alzheimer's or a related dementia, however, it does not recognize the similar needs of individuals with other types of dementia. This change would allow the waiver to include individuals with a serious cognitive impairment due to a primary psychiatric diagnosis of dementia, as defined in the Virginia Administrative Code within the Standards for Licensed Assisted Living Facilities. |
| • |
|
| |
This amendment eliminates language which provides authority for the expansion of the Medicaid program to implement coverage to newly eligible individuals with incomes up to 138 percent of the federal poverty level pursuant to the federal Patient Protection and Affordable Care Act (ACA). Language is restored which was eliminated in the introduced budget which prohibits funds to be used to expand Medicaid under the ACA unless included in an appropriation bill adopted by the General Assembly on or after July 1, 2014. Also, the amendment restores language eliminated in the introduced bill to require the Department of Medical Assistance Services to provide a report to the Medicaid Innovation and Reform Commission on Medicaid reforms required in the Appropriations Act. Finally, language is eliminated which would have allowed any savings attributable to Medicaid expansion which are deposited into the Virginia Health Reform and Innovation Fund to be used as payments to the Rainy Day Fund to help meet mandatory deposit requirements. |
| • |
|
| |
This amendment eliminates language requiring a pilot program to implement a hospital provider assessment to adjust Medicaid hospital rates. A companion amendment in Item 278 requires the Secretary of Health and Human Resources to conduct an analysis and develop a plan with options on a hospital provider assessment program and supplemental payments for consideration by the General Assembly in the 2016 Session. |
| • |
|
| |
This amendment adds language directing the Department of Medical Assistance Services to report quarterly on the implementation of the Commonwealth Coordinated Care program, which integrates long-term care services for individuals dually eligible for the Medicare and Medicaid programs. In addition, it requires providers that participate in the Commonwealth Coordinated Care program to have and use a National Provider Identifier (NPI), by July 1, 2015, to participate in the program. The NPI is a national standardized unique identifier for providers that promotes efficiency and effectiveness. |
| • |
|
| |
This amendment adds language directing the Department of Medical Assistance Services to report on the implementation of Chapter 196, 2014 Acts of Assembly by July 1, 2015, to make payments or transfers to the Virginia Retirement System's deferred compensation plan for dentists participating in the Medicaid program who are independent contractors. |
| • |
|
| |
This amendment provides authority for the Department of Medical Assistance Services to increase payments to Medicaid managed care organizations to allow Eastern Virginia Medical School (EVMS) to receive federally funded physician supplemental payments from serving enrollees in the Virginia Medicaid managed care program. The match needed for these funds will come directly from EVMS and there is a companion amendment in Item 243. There would be no cost to the Commonwealth. |
