Department of Medical Assistance Services [602]
Secretarial Area: Health and Human Resources
Operating Budget Summary
This table shows the Governor's proposed budget for the next two years and the agency's official budget for the previous six years.
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Biennium Fiscal Year Source GF NGF Total
2008-2010 2009 Chapter 872, 2010 Acts of Assembly $2,338,073,401 $3,654,454,288 $5,992,527,689
2008-2010 2010 Chapter 872, 2010 Acts of Assembly $2,416,937,883 $4,351,872,172 $6,768,810,055
2010-2012 2011 Chapter 2, 2012 Acts of Assembly $2,822,298,324 $4,710,248,288 $7,532,546,612
2010-2012 2012 Chapter 2, 2012 Acts of Assembly $3,367,186,774 $4,045,504,873 $7,412,691,647
2012-2014 2013 Chapter 1, 2014 Acts of Assembly $3,547,761,312 $4,525,123,550 $8,072,884,862
2012-2014 2014 Chapter 1, 2014 Acts of Assembly $3,669,406,166 $4,829,310,906 $8,498,717,072
2014-2016 2015 Chapter 732, Caboose Bill $3,846,847,641 $4,786,951,421 $8,633,799,062
2014-2016 2015 Previous Legislative Appropriation $3,846,847,641 $4,786,951,421 $8,633,799,062
2014-2016 2015 Governor's Amendments $0 $0 $0
2014-2016 2015 General Assembly Adjustments $0 $0 $0
2014-2016 2016 Chapter 732, Caboose Bill $4,266,731,052 $5,073,691,875 $9,340,422,927
2014-2016 2016 Previous Legislative Appropriation $4,099,194,548 $4,937,490,107 $9,036,684,655
2014-2016 2016 Governor's Amendments $167,536,504 $136,201,768 $303,738,272
2014-2016 2016 General Assembly Adjustments $0 $0 $0
Positions Budget Summary
Biennium Fiscal Year Source GF NGF Total
2008-2010 2009 Chapter 872, 2010 Acts of Assembly 165.02 187.98 353.00
2008-2010 2010 Chapter 872, 2010 Acts of Assembly 169.02 190.98 360.00
2010-2012 2011 Chapter 2, 2012 Acts of Assembly 169.82 194.18 364.00
2010-2012 2012 Chapter 2, 2012 Acts of Assembly 176.32 204.68 381.00
2012-2014 2013 Chapter 1, 2014 Acts of Assembly 183.82 212.18 396.00
2012-2014 2014 Chapter 1, 2014 Acts of Assembly 198.32 226.68 425.00
2014-2016 2015 Chapter 732, Caboose Bill 210.37 216.63 427.00
2014-2016 2015 Previous Legislative Appropriation 210.37 216.63 427.00
2014-2016 2015 Governor's Amendments 0.00 0.00 0.00
2014-2016 2015 General Assembly Adjustments 0.00 0.00 0.00
2014-2016 2016 Chapter 732, Caboose Bill 225.02 234.98 460.00
2014-2016 2016 Previous Legislative Appropriation 225.02 234.98 460.00
2014-2016 2016 Governor's Amendments 0.00 0.00 0.00
2014-2016 2016 General Assembly Adjustments 0.00 0.00 0.00
Operating Budget Addenda (in order of greatest impact)
•
Fund Medicaid utilization and inflation Decision Package
  Provides funding for the cost of Medicaid as estimated in the latest forecast of expenditures. The estimated increase is primarily driven by a higher enrollment of low-income parents than originally anticipated.
 
  FY FY
General Fund $0 $166,636,134
Nongeneral Fund $0 $163,862,657
•
Fund Family Access to Medical Insurance Security (FAMIS) utilization and inflation Decision Package
  Adjusts FY 2016 funding for the FAMIS program to reflect the latest forecast of expenditures. The savings is primarily a result of lower than expected managed care costs and a reduction in the state match requirement for the Children's Health Insurance Program grant.
 
  FY FY
General Fund $0 ($6,816,588)
Nongeneral Fund $0 ($31,586,727)
•
Rebase training center budgets to reflect anticipated closures Decision Package
  Adjusts the budget for state training center reimbursements to account for the on-going facility closure costs and savings resulting from compliance with the Department of Justice settlement agreement. This package reflects the estimated impact of closing Northern Virginia Training Center in March 2016, and Southwestern Virginia Training Center by the end of FY 2018. There is a companion amendment included in the DBHDS training center Item to account for costs not reimbursable through Medicaid.
 
  FY FY
General Fund $0 $7,296,656
Nongeneral Fund $0 $7,296,656
•
Transfer funds to support Hancock Geriatric Facility Decision Package
  Moves unused Medicaid match from the state facility program at the Department of Medical Assistance Services to the direct general fund appropriation at the Department of Behavioral Health and Developmental Services for the operation of Hancock Geriatric Facility. The facility lost Medicaid certification in FY 2016, and the decision to operate the facility as a general fund only facility requires the transfer of unused match to continue the operation of 80 beds in the facility. This amendment is a sum zero transfer between the two agencies.
 
  FY FY
General Fund $0 ($4,661,987)
Nongeneral Fund $0 ($4,661,987)
•
Adjust Medicaid funding for Piedmont and Catawba Geriatric Hospitals Decision Package
  Increases the appropriation for Piedmont and Catawba Geriatric Hospitals to reflect the reversal of a prior budget amendment that assumed decreased Medicaid reimbursements due to the facilities being reclassified as intermediate care nursing homes. It has been determined that the facilities cannot meet the criteria for nursing home certification. A companion package included in the Department of Behavioral Health and Developmental Services removes the direct appropriation that was also provided.
 
  FY FY
General Fund $0 $3,969,902
Nongeneral Fund $0 $3,969,902
•
Fund medical assistance services for low-income children utilization and inflation Decision Package
  Adjusts FY 2016 funding for the Commonwealth's Medicaid Children's Health Insurance Program to reflect the latest expenditure forecast. 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 savings are largely attributable to a reduction in the state match for the Children's Health Insurance Program grant.
 
  FY FY
General Fund $0 ($1,381,005)
Nongeneral Fund $0 ($6,399,306)
•
Fund federally mandated 1095B notification mailing Decision Package
  Provides funding to support mailings and information referral activities as federally required by the Affordable Care Act (ACA) beginning January 1, 2016. The agency must print and mail proof of coverage (form 1095B) information to approximately 670,000 heads of households to enable those clients to complete their 2015 taxes. In addition, the agency is required to provide contact information to handle recipient questions. This package provides for the initial FY 2016 cost of this activity; a separate package supports the ongoing operational requirements.
 
  FY FY
General Fund $0 $1,028,000
Nongeneral Fund $0 $2,472,000
•
Fund medical services for involuntary mental commitments Decision Package
  Increases FY 2016 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 costs than last year's estimates.
 
  FY FY
General Fund $0 $1,065,392
•
Correct prior action related to Third Party Liability (TPL) savings Decision Package
  Moves general fund savings, associated with adding staff to the Third Party Liability (TPL) recovery unit, to the correct program. The 2015 budget provided the recovery unit with additional positions and assumed that TPL recoveries would increase, thereby creating a general fund savings. This technical adjustment properly accounts for the FY 2016 savings with no net general fund impact.
 
  FY FY
Nongeneral Fund $0 $848,573
•
Cover cost of enrollment broker contract Decision Package
  Funds the estimated increase in the agency's enrollment broker contract. This package provides the department with funding to cover the higher current year cost of the new enrollment broker contract that will become effective January 1, 2016.
 
  FY FY
General Fund $0 $400,000
Nongeneral Fund $0 $400,000


p3_bullets - Official Enacted Budget - 01-25-2026 01:36:02