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.
more...
Biennium Fiscal Year Source GF NGF Total
2014-2016 2015 Chapter 732, 2016 Acts of Assembly $3,846,847,641 $4,786,951,421 $8,633,799,062
2014-2016 2016 Chapter 732, 2016 Acts of Assembly $4,266,731,052 $5,073,691,875 $9,340,422,927
2016-2018 2017 Chapter 1, 2018 Acts of Assembly $4,450,859,097 $5,472,509,199 $9,923,368,296
2016-2018 2018 Chapter 1, 2018 Acts of Assembly $4,785,782,724 $5,892,680,250 $10,678,462,974
2018-2020 2019 Chapter 1283, 2020 Acts of Assembly $5,008,158,914 $7,594,157,772 $12,602,316,686
2018-2020 2020 Chapter 1283, 2020 Acts of Assembly $4,899,537,379 $10,228,886,509 $15,128,423,888
2020-2022 2021 Chapter 552, 2021 Acts of Assembly, Special Session I $4,545,328,030 $12,527,356,462 $17,072,684,492
2020-2022 2021 Previous Legislative Appropriation $5,374,833,685 $11,462,754,379 $16,837,588,064
2020-2022 2021 Governor's Amendments ($673,336,742) $903,606,047 $230,269,305
2020-2022 2021 General Assembly Adjustments ($156,168,913) $160,996,036 $4,827,123
2020-2022 2022 Chapter 552, 2021 Acts of Assembly, Special Session I $5,552,084,073 $13,028,216,409 $18,580,300,482
2020-2022 2022 Previous Legislative Appropriation $5,741,826,660 $12,239,269,808 $17,981,096,468
2020-2022 2022 Governor's Amendments ($100,844,205) $438,364,882 $337,520,677
2020-2022 2022 General Assembly Adjustments ($88,898,382) $350,581,719 $261,683,337
Positions Budget Summary
Biennium Fiscal Year Source GF NGF Total
2014-2016 2015 Chapter 732, 2016 Acts of Assembly 210.37 216.63 427.00
2014-2016 2016 Chapter 732, 2016 Acts of Assembly 225.02 234.98 460.00
2016-2018 2017 Chapter 1, 2018 Acts of Assembly 232.02 241.98 474.00
2016-2018 2018 Chapter 1, 2018 Acts of Assembly 240.02 249.98 490.00
2018-2020 2019 Chapter 1283, 2020 Acts of Assembly 257.52 273.48 531.00
2018-2020 2020 Chapter 1283, 2020 Acts of Assembly 259.52 275.48 535.00
2020-2022 2021 Chapter 552, 2021 Acts of Assembly, Special Session I 260.02 269.98 530.00
2020-2022 2021 Previous Legislative Appropriation 260.02 269.98 530.00
2020-2022 2021 Governor's Amendments 0.00 0.00 0.00
2020-2022 2021 General Assembly Adjustments 0.00 0.00 0.00
2020-2022 2022 Chapter 552, 2021 Acts of Assembly, Special Session I 263.02 272.98 536.00
2020-2022 2022 Previous Legislative Appropriation 260.02 269.98 530.00
2020-2022 2022 Governor's Amendments 2.00 2.00 4.00
2020-2022 2022 General Assembly Adjustments 1.00 1.00 2.00
Operating Budget Addenda (in order of greatest impact)
•
Fund Medicaid utilization and inflation Decision Package
  Adjusts funding to reflect the cost of Medicaid as estimated in the most recent forecast expenditures. The majority of the first year reduction is associated with enhanced federal matching dollars being provided in the third quarter of fiscal year 2021.
 
  FY FY
General Fund ($245,296,854) $17,935,388
Nongeneral Fund $334,438,121 $499,977,179
•
Account for enhanced federal medical assistance percentage Decision Package
  Accounts for the impact of Virginia receiving enhanced (by 6.2 percent) federal medical assistance percentage (EFMAP) for Medicaid and children's health care programs. The amounts reflect the latest DMAS estimates based on receiving EFMAP through December 31, 2020. This amendment also provides the necessary federal appropriation. (Items 312, 313, and 315)
 
  FY FY
General Fund ($330,987,651) $0
Nongeneral Fund $330,987,651 $0
•
Fund federal Medicaid continuation of coverage requirement Decision Package
  Funds the impact of the federal continuation of coverage requirement as required by the Families First Coronavirus Response Act (H.R. 6201). The amounts reflect the latest DMAS estimates for the additional cost to Medicaid and children's health care programs through October 31, 2020. (Items 312, 313, and 315)
 
  FY FY
General Fund $89,096,662 $0
Nongeneral Fund $245,279,983 $0
•
Capture Savings from Lower Medicaid Managed Care Rates (2020 Special Session General Assembly Action - 313 #3c) Decision Package
  This amendment captures savings in the Medicaid program from lower managed care rates that took effect on July 1, 2020. Rates for the Medallion 4.0 program decreased 5.49 percent for base Medicaid and 5.72 percent for expansion Medicaid. For the Commonwealth Coordinated Plus program the rates declined 0.12 percent for base Medicaid and 0.39 percent for expansion Medicaid.
 
  FY FY
General Fund ($56,496,695) ($69,590,882)
Nongeneral Fund ($56,496,695) ($69,590,882)
•
Adjust Health Care Fund appropriation Decision Package
  Adjusts the appropriation in the Virginia Health Care Fund to reflect the latest revenue estimates. Since the Health Care Fund is used as state match for Medicaid, any increase in revenue offsets general fund support for Medicaid and likewise any decrease requires additional general fund support. The first year surplus is primarily related to a $45 million one-time cash balance to begin fiscal year 2021.
 
  FY FY
General Fund ($53,910,131) ($5,204,943)
Nongeneral Fund $53,910,131 $5,204,943
•
Move reductions to agency budget Decision Package
  Moves the reductions included in Item 482.20 of the 2020 Special Session Appropriation Act from Central Appropriations to the agency budget.
 
  FY FY
General Fund ($63,443,772) ($28,302,522)
Nongeneral Fund ($1,522,168) ($1,167,598)
•
Capture Savings from Lower Managed Care Rates (2020 Special Session General Assembly Action - 312 #1c) Decision Package
  This amendment captures savings in the Family Access to Medical Insurance Security (FAMIS) program from lower managed care rates that took effect on July 1, 2020. Rates for the Medallion 4.0 program decreased 5.49 percent for base Medicaid and 5.72 percent for expansion Medicaid.
 
  FY FY
General Fund ($3,111,848) ($4,210,186)
Nongeneral Fund ($7,276,560) ($7,818,918)
•
Extend Temporary Add-on for Nursing Facility Rates (2020 Special Session General Assembly Action - 313 #2c) Decision Package
  This amendment adds $11.2 million from the general fund and $11.2 million in matching federal Medicaid funds to extend the $20 per day add-on to Medicaid nursing and specialized care facility rates to June 30, 2021, to provide stability to the nursing home industry during the COVID-19 crisis. The funding includes the estimated cost of the $20 a day for the last quarter of fiscal year 2021 and assumes the prior costs are included in the 2020 Official Medicaid Forecast and can be offset by the federal extension of the enhanced match rate for Medicaid through March 31, 2021.
 
  FY FY
General Fund $11,152,785 $0
Nongeneral Fund $11,152,785 $0
•
Fund Family Access to Medical Insurance Security (FAMIS) utilization and inflation Decision Package
  Adjusts funding for the FAMIS program to reflect the latest forecast of expenditures. Forecast costs were primarily driven by higher than expected enrollment growth in the FAMIS program. However, that upward pressure was more than offset by lower managed care rates, higher pharmacy rebates and decreased service utilization.
 
  FY FY
General Fund ($6,748,314) ($3,426,109)
Nongeneral Fund ($4,093,135) ($4,041,509)
•
Capture Savings from Lower Managed Care Rates (2020 Special Session General Assembly Action - 315 #1c) Decision Package
  This amendment captures savings in the Medicaid Children's Health Insurance Program from lower managed care rates that took effect on July 1, 2020. Rates for the Medallion 4.0 program decreased 5.49 percent for base Medicaid and 5.72 percent for expansion Medicaid.
 
  FY FY
General Fund ($2,322,022) ($3,252,087)
Nongeneral Fund ($5,429,678) ($6,039,591)
•
Adjust Medicaid forecast to account for revised Medicare premiums Decision Package
  Accounts for Medicare premium rates that were published after the official Medicaid forecast was completed. During the development of the Medicaid forecast, due November 1, the Department of Medical Assistance Services had to use preliminary assumptions on Medicare premium rates. Since the forecast was finalized, the federal government has released actual Medicare Part A and B rates for effective January 1, 2021. The changes will allow the forecast to be lowered by $14.0 million total funds (over the biennium); thereby reducing the general fund need by $7.4 million.
 
  FY FY
General Fund ($2,596,171) ($4,801,416)
Nongeneral Fund ($2,526,103) ($4,112,466)
•
Fund medical assistance services for low-income children utilization and inflation Decision Package
  Adjusts funding to reflect the latest forecast of utilization and inflation in the Commonwealth's Medicaid Children's Health Insurance program. Forecast costs were primarily driven by higher than expected enrollment growth. However, that upward pressure was more than offset by lower managed care rates, higher pharmacy rebates and decreased service utilization.
 
  FY FY
General Fund ($3,041,042) ($1,420,919)
Nongeneral Fund $5,457,670 $2,329,982
•
Adjust Revenues to the Virginia Health Care Fund (2020 Special Session General Assembly Action - 313 #1c) Decision Package
  This amendment reduces the general fund appropriation for Medicaid by $1.3 million the first year and $4.55 million the second year and increases a like amount of nongeneral funds each year, reflecting increased revenues to the Virginia Health Care Fund (VHCF). Because revenues to the fund have historically been used as the state share of Medicaid, additional revenue results in an equal amount of general fund savings. The Governor included language in the introduced budget, which authorizes the taxation of heated tobacco products and extends the 'Wayfair' tax to other tobacco products, but did not appropriate the revenue these actions will generate. This additional revenue, which is deposited into the Virginia Health Care Fund, allows for a reduction in general fund appropriations for the state's share of Medicaid funding.
 
  FY FY
General Fund ($1,280,000) ($4,460,000)
Nongeneral Fund $1,280,000 $4,460,000
•
Implement the Virginia Facilitated Enrollment Program Decision Package
  Provides funding to support legislation being proposed in the 2021 General Assembly that will require the Virginia Department of Taxation to allow for the communication of taxation data to the Department of Medical Assistance Services and the Health Benefit Exchange to determine eligibility for Virginia's Medical Assistance program.
 
  FY FY
General Fund $0 $1,166,180
Nongeneral Fund $0 $6,959,211
Positions 0.00 4.00
•
Fund managed care operational changes Decision Package
  Provides funding to support managed care operational changes that are federally mandated.
 
  FY FY
General Fund $0 $2,196,012
Nongeneral Fund $0 $4,804,988
•
Transfer funds to cover Medicaid related system modifications Decision Package
  Moves appropriation from the Department of Medical Assistance Services to the Department of Social Services to cover the expected costs of Medicaid related modifications to the enterprise case management system.
 
  FY FY
General Fund ($300,000) ($300,000)
Nongeneral Fund ($2,700,000) ($2,700,000)
•
Provide support for federal interoperability and patient access requirements Decision Package
  Provides funds to offset systems costs that will be incurred by managed care organizations in fiscal year 2022 as a result of complying with the federal requirements associated with the Interoperability and Patient Access Final Rule and the 21st Century Cures Act. Language is also included to remove one-time funding from future capitation rates.
 
  FY FY
General Fund $0 $1,739,306
Nongeneral Fund $0 $3,805,694
•
Fund medical services for involuntary mental commitments Decision Package
  Adjusts funding for the projected cost of hospital and physician services for persons subject to an involuntary mental commitment.
 
  FY FY
General Fund ($2,704,024) ($2,337,239)
•
Fund doula services for pregnant women Decision Package
  Provides authority and funding for the addition of a community doula benefit for pregnant Medicaid members.
 
  FY FY
General Fund $0 $1,168,371
Nongeneral Fund $0 $1,243,031
•
Expand addiction treatment beyond opioid use disorder Decision Package
  Provides funding to expand the Preferred Office-Based Opioid Treatment model to all members with any moderate to high-risk substance use disorder.
 
  FY FY
General Fund $0 $881,306
Nongeneral Fund $0 $1,296,254
•
Cover COVID-19 vaccinations for non-expansion adults Decision Package
  Funds the cost of COVID-19 vaccinations for non-expansion adults in the Medicaid fee-for-service and managed care programs. This action will ensure that all adult Medicaid members have access to COVID-19 vaccinations.
 
  FY FY
General Fund $0 $995,742
Nongeneral Fund $0 $995,742
•
Account for third quarter of enhanced federal Medicaid match in facility budget Decision Package
  Adjusts appropriation to account for the third quarter of enhanced federal matching dollars being provided for Medicaid costs incurred by state training centers.
 
  FY FY
General Fund ($808,764) $0
Nongeneral Fund $808,764 $0
•
Authorize 12-month prescriptions of contraceptives for Medicaid members Decision Package
  Allows eligible beneficiaries to receive up to a 12 month supply of prescription contraceptives.
 
  FY FY
General Fund $0 $136,533
Nongeneral Fund $0 $1,380,694
•
Implement federal client appeals requirements Decision Package
  Adds funding to handle the increased workload associated with expanding the scope of the client appeal process per federal requirements. Seven appeals staff positions as well as the expected costs to managed care organizations are funded by this amendment. In addition, language is added that authorizes the agency to promulgate regulations that clarify several aspects of the appeals process.
 
  FY FY
General Fund $34,135 $598,763
Nongeneral Fund $34,135 $823,476
•
Transfer assisted living screening funds Decision Package
  Moves general fund appropriation from the Department of Medical Assistance Services (DMAS) to the Department of Social Services to cover the assisted living facility screening being conducted by local departments of social services. In addition, the Department for Aging and Rehabilitative Services (DARS) is directed to modify regulations to remove obsolete language that identifies DMAS as being responsible for supporting this activity.
 
  FY FY
General Fund ($641,050) ($641,050)
•
Comply with federal durable medical equipment requirements Decision Package
  Broadens the definition of durable medical equipment (DME) to comply with federal rules. The federal mandate requires states to no longer limit DME to items primarily used in the home but rather extends to any setting where normal activities take place.
 
  FY FY
General Fund $68,014 $272,050
Nongeneral Fund $76,146 $304,585
•
Adjust appropriation and language for civil money penalty funds Decision Package
  Modifies appropriation and language to reflect anticipated spending as federally approved in the latest Civil Money Penalty Reinvestment State Plan. In addition, the agency is permitted to request additional appropriation if amounts are insufficient to meet future federally approved activities.
 
  FY FY
Nongeneral Fund $225,000 $225,000
•
Allow FAMIS MOMS to utilize substance abuse disorder treatment Decision Package
  Provides funding to allow members enrolled in FAMIS MOMS to access medically necessary treatment for a substance use disorder in an Institution for Mental Diseases (IMD) under the Addiction and Recovery Treatment Services (ARTS) waiver.
 
  FY FY
General Fund $0 $13,497
Nongeneral Fund $0 $25,067
•
Add DBHDS licenses to ASAM Level 4.0 Decision Package
  Adds language to reflect the Department of Behavioral Health and Developmental Services (DBHDS) licensing criteria for the American Society of Addiction Medicine (ASAM) Level of Care 4.0.
•
Affirm Medicaid coverage of gender dysphoria related services Decision Package
  Requires the department to modify agency policy manuals to affirm the coverage of gender dysphoria services for Medicaid members.
•
Allot restored amounts (2020 Special Session General Assembly Action - Item 482.20) Decision Package
  Allots $16,128,838 in FY 2021 and $99,198,585 in FY 2022 for amounts originally unalloted in Item 317.10 of Chapter 1289 (2020) and subsequently restored via 2020 Special Session General Assembly action in Item 482.20.
•
Allow pharmacy immunizations for covered services Decision Package
  Authorizes the reimbursement of pharmacy-administered immunizations for all vaccinations covered under the medical benefit for Medicaid members. This change must be implemented using a budget neutral methodology.
•
Allow Telehealth and Virtual Learning for Certain DD Waiver Services (2020 Special Session General Assembly Action - 313 #14c) Decision Package
  This amendment directs the Department of Medical Assistance Services to request a waiver to the Centers for Medicare and Medicaid Services to allow telehealth and virtual and/or distance learning for Group Day, Supported Employment and Benefits Planning Services for the duration of the Governor's declared state of emergency due to the COVID-19 pandemic. The Appendix K will allow recipients to maintain skills, and to learn new skills including expanded socialization opportunities during the COVID-19 pandemic. Many Group Day programs closed in March 2020 and Supported Employment and Benefits Planning services are being minimally provided because of health and safety concerns.
•
Authorize post-public health emergency telehealth Decision Package
  Authorizes telehealth coverage for clinically appropriate audio-only services, provider-to-provider consultations, store-and-forward, and virtual check-ins with patients.
•
Authorize the transfer of funds to account for cost shifts at the Commonwealth Center for Children and Adolescents Decision Package
  Allows the transfer of general fund appropriation, as needed, between Item 313, Reimbursements to State-Owned Mental Health and Intellectual Disabilities Facilities (45607) and Item 326, State Mental Health Facility Services (43014) to address potential operational shortfalls at the Commonwealth Center for Children and Adolescents. This authority expires on July 1, 2021.
•
Create New Service Area for Graduate Medical Education Residency Slots (2020 Special Session General Assembly Action - 313 #13c) Decision Package
  This amendment creates a new service area to account for the funding provided to hospitals to support graduate medical residency slots. It also directs the Department of Planning and Budget to transfer $3.1 million the first year and $3.9 million the second year to the new service area. Language clarifies that this appropriation in this new service area is not included as part of the Official Medicaid Forecast.
•
Increase Medicaid reimbursements for veteran care centers Decision Package
  Authorizes the Department of Medical Assistance Services to make supplemental payments to veterans care centers through the use of intergovernmental transfers. Through this arrangement it is estimated that veterans care centers could use facility revenue to generate approximately $2.3 million of additional Medicaid funding. No additional state support is required.
•
Live-In Caretaker Exemption for Personal Care Attendants (2020 Special Session General Assembly Action - 313 #4c) Decision Package
  This amendment clarifies that the live-in caretaker exemption to the electronic visit verification requirements shall take effect January 1, 2021 and directs the Department of Planning and Budget to transfer appropriation from the Department of Medical Assistance Services (DMAS) administrative budget the funds necessary to adjust the administrative portion of the managed care capitation rates to reflect the increase in administrative costs for providing a live-in caretaker exemption to the electronic visit verification requirement. DMAS' administrative budget has sufficient funding to cover these costs.
•
Make required adjustments to the graduate medical residency program Decision Package
  Adds language to specify which hospitals have been awarded graduate medical residency slots from cohorts funded in the Act. In addition, all appropriation associated with the residency program is permanently moved to a new service area within the Department of Medical Assistance Services as required Act language.
•
Modify CARES Act Disbursement for Nursing Facilities (2020 Special Session General Assembly Action - 313 #5c) Decision Package
  This amendment directs the Department of Medical Assistance Services to modify the disbursement rules for the $20 million in state-allocated CARES Act funding for assisted living facilities and approximately $33 million in state-allocated CARES Act funding for nursing facilities to remove an impediment to providers access to these funds. The current limit on only using incurred costs from July 1, 2020 forward leaves substantial unreimbursed COVID-costs from the inception of the crisis for both assisted living and nursing facilities being excluded from reimbursement.
•
Modify Effective Date for Medicaid Adult Dental Benefit and Administrative Transfer Authority (2020 Special Session General Assembly Action - 313 #6c) Decision Package
  This amendment changes the effective date of the new Medicaid adult dental benefit from January 1, 2021 to July 1, 2021, to reflect the restoration of funding, which is included in a separate amendment in Item 482.20. In addition, budget language is added to provided authority to move funding from the administrative program of the agency to cover the increased costs of the dental benefits administrator related to the new dental benefit.
•
Modify Effective Date for Overtime Allowance for Personal Care Attendants (2020 Special Session General Assembly Action - 313 #7c) Decision Package
  This amendment changes the effective date for the allowance of overtime by consumer-directed personal care attendants from July 1, 2020 to January 1, 2021 to reflect the restoration of funding for this policy change in a separate amendment to Item 482.20. The funding restored in Item 482.20 funds up to eight hours of overtime per week from January 1, 2021 to June 30, 2021. Effective July 1, 2021, up to 16 hours of overtime per week is funded for personal care attendants.
•
Modify Effective Date for Rate Change for Anesthesiologists (2020 Special Session General Assembly Action - 313 #11c) Decision Package
  This amendment changes the effective date for the increase in Medicaid rates for anesthesiologists from July 1, 2020 to July 1, 2021 to reflect the restoration of funding for this rate change, which is included in a separate amendment to Item 482.20.
•
Modify Effective Date of Developmental Disability Waiver Providers Rate Increase (2020 Special Session General Assembly Action - 313 #9c) Decision Package
  This amendment changes the effective date for the increase in Medicaid developmental disability provider rates for group homes, sponsored residential and group day support from July 1, 2020 to January 1, 2021 to reflect the partial restoration of funding in the first year, which is included in a separate amendment to Item 482.20. It further changes the effective day for the increase in Medicaid developmental disability provider rates for other community integration services from July 1, 2020 to July 1, 2021, which is also included in a separate amendment to Item 482.20.
•
Modify Effective Date of Managed Care Durable Medical Equipment Limitation (2020 Special Session General Assembly Action - 313 #10c) Decision Package
  This amendment changes the effective date from July 1, 2020 to July 1, 2021 for the limitation on Medicaid managed care reimbursement for durable medical equipment to reflect the restoration of funding for this policy change in the second year, which is included in a separate amendment to Item 482.20.
•
Modify Effective Date of Rate Increase for Skilled and Private Duty Nursing (2020 Special Session General Assembly Action - 313 #12c) Decision Package
  This amendment changes the effective date for the rate increase for skilled and private duty nursing services in Medicaid from July 1, 2020 to July 1, 2021 to reflect the partial restoration of funding included in a separate amendment in Item 482.20.
•
Modify Effective Date to Eliminate the 40 Quarter Work Requirement for Lawful Permanent Residents (2020 Special Session General Assembly Action - 313 #8c) Decision Package
  This amendment changes the effective date from July 1, 2020 to April 1, 2021 or later depending on federal approval, for the elimination of the 40 quarter work requirement for lawful permanent residents to qualify for Medicaid. This reflects the restoration of funding for this policy change, which is contained in a separate amendment to Item 482.20.
•
Move funds to cover the cost of implementing a live-in caretaker exemption Decision Package
  Transfers appropriation between programs within the Department of Medical Assistance Services to cover the estimated cost of exempting live-in personal caretakers from electronic visit verification requirements as required by Appropriation Act language. As this transfer is permanent, the associated Act language is also removed.
•
Telephonic Supervisory Visits by a Licensed Nurse (2020 Special Session General Assembly Action - 313 #15c) Decision Package
  This amendment directs the Department of Medical Assistance Services to allow Medicaid agency-directed personal care and respite services to conduct telephonic supervisory visits by a licensed nurse, for the duration of the COVID-19 state of emergency, and that the department's forms be used to document the interaction during these phone calls and to meet the standards already established by the department to include verbal consent, authorization, and confirmation of participation.
•
Capture Enhanced Federal Match Savings General Assembly Adjustment
  This amendment captures $114.9 million from the general fund the first year and $191.6 million from the general fund the second year and a corresponding increase in federal Medicaid matching funds to reflect the savings to the Commonwealth pursuant to enhanced federal matching funds for the fourth quarter of fiscal year 2021 and the first and second quarters of fiscal year 2022. The federal Families First Coronavirus and Response Act, passed in March 2020, increased the federal match rate for Medicaid by 6.2 percentage points until the end of the quarter in which the declared public health emergency (PHE) due to COVID-19 expires. The PHE is extended in 90-day increments and was recently extended into the fourth quarter of state fiscal year 2021. In addition, the Acting U.S. Secretary of Health and Human Services has informed all state Governors of their intention to extend the PHE through the end of calendar year 2021 to provide greater budget certainty to states. Therefore, this amendment also captures the savings from the first and second quarters of fiscal year 2022. The general fund savings for the state behavioral health facilities are also factored into these numbers and total $808,764 the first year and $1.8 million the second year.
 
  FY FY
General Fund ($114,851,105) ($191,551,022)
Nongeneral Fund $114,851,105 $191,551,022
•
Increase Rates for Personal, Respite and Companion Care General Assembly Adjustment
  This amendment adds $3.0 million from the general fund and $3.1 million from federal Medicaid matching funds the first year and $60.7 million the second year from the general fund and $63.0 million in federal Medicaid matching funds the second year to increase provider rates for personal care, respite care, and companionship services provided in Medicaid waiver programs by 6.4 percent on May 1, 2021 and 12.5 percent effective November 1, 2021. These rate increases will supplement increases provided in Chapter 1289, 2020 Virginia Acts of Assembly, which provided a five percent increase beginning July 1, 2020 and a scheduled two percent increase on July 1, 2021. These rate increases enable providers to cover the direct costs for hourly care and ensure the safety of the patients and compliance with minimum wage increases scheduled to increase to $9.50 per hour on May 1, 2021 and to $11.00 per hour on January 1, 2022. In addition, language directs the Governor to include the appropriate rate increases as a result of changes in the state minimum wage for these services in the introduced budget for the 2022-24 biennium for consideration in the 2022 General Assembly
 
  FY FY
General Fund $3,021,843 $60,695,492
Nongeneral Fund $3,137,694 $63,014,845
•
Continue Nursing Home Per Diem Payment & Begin Value-based Purchasing Program General Assembly Adjustment
  This amendment adds $46.7 million the second year from the general fund and $46.7 million in nongeneral funds and one position to provide an increased payment add-on roughly equivalent to $15 per day in fiscal year 2022. Language directs the Department of Medical Assistance Services to work with appropriate nursing facility stakeholders and the Medicaid CCC Plus managed care organizations to develop a unified, value-based purchasing program that includes enhanced funding for facilities that meet or exceed performance and/or improvement thresholds as developed, reported, and consistently measured by DMAS in cooperation with participating facilities. Priority areas targeted for improvement would be adequate staffing levels and avoidance of negative care events, such as hospital admissions and emergency department visits, among others. The value-based purchasing program would be implemented on July 1, 2022. Funding for the additional position can be accommodated within the agency's existing administrative budget based on turnover and vacancy savings and the reallocation of funding for this program.
 
  FY FY
General Fund $0 $46,723,014
Nongeneral Fund $0 $46,723,014
Positions 0.00 1.00
•
Adjust Health Care Fund and Clarify Repayment Provisions General Assembly Adjustment
  This amendment reflects the savings to the general fund in the first year from the receipt of $39.4 million in increased revenue in the Virginia Health Care Fund. The increased revenue is due to the receipt of escrow funds from a cigarette manufacturer that did not participate in the 1998 Tobacco Mater Settlement Agreement with state Attorney Generals and instead made payments into an escrow fund as required by the Code of Virginia. This nonparticipating manufacturer is closing and has chosen to assign rights to its escrow funds as permitted by statute in return for the right to retain a portion of those funds. For Virginia, this represents a one-time unanticipated payment of $39,410,177, which is required to be deposited into the Virginia Health Care Fund pursuant to § 3.2-4203 of the Code of Virginia. In addition, language also clarifies that repayments from managed care organizations are to be deposited to the Health Care Fund.
 
  FY FY
General Fund ($39,410,177) $0
Nongeneral Fund $39,410,177 $0
•
Coverage of Prenatal Care Services General Assembly Adjustment
  This amendment adds $11.1 million from the general fund the second year and $20.7 million from federal matching funds and language extending the provision for the payment of prenatal care for pregnant women through the Virginia Family Access to Medical Insurance Security (FAMIS) program regardless of the expectant mother's status, pursuant to provisions in Title XXI of the federal 2009 CHIP Reauthorization Act that includes care of all children without regard for an expectant mother's citizenship status who would otherwise be eligible under state requirements. A companion amendment in the Medicaid program (Item 313) reduces expenditures by $13.4 million general fund and $13.4 million in matching federal Medicaid funds based on the adoption of this change. Consequently, the provision of these services results in a savings of $2,292,083 to the general fund and the receipt of $7,253,601 more from matching federal funds for the CHIP program, which has a higher federal match rate than the Medicaid program.
 
  FY FY
General Fund $0 $11,136,631
Nongeneral Fund $0 $20,682,315
•
Shift Coverage of Certain Prenatal Care Services to FAMIS Program General Assembly Adjustment
  This amendment captures savings of $13.4 million from the general fund the second year and $13.4 million from federal matching Medicaid funds from extending the provision for the payment of prenatal care for pregnant women in the Family Access to Medical Insurance Security (FAMIS) program regardless of the expectant mother's status, pursuant to provisions in Title XXI of the federal 2009 CHIP Reauthorization Act, that includes care of all children without regard for an expectant mother's citizenship status who would otherwise be eligible under state requirements. A companion amendment in the FAMIS program (Item 312) adds language and funding for this initiative. The provision of these services results in a net savings of $2,292,083 to the general fund and the receipt of $7,253,601 more from matching federal funds for the CHIP program, which has a higher federal match rate than the Medicaid program.
 
  FY FY
General Fund $0 ($13,428,714)
Nongeneral Fund $0 ($13,428,714)
•
Capture Savings from Enhanced Federal Matching Funds General Assembly Adjustment
  This amendment captures $1.8 million from the general fund the first year and $5.4 million from the general fund the second year and a corresponding increase in federal Children's Health Insurance Program (CHIP) matching funds to reflect the savings to the Commonwealth pursuant to enhanced federal matching funds for the fourth quarter of fiscal year 2021 and the first and second quarters of fiscal year 2022. The federal Families First Coronavirus and Response Act, passed in March 2020, increased the federal match rate for Medicaid by 6.2 percentage points until the end of the quarter in which the declared public health emergency (PHE) due to COVID-19 expires. The CHIP match rate factors in the Medicaid match rate and is therefore increased, but at an enhanced match rate of 4.34 percent. The PHE is extended in 90-day increments and was recently extended into the fourth quarter of fiscal year 2021. In addition, the Acting U.S. Secretary of Health and Human Services has informed all state Governors of their intention to extend the PHE through the end of calendar year 2021 to provide greater budget certainty to states. Therefore, this amendment also captures the savings from the first and second quarters of state fiscal year 2022.
 
  FY FY
General Fund ($1,834,183) ($5,378,570)
Nongeneral Fund $1,834,183 $5,378,570
•
Add 435 Waiver Slots to Address the Priority One Waitlist General Assembly Adjustment
  This amendment adds $7.1 million from the general fund and a like amount of federal Medicaid matching funds in the second year to increase the number of Family and Individual Support (FIS) waiver slots by 435 in the second year bringing the total number of waiver slots funded in fiscal year 2022 to 985 in order to address the Priority One waiting list.
 
  FY FY
General Fund $0 $7,093,086
Nongeneral Fund $0 $7,093,086
•
Capture Savings from Enhanced Federal Match General Assembly Adjustment
  This amendment captures $1.8 million from the general fund the first year and $5.3 million from the general fund the second year and a corresponding increase in federal Children's Health Insurance Program (CHIP) matching funds to reflect the savings to the Commonwealth pursuant to enhanced federal matching funds for the fourth quarter of fiscal year 2021 and the first and second quarters of fiscal year 2022. The federal Families First Coronavirus and Response Act, passed in March 2020, increased the federal match rate for Medicaid by 6.2 percentage points until the end of the quarter in which the declared public health emergency (PHE) due to COVID-19 expires. The CHIP match rate factors in the Medicaid match rate and is therefore increased, but at an enhanced match rate of 4.34 percent. The PHE is extended in 90-day increments and was recently extended into the fourth quarter of state fiscal year 2021. In addition, the Acting U.S. Secretary of Health and Human Services has informed all state Governors of their intention to extend the PHE through the end of calendar year 2021 to provide greater budget certainty to states. Therefore, this amendment also captures the savings from the first and second quarters of state fiscal year 2022.
 
  FY FY
General Fund ($1,762,463) ($5,250,333)
Nongeneral Fund $1,762,463 $5,250,333
•
Capture Savings from Delay in Behavioral Health Redesign General Assembly Adjustment
  This amendment recognizes $10.1 million in general fund savings and $38,332 in nongeneral fund savings the second year from a six-month delay in redesign and enhancement of Medicaid behavioral health services to provide a continuum of care that is evidence-based, trauma-informed and cost effective. Funding for this effort was restored in Chapter 56, 2020 Special Session I Virginia Acts of Assembly, but the six-month delay in the implementation of these services will generate a one-time savings in fiscal year 2022.
 
  FY FY
General Fund $0 ($10,062,988)
Nongeneral Fund $0 ($38,332)
•
Paid Sick Leave for Personal Care Attendants General Assembly Adjustment
  This amendment provides $3.4 million from the general fund and $3.4 million in matching federal Medicaid funds the second year to provide sick leave to Medicaid providers of consumer-directed personal, respite or companion care, consistent with the requirements of House Bill 2137, 2021 Special Session I. Language directs the Medicaid agency to seek federal authority through a waiver and State Medical Assistance Plan amendments, which would enable the state to obtain federal matching funds for this purpose.
 
  FY FY
General Fund $0 $3,443,865
Nongeneral Fund $0 $3,443,865
•
Expand Remote Patient Monitoring Services General Assembly Adjustment
  This amendment provides $2.7 million from the general fund and $4.2 million from nongeneral funds the second year for Medicaid-related costs of remote patient monitoring services provided via telemedicine for Medicaid recipients with medically necessary conditions pursuant to the provisions of House Bill 1987 and Senate Bill 1338, 2021 Special Session I.
 
  FY FY
General Fund $0 $2,682,089
Nongeneral Fund $0 $4,186,201
•
Supplemental Payments for Lake Taylor General Assembly Adjustment
  This amendment provides $5.4 million the second year from nongeneral funds to increase payments to Lake Taylor Transitional Care Hospital, a non-state government operated hospital located in Norfolk, Virginia. Language allows the Department of Medical Assistance Services to make a supplemental payment for allowable costs and adjust capitation payments to be consistent with the fee for service supplemental payment percentage increase. Language requires the hospital to provide the funding to match the federal reimbursement for the supplemental payment.
 
  FY FY
Nongeneral Fund $0 $5,437,276
•
Emergency Department Care Coordination Program General Assembly Adjustment
  This amendment adds $1.3 million from the general fund and $3.8 million from enhanced federal Medicaid Management Information Systems matching funds to continue funding for the Emergency Department Care Coordination (EDCC) Program and complete several enhancements which should result in cost savings to the Commonwealth and higher quality care for Medicaid and FAMIS beneficiaries. The 2017 General Assembly established the EDCC program to provide a single, statewide technology solution that connects all hospital emergency departments in the Commonwealth to facilitate real-time communication and collaboration among physicians, other healthcare providers and other clinical and care management personnel for patients receiving services in hospital emergency departments for the purpose of improving the quality of patient care services. The program also integrates the state s Prescription Monitoring Program and the Advance Healthcare Directive Registry. To date, 100% of hospital Emergency Departments and health plans participate in the EDCC Program. The program has been successful in supporting a reduction in opioid overdoses since its implementation and has been critical in coordinating responses to the COVID-19 pandemic. The program has been funded through federal HITECH funding which provides a 90% federal match rate, but the federal funding will end on September 30, 2021. The amendment leverages available federal Medicaid Management Information Systems funding to complete the system enhancements at a 75% federal match rate. Language also requires the development of a work group to make recommendations for system improvements by December 1, 2021.
 
  FY FY
General Fund $0 $1,319,515
Nongeneral Fund $0 $3,798,129
•
Indirect Medical Education Funding for Children's Hospital of the King's Daughters General Assembly Adjustment
  This amendment adds funding and language directing the Department of Medical Assistance Services to adjust the formula used to calculate indirect medical education reimbursement for managed care discharges at Children's Hospital of the King's Daughters (CHKD). This change would partially restore CHKD's case mix index (CMI) factor, which had been reduced in fiscal year 2020. The change is intended to stabilize CHKD s IME funding levels so the hospital is not subject to dramatic fluctuations in future Medicaid payments that occur with rebasing and changes in federal policy, and would be consistent with historic levels of state support. Language requires the agency to work with the hospital to examine the methodology used to determine the case mix adjustment and factors influencing changes when rebasing occurs. The IME payments are matched by the federal government on a 50/50 basis.
 
  FY FY
General Fund $0 $2,250,000
Nongeneral Fund $0 $2,250,000
•
Merger of the Medicaid Managed Care Programs General Assembly Adjustment
  This amendment directs the Department of Medical Assistance Services to merge the Commonwealth Coordinated Care Plus and Medallion 4.0 managed care programs, effective July 1, 2022, into a single, streamlined managed care program that links seamlessly with the fee-for-service program, ensuring an efficient and well-coordinated Virginia Medicaid delivery system that provides high-quality care to its members and adds value for providers and the Commonwealth.
 
  FY FY
General Fund $0 $1,017,162
Nongeneral Fund $0 $1,502,838
•
Improving Reimbursement for School-Based Services General Assembly Adjustment
  This amendment provides $2.3 million from federal Medicaid funds the second year related to expanding Medicaid coverage of school-based services outside of a student's individualized education program. There is no state match required as the local schools certify local expenditures as the state match. The amendment also reflects a savings of $104,168 from the general fund the second year since five percent of the additional federal funding for school-based services is retained by the state and deposited to the Health Care Fund to offset general fund costs.
 
  FY FY
General Fund $0 ($104,168)
Nongeneral Fund $0 $2,314,798
•
Capture Savings from Enhanced Federal Match General Assembly Adjustment
  This amendment captures $742,622 from the general fund the first year and $427,900 from the general fund the second year and a corresponding increase in federal Children's Health Insurance Program (CHIP) matching funds to reflect the savings to the Commonwealth pursuant to enhanced federal matching funds for fiscal year 2021 and the first and second quarters of state fiscal year 2022. The federal Families First Coronavirus and Response Act, passed in March 2020, increased the federal match rate for Medicaid by 6.2 percentage points until the end of the quarter in which the declared public health emergency (PHE) due to COVID-19 expires. The PHE is extended in 90-day increments and was recently extended into the fourth quarter of state fiscal year 2021. In addition, the Acting U.S. Secretary of Health and Human Services has informed all state Governors of their intention to extend the PHE through the end of calendar year 2021 to provide greater budget certainty to states. Therefore, this amendment also captures the savings from the first and second quarters of state fiscal year 2022. The CHIP match rate factors in the Medicaid match rate and therefore results in a higher match. Unlike Medicaid the administrative expenditures of the CHIP program uses the same match rate as used for medical spending. Language is also included directing the Department of Planning and Budget to unallot any additional savings that results from an extension of the PHE.
 
  FY FY
General Fund ($742,622) ($427,900)
Nongeneral Fund $742,622 $427,900
•
Modify Medicaid Costs for Commonwealth Center for Children and Adolescents General Assembly Adjustment
  This amendment reduces $590,206 from the general fund the first year and a like amount of federal Medicaid matching funds to reflect the temporary pause in Medicaid billing by the Commonwealth Center for Children and Adolescents (CCCA) as a result of not meeting the accreditation standards necessary to bill for Medicaid. The facility is expected to begin billing again in the second year once accreditation is achieved, so this amendment adjusts the appropriation in the first year only. Language is also removed that would have allowed these funds to be transferred to CCCA; however such action is unnecessary as the facility is using special funds to cover the loss in Medicaid revenue.
 
  FY FY
General Fund ($590,206) $0
Nongeneral Fund ($742,208) $0
•
Restore Funds for Nursing Homes with Special Populations General Assembly Adjustment
  This amendment restores funding for the year and language for funding nursing facilities that provide services to special populations. Language is modified to make this effective July 1, 2021. Funding for this Item was provided in Chapter 1289, 2020 Virginia Acts of Assembly, unallotted in April, 2020 and eliminated in Chapter 56, 2020 Special Session I Virginia Acts of Assembly. Currently, only one nursing facility, the Virginia Home, would meet the criteria to qualify for additional funding pursuant to the reimbursement methodology change.
 
  FY FY
General Fund $0 $506,903
Nongeneral Fund $0 $506,903
•
Reduce Funding for Managed Care Operational Changes General Assembly Adjustment
  This amendment reduces by $500,000 general fund the second year funding provided in the introduced budget for managed care operational changes. This action leaves $1.7 million from the general fund for this purpose. The agency's administrative budget can absorb any additional costs necessary to implement these changes.
 
  FY FY
General Fund $0 ($500,000)
Nongeneral Fund $0 ($500,000)
•
Restore Supplemental Payments for Children's National Medical Center General Assembly Adjustment
  This amendment restores $354,766 the second year from the general fund and a like amount of federal Medicaid matching funds to increase supplemental physician payments for physicians employed at Children's National Medical Center, a freestanding children's hospital serving the Northern Virginia region. Funding for this Item was provided in Chapter 1289, 2020 Virginia Acts of Assembly, unallotted in April, 2020 and eliminated in Chapter 56, 2020 Special Session I Virginia Acts of Assembly.
 
  FY FY
General Fund $0 $354,766
Nongeneral Fund $0 $354,766
•
Analysis of Medicaid/FAMIS Coverage on Maternal & Child Health Outcomes General Assembly Adjustment
  This amendment adds $250,000 the second year from the general fund and matching federal Medicaid funding to analyze Medicaid and FAMIS administrative and operational data requirements and their impact on maternal mortality and birth outcomes. Medicaid claim edits, payment policies, provider requirements, and coverage policies impact how providers deliver care and members access services. Language requires this analysis to be conducted by an external third-party in close collaboration with DMAS and Medicaid managed care organizations to provide an impartial perspective. It requires the analysis and research to be conducted by a Virginia Department of Small Business and Supplier Diversity-certified SWaM business. Language requires the department to report on this analysis to the Task Force on Maternal Health Data and Quality Measures, established by House Bill 2111, 2021 Special Session I.
 
  FY FY
General Fund $0 $250,000
Nongeneral Fund $0 $250,000
•
Modify Capital Reimbursement for Certain Nursing Facilities General Assembly Adjustment
  This amendment restores $119,995 from the general fund the second year and a like amount of matching federal Medicaid funds and restores language to require the Department of Medical Assistance Services to modify nursing facility capital reimbursement for a nursing facility that lost its status as a hospital-based nursing facility because a replacement hospital was built in a different location and it became a free-standing facility. Language is modified to make this effective July 1, 2021. Funding for this purpose was provided in Chapter 1289, 2020 Acts of Assembly, unallotted in April, 2020 and eliminated in Chapter 56, 2020 Special Session I Acts of Assembly.
 
  FY FY
General Fund $0 $119,955
Nongeneral Fund $0 $119,955
•
Personal Care Attendant Orientation Training General Assembly Adjustment
  This amendment adds $53,247 the second year from the general fund and $103,361 in nongeneral funds from federal Medicaid matching dollars for the Department of Medical Assistance Services to develop and implement orientation training for Medicaid personal care attendants. Funding assumes lower training costs in fiscal year 2022 since it will occur primarily through electronic means. Annual costs in the next biennium would be higher if training is conducted in person at $338,432 from the general fund and $656,956 from the nongeneral fund.
 
  FY FY
General Fund $0 $53,247
Nongeneral Fund $0 $103,361
•
Medicaid Doula Provider Training and Resources General Assembly Adjustment
  This amendment adds $67,660 from the general fund and $67,660 in federal matching Medicaid funds the second year and one position for the Department of Medical Assistance Services to develop and implement a provider training program for Doula service providers to learn how to explain patient access and bill for Medicaid benefits.
 
  FY FY
General Fund $0 $67,660
Nongeneral Fund $0 $67,660
Positions 0.00 1.00
•
Restore Funding for Medicaid Works for Individuals with Disabilities General Assembly Adjustment
  This amendment restores $57,210 from the general fund and $57,210 from nongeneral funds the second year to increase the eligibility requirement for Virginians with disabilities to participate in the Medicaid Works program to 138 percent of the federal poverty level. Funding for this item was provided in Chapter 1289, 2020 Virginia Acts of Assembly, unallotted in April, 2020 and eliminated in Chapter 56, 2020 Special Session I Virginia Acts of Assembly.
 
  FY FY
General Fund $0 $57,210
Nongeneral Fund $0 $57,210
•
Expand Tobacco Cessation Coverage General Assembly Adjustment
  This amendment restores $34,718 from the general fund and a like amount of federal Medicaid matching funds the second year to add tobacco cessation services to the Medicaid program for adults not otherwise currently covered. The federal Patient Protection and Affordable Care Act (ACA) requires that Medicaid provide coverage for prevention services, including tobacco cessation, for individuals enrolled pursuant to the ACA. This amendment allows all adults in Medicaid to have access to tobacco cessation services. Funding for this Item was provided in Chapter 1289, 2020 Virginia Acts of Assembly, unallotted in April, 2020 and eliminated in Chapter 56, 2020 Special Session I Virginia Acts of Assembly. Language is modified to make the provision of this benefit effective July 1, 2021.
 
  FY FY
General Fund $0 $34,718
Nongeneral Fund $0 $34,718
•
Authorize the appropriation of federal American Rescue Plan Act Medicaid revenue, including home and community based services General Assembly Adjustment
  This amendment clarifies that the Director of the Department of Planning and Budget (DPB) has the authority to appropriate additional federal Medicaid revenue for current services as provided for in the American Rescue Plan Act of 2021 (ARPA). This action ensures that federal support for existing Medicaid programs can flow without interruption, including any increases needed to support increases in federal matching percentages. In addition, language is added to prohibit any expansion of Medicaid programs or benefits with regard to the ARPA funding without General Assembly approval. State funding must also remain unspent until reauthorized and appropriated by General Assembly action.
•
Continue Workgroup On Emergency Department Utilization General Assembly Adjustment
  This amendment extends the workgroup established to evaluate strategies to reduce unnecessary utilization by Medicaid members of emergency departments. The workgroup was delayed in beginning its deliberations and the additional time would result in better recommendations for consideration during the 2022 General Assembly Session.
•
Coverage for Applied Behavioral Analysis Services General Assembly Adjustment
  This amendment adds Medicaid coverage for Applied Behavioral Analysis services that were added to current procedural terminology costs in January 2019 and provides authority to the Department of Medical Assistance Services to make changes based on future updates, including necessary changes to rates, service definitions, and other programmatic requirements.
•
Deferral of Nursing Home Rebasing General Assembly Adjustment
  This amendment adds language directing the Department of Medical Assistance Services to defer nursing home rebasing until it is able to use 2021 cost reports in the rebasing process. Under the current rebasing schedule, cost reports ending in calendar year (CY) 2020 will be the basis of the next nursing facility rate rebasing. Due to the COVID-19 pandemic, the 2020 base year cost reports will contain significant variable data that reflects a mixture of increased costs (some permanent, others temporary) and reduced occupancy. Given the COVID-19 vaccination program, it is expected that the 2021 cost reports would not be as affected by the increased costs associated with the COVID-19 pandemic, and would better reflect ongoing Medicaid costs as a basis for the next rebasing.
•
Medicaid Non-Emergency Transportation General Assembly Adjustment
  This amendment adds language requiring the Department of Medical Assistance Services to analyze utilization of Non Emergency Medicaid Transportation Transportation Network Company Type II providers in the Medicaid fee-for-service and managed care programs to determine if barriers to access exist, if contracts result in service gaps, and if any existing requirements limit the provision of these types of services to eligible Medicaid beneficiaries. The agency is required to report findings and recommendations by October 1, 2021 to the Chairs of the House Appropriations and Senate Finance and Appropriations Committees.
•
Permanent Continuation of DD Waiver Telehealth/Virtual Services General Assembly Adjustment
  This amendment adds language directing the Department of Medical Assistance Services to request changes to the Medicaid Home and Community Based Services Waivers from the federal Centers for Medicare and Medicaid Services to permanently continue telehealth and virtual and/or distance learning as service options for disabled individuals receiving these waiver services.
•
Pharmacy Vaccine Administration Fee for COVID-19 General Assembly Adjustment
  This amendment provides an exception for the fee amount included in the introduced budget for Medicaid reimbursement for vaccine administration in a pharmacy such that COVID-19 vaccines can be reimbursed at Medicare rates. Currently, Medicaid does not have a vaccine administration fee for pharmacists. The introduced budget directs the Department of Medical Assistance Services to establish such a fee and sets the fee at $16. However, the Centers for Medicare and Medicaid Services has established higher vaccine administration fees for COVID-19 and this language allows the Department of Medical Assistance Services to match those fees.
•
Plan for Home Visiting Medicaid Benefit General Assembly Adjustment
  This amendment directs the Department of Medical Assistance Services to convene a workgroup and make recommendations on a Medicaid home-visiting benefit.
•
Plan Pilot Program for Medicaid Support for Mobile Vision Clinics for Kids General Assembly Adjustment
  This amendment adds language requiring the Department of Medical Assistance Services to convene a work group to develop a plan to implement a pilot program to provide mobile vision clinic services for Medicaid, FAMIS and MCHIP children in a school-based setting. Language requires the work group to report its recommendations by October 15, 2021.
•
Provider Terminations Reporting General Assembly Adjustment
  This amendment directs the Department of Medical Assistance Services to require its managed care organizations annually report, with regard to Medicaid Community Mental Health Rehabilitation Services, on information related to provider terminations.
•
Publish Medicaid State Plan and Other Information on Website General Assembly Adjustment
  This amendment directs the Department of Medical Assistance Services to publish the complete State Plan for Medical Assistance and amendments and other supporting materials on the Department of Medical Assistances Services' website to be more publicly accessible.
•
Review Medicaid Eligibility Requirements for SSI Recipients General Assembly Adjustment
  This amendment adds language requiring DMAS to research and report on the costs and program changes which would be necessary to allow all Supplemental Security Income recipients to become automatically enrolled in the Medicaid program. Currently, Medicaid enrollment is not automatic for this population and they must meet income and resource requirements to become eligible for Medicaid.
•
Support Payments for Medicaid Developmental Disability Waiver Providers General Assembly Adjustment
  This amendment establishes the intent of the General Assembly that from any additional federal funding that is provided to the Commonwealth to offset the economic impacts from COVID-19 that a portion of such funding would be set aside and allocated to provide support payments to Medicaid Developmental Disability Waiver providers that have experienced a significant disruption in operations and revenue during the COVID-19 public health emergency (PHE).


p3_bullets - Official Enacted Budget - 06-07-2025 17:07:30