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
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 1, 2022 Acts of Assembly $4,545,328,030 $12,527,356,462 $17,072,684,492
2020-2022 2022 Chapter 1, 2022 Acts of Assembly $4,649,993,559 $14,472,732,262 $19,122,725,821
2022-2024 2023 Chapter1, 2024 Acts of Assembly, Special Session 1 $5,824,897,704 $14,857,958,805 $20,682,856,509
2022-2024 2023 Previous Legislative Appropriation $5,824,897,704 $14,857,958,805 $20,682,856,509
2022-2024 2023 Governor's Amendments $0 $0 $0
2022-2024 2023 General Assembly Adjustments $0 $0 $0
2022-2024 2024 Chapter1, 2024 Acts of Assembly, Special Session 1 $5,876,121,463 $16,797,807,713 $22,673,929,176
2022-2024 2024 Previous Legislative Appropriation $6,026,900,220 $17,013,668,597 $23,040,568,817
2022-2024 2024 Governor's Amendments ($110,778,757) ($260,421,190) ($371,199,947)
2022-2024 2024 General Assembly Adjustments ($40,000,000) $44,560,306 $4,560,306
Positions Budget Summary
Biennium Fiscal Year Source GF NGF Total
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 1, 2022 Acts of Assembly 260.02 269.98 530.00
2020-2022 2022 Chapter 1, 2022 Acts of Assembly 263.02 272.98 536.00
2022-2024 2023 Chapter1, 2024 Acts of Assembly, Special Session 1 266.02 276.98 543.00
2022-2024 2023 Previous Legislative Appropriation 266.02 276.98 543.00
2022-2024 2023 Governor's Amendments 0.00 0.00 0.00
2022-2024 2023 General Assembly Adjustments 0.00 0.00 0.00
2022-2024 2024 Chapter1, 2024 Acts of Assembly, Special Session 1 263.52 279.48 543.00
2022-2024 2024 Previous Legislative Appropriation 263.52 279.48 543.00
2022-2024 2024 Governor's Amendments 0.00 0.00 0.00
2022-2024 2024 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 utilization and inflation as estimated in the most recent expenditure forecast as projected by the Department of Medical Assistance Services.
 
  FY FY
General Fund $0 ($125,883,727)
Nongeneral Fund $0 ($226,020,739)
•
Adjust Health Care Fund appropriation Decision Package
  Modifies 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 any decrease requires additional general fund support.
 
  FY FY
General Fund $0 $28,500,955
Nongeneral Fund $0 ($28,500,955)
•
Fund medical assistance services for low-income children utilization and inflation Decision Package
  Adjusts funding for the Commonwealth's Medicaid Children's Health Insurance Program to reflect the latest expenditure forecast as projected by the Department of Medical Assistance Services.
 
  FY FY
General Fund $0 ($10,826,039)
Nongeneral Fund $0 ($15,063,968)
•
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 as projected by the Department of Medical Assistance Services.
 
  FY FY
General Fund $0 $1,078,661
Nongeneral Fund $0 $9,164,472
•
Adjust funding for medical services for involuntary mental commitments Decision Package
  Adjusts funding for the estimated cost of hospital and physician services for persons subject to an involuntary mental commitment. The most recent forecast of expenditures projects lower costs than previously estimated.
 
  FY FY
General Fund $0 ($3,648,607)
•
Account additional for Virginia Healthcare Fund revenue (2024 Special Session I Adjustment) General Assembly Adjustment
  Increases appropriation in the Virginia Health Care Fund to reflect additional revenue. Since the Virginia Health Care Fund is used as state match for Medicaid, any increase in revenue offsets general fund support for Medicaid costs.
 
  FY FY
General Fund $0 ($40,000,000)
Nongeneral Fund $0 $40,000,000
•
Adjust Nongeneral Funds for Administrative Contracts General Assembly Adjustment
  This amendment adds $2.8 million to adjust the nongeneral fund appropriation for the Department of Medical Assistance Services for administrative contracts use to serve the Medicaid expansion population. This amendment shall be enrolled in Item 307, Chapter 1, 2023 Special Session 1, during enrolling of House Bill 29.
 
  FY FY
Nongeneral Fund $0 $2,849,486
•
Adjust Nongeneral Funds for Administrative Contracts General Assembly Adjustment
  This amendment adds $2.8 million to adjust the nongeneral fund appropriation for the Department of Medical Assistance Services for administrative contracts used to serve the Medicaid expansion population. This amendment shall be enrolled in Item 308, Chapter 1, 2023 Special Session 1, during enrolling of House Bill 29.
 
  FY FY
Nongeneral Fund $0 $1,710,820
•
Align Medicaid Requirements with New Federal Rules on Third Party Liability General Assembly Adjustment
  This amendment adds language to align Medicaid policy and rules with new federal rules regarding third party payments that will go into effect on July 1, 2024. Third party payments currently come from a number of sources, including child support orders requiring a custodial or non-custodial parent to enroll a child in a health insurance plan.
•
Ensure Oversight of Managed Care Reprocurement Implementation General Assembly Adjustment
  This amendment ensures the General Assembly has an opportunity to review and consider all changes to the new Medicaid managed care contracts prior to implementation in July 1, 2024.


p3_bullets - Official Enacted Budget - 11-03-2026 10:07:28