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Decision Package
Department of Medical Assistance Services (602)
Request Title Provide support to disenroll ineligible Medicaid recipients
Biennium 2014-2016
Budget Round Initial Bill
Category Caseload or workload adjustments
Region Multiple Regions
Description

Funds one position to supplement existing staff to investigate potentially ineligible recipients of Medicaid in Virginia. The federal Centers for Medicare and Medicaid Services (CMS) deployed the Public Assistance Reporting Information System in 2009 which identifies individuals who appear to have access to Medicaid benefits in multiple states. CMS has notified Virginia of approximately 12,000 incidences where recipients were potentially ineligible for Medicaid benefits in Virginia due to their enrollment in another state. These cases must be investigated to identify potential fraud and abuse. Ongoing, the matches will be received quarterly instead of annually and the agency estimates approximately 5,000 referrals from CMS per year.

Funding Summary
Object Type FY 2014 FY 2015  
General Fund Dollars ($6,497) ($27,542)  
Nongeneral Fund Dollars ($6,497) ($27,542)  
General Fund Positions 0.50 0.50  
Nongeneral Positions 0.50 0.50  
General Fund Transfers $0 $0  
General Fund Revenue $0 $0  
Layoffs $0 $0  
Additions to Balance $0 $0  
Funding Details
By Program Program Code Program Title FY 2014 FY 2015
  456 Medicaid Program Services ($100,000) ($150,000)
  499 Administrative And Support Services $87,006 $94,916
By Fund Fund Code Fund Title FY 2014 FY 2015
  0100 General Fund ($6,497) ($27,542)
  1000 Federal Trust ($6,497) ($27,542)
Authorized Position Details
By Program Program Code Program Title FY 2014 FY 2015
  499 Administrative and Support Services 1.00 1.00


p3_opview - Official Enacted Budget View Operating Bullet Details - 06-05-2025 19:08:32