Increase Automation for Medicaid Eligibility Determinations
Biennium
2024-2026
Budget Round
Initial Bill
Half Sheet Number
292 #5c
Description
This amendment adds $206,889 from the general fund and $2.8 million in nongeneral funds the first year and $3.1 million from the general fund and $16.2 million from nongeneral funds the second year for the Department of Medical Assistance Services to contract with a vendor to implement identified solutions to assist in timely and accurate Medicaid eligibility determinations and redeterminations. Solutions will include additional data checks to verify financial and nonfinancial eligibility, additional data matching capability and a portal to receive and track coverage corrections for enrollment requests between the 120 local Departments of Social Services. Funding would provide enhancements to the Medicaid Management Information System and the Virginia Case Management System.