| • |
| 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. |
| |
| |
FY 2023 |
FY 2024 |
| General Fund |
($279,325,319) |
$12,266,384 |
| Nongeneral Fund |
$1,483,717,796 |
$1,356,069,626 |
|
| • |
| Account for extension of the federal public health emergency |
Decision Package |
|
| |
Adjusts Medicaid and Children's Health Insurance Program appropriations to account for the anticipated extension of the national public health emergency through April 11, 2023. The expected extension would mean that the federal continuous enrollment requirement would expire on?April 30, 2023, and the federal Medicaid Assistance Percentages enhancement would continue through?June 30, 2023. Language is added allowing the Department of Planning and Budget to move appropriation between fiscal years as necessary to maximize federal reimbursements. |
| |
| |
FY 2023 |
FY 2024 |
| General Fund |
($157,800,861) |
$53,439,303 |
| Nongeneral Fund |
$153,859,144 |
$1,113,615,681 |
|
| • |
| Adjust Virginia 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 2023 |
FY 2024 |
| General Fund |
($50,436,557) |
$67,732,794 |
| Nongeneral Fund |
$50,436,557 |
($67,732,794) |
|
| • |
| Increase rates for personal care, respite, and companion services |
Decision Package |
|
| |
Increases provider rates for agency- and consumer-directed personal care, respite, and companion services by five percent effective July 1, 2023. |
| |
| |
FY 2023 |
FY 2024 |
| General Fund |
$0 |
$41,616,322 |
| Nongeneral Fund |
$0 |
$47,194,131 |
|
| • |
| Add 500 developmental disability waiver slots |
Decision Package |
|
| |
Increases the number of developmental disability waiver slots beginning on July 1, 2023, to 1,100 by adding 500 additional slots. This amendment increases the number of new Family and Individual Supports waiver slots in 2024 from 500 to 930 and the number of new Community Living waiver slots from 100 to 170 in 2024. |
| |
| |
FY 2023 |
FY 2024 |
| General Fund |
$0 |
$15,155,118 |
| Nongeneral Fund |
$0 |
$15,822,689 |
|
| • |
| Fund Family Access to Medical Insurance Security program utilization and inflation |
Decision Package |
|
| |
Adjusts funding for the Family Access to Medical Insurance Security program to reflect the latest forecast of expenditures as projected by the Department of Medical Assistance Services. |
| |
| |
FY 2023 |
FY 2024 |
| General Fund |
($13,143,045) |
($321,954) |
| Nongeneral Fund |
$7,098,020 |
$5,279,027 |
|
| • |
| 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 2023 |
FY 2024 |
| General Fund |
($5,888,208) |
($2,820,997) |
| Nongeneral Fund |
$16,495,016 |
$634,327 |
|
| • |
| Fund capitated contract cost escalations |
Decision Package |
|
| |
Provides additional nongeneral fund appropriation to cover the anticipated cost of required contracts. This amendment will avoid the need for future administrative adjustments. |
| |
| |
FY 2023 |
FY 2024 |
| Nongeneral Fund |
$2,410,933 |
$2,410,933 |
|
| • |
| Reprocure Medicaid managed care program |
Decision Package |
|
| |
Authorizes the department to reprocure the Commonwealth’s managed care service delivery system with an expected implementation date of July 1, 2024. Funds are also provided to support one-time costs associated with the reprocurement. |
| |
| |
FY 2023 |
FY 2024 |
| General Fund |
$1,689,750 |
$0 |
| Nongeneral Fund |
$2,594,750 |
$0 |
|
| • |
| Fund costs associated with settlement |
Decision Package |
|
| |
Provides one-time funding necessary to cover a required settlement with the Cover Virginia vendor. |
| |
| |
FY 2023 |
FY 2024 |
| General Fund |
$2,271,918 |
$0 |
| Nongeneral Fund |
$462,689 |
$0 |
|
| • |
| Increase rates for Early Intervention services |
Decision Package |
|
| |
Provides a 12.5 percent rate increase for Early Intervention services beginning July 1, 2023. |
| |
| |
FY 2023 |
FY 2024 |
| General Fund |
$0 |
$1,117,018 |
| Nongeneral Fund |
$0 |
$1,187,947 |
|
| • |
| Add 20 psychiatric residencies through graduate medical education |
Decision Package |
|
| |
Adds funding to support 20 additional psychiatric residency slots funded through Medicaid beginning in 2024. |
| |
| |
FY 2023 |
FY 2024 |
| General Fund |
$0 |
$1,000,000 |
| Nongeneral Fund |
$0 |
$1,000,000 |
|
| • |
| 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 2023 |
FY 2024 |
| General Fund |
($1,500,000) |
($250,000) |
|
| • |
| Account for the Medicaid portion of state facility salary actions |
Decision Package |
|
| |
Appropriates the Medicaid share of salary augmentation costs for food services and environmental services staff at Southeastern Virginia Training Center and Hiram Davis Medical Center. |
| |
| |
FY 2023 |
FY 2024 |
| General Fund |
$0 |
$268,792 |
| Nongeneral Fund |
$0 |
$280,632 |
|
| • |
| Transfer resources to fund developmental disability waiver responsibilities |
Decision Package |
|
| |
Moves funds from the Department of Behavioral Health and Developmental Services to support agency responsibilities associated with developmental disability waiver services that will be transferred effective July 1, 2023. This amendment also includes Appropriation Act language designating the Department of Medical Assistance Services as the agency responsible for all financial analysis, rates, and budget work associated with Virginia’s developmental disability waiver services. |
| |
| |
FY 2023 |
FY 2024 |
| General Fund |
$0 |
$85,000 |
| Nongeneral Fund |
$0 |
$85,000 |
| Positions |
0.00 |
1.00 |
|
| • |
| Implement telehealth service delivery options for developmental disability waivers |
Decision Package |
|
| |
Provides the authority to implement telehealth service delivery options for developmental disability waiver services currently authorized by the Appropriation Act or Code of Virginia. |
| • |
| Improve access to peer recovery support services |
Decision Package |
|
| |
Expands the availablity of peer recovery specialists in Medicaid by implementing measures that would reduce administrative barriers that limit access to services. |
| • |
| Align outpatient rehabilitation reimbursement methodology with Medicare |
Decision Package |
|
| |
Updates the reimbursement methodology for outpatient rehabilitation services to the Resource Based Relative Value Scale. This change is necessary to align Virginia's reimbursement methodology with Medicare and industry standards. All changes must be budget neutral. |
| • |
| Convene a workgroup to examine inclusion of residential treatment services in managed care |
Decision Package |
|
| |
Requires the department to convene a workgroup to examine the impact of including residential treatment services in the managed care program. This workgroup must examine potential cost, program, and system of care impacts, including how local funding and the federally required independent assessment process for these services must be accounted for in managed care. |
| • |
| Improve third-party liability recoveries |
Decision Package |
|
| |
Funds seven positions to increase the amount of third-party liability recoveries. It is expected that these positions will generate sufficient savings in the Medicaid program to offset the new administrative costs. |
| |
| |
FY 2023 |
FY 2024 |
| Positions |
0.00 |
7.00 |
|
