1998 Session

Budget Amendments - HB30 (Conference Report)

View Budget Item
View Budget Item amendments

Medicaid Managed Care-Northern Va. (language only)

Item 335 #8c

Item 335 #8c

Health And Human Resources
Medical Assistance Services, Department of

Page 218, after line 3, insert:
"Q. The Department of Medical Assistance Services shall expand MEDALLION II managed care in Northern Virginia.  In doing so,  (i) the Department shall retain fee-for-service reimbursement for all mental health treatment services provided by physicians, practitioners and clinics, with limited exceptions which the Department may find necessary to ensure appropriate care by managed care providers; (ii) mental health, mental retardation, and substance abuse rehabilitation services shall continue to be provided by Community Services Boards; and (iii) persons receiving services under the mental retardation waiver program shall be excluded from mandatory managed care.  Services exempted from managed care shall be subject to revision upon completion of recommendations from the Joint Subcommittee to Evaluate the Future Delivery of Publicly Funded Mental Health, Mental Retardation and Substance Abuse Services and approval of the General Assembly.  The Director of the Department of Medical Assistance Services shall seek the necessary waiver from the Health Care Financing Administration to effect this policy and shall promulgate the necessary regulations."

(This amendment restores language to House/Senate Bill 30 that was included in the 1996-98 Appropriations Act. The language directs the Department of Medical Assistance Services to expand Medicaid managed care into Northern Virginia, except for services to mentally disabled persons.)