1999 Session

Budget Amendments - SB800 (Member Request)

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Chief Patron: Woods
Nursing Home Reimbursement Method (language only)

Item 335 #3s

Item 335 #3s

Health And Human Resources
Medical Assistance Services, Department of

Page 271, after line 40 insert:
"Z. The Department of Medical Assistance Services shall establish and work with affected provider groups to design and implement a revised nursing facility payment methodology.
1.  The new nursing facility payment methodology shall include the following components:  (i) prospective payment for operating and capital costs, (ii) a per diem payment level which places Virginia's average per diem payment level at least at the midpoint of all state Medicaid programs, and (iii) appropriate reimbursement for the acuity level of residents in nursing facilities.
2. The Department of Medical Assistance Services shall suspend enforcement of §32.1-329 of the Code of Virginia until the revised nursing facility payment methodology is implemented."

(This amendment requires development and implementation of a new methodology for Medicaid reimbursement to nursing homes.)