2000 Session

Budget Amendments - HB30 (Committee Approved)

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JLARC Study of Medicaid Hospital Reimbursement (language only)

Item 20 #7h

Item 20 #7h

Legislative Department
Joint Legislative Audit and Review Commission

Page 14, after line 58, insert:
"G. The Joint Legislative Audit and Review Commission (JLARC) shall examine the Department of Medical Assistance Services' methodology used to determine hospital inpatient rates.  This review shall include (i) a comparison of Virginia's reimbursement for hospital inpatient care with other states and other payors, (ii) the accuracy of the department's claims data base, (iii) the appropriateness of the Department's rate setting and rebasing processes, (iv) policies and analyses governing retrospective adjustments to hospital payments, and (v) other issues as may seem appropriate.  The Department of Medical Assistance Services shall cooperate fully as requested by JLARC and its staff.  The Commission shall report its findings and recommendations to the Chairmen of the House Appropriations and Senate Finance Committees by November 15, 2000."

(This amendment requires JLARC to study Medicaid reimbursement for inpatient hospital services.)