2002 Session

Budget Amendments - HB30 (Conference Report)

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Medicaid for Home-Delivered Meals & Other Svs. (language only)

Item 325 #55c

Item 325 #55c

Health And Human Resources
Medical Assistance Services, Department of

Page 257, after line 7, insert:
"HH.  The Department of Medical Assistance Services (DMAS) shall use general fund appropriations transferred by the Virginia Department for the Aging to match federal Medicaid funds for the provision of home-delivered meals and environmental modifications to eligible Medicaid recipients through a model home- and community-based services waiver.  The waiver shall be limited to Medicaid recipients being served through the elderly and disabled waiver.  DMAS shall implement the necessary regulations, providing for these new services, target population, service reimbursement methodology, and utilization control requirements, to be consistent with federal approval of this waiver within 280 days of the enactment of this act.  The Department shall report on its efforts to obtain approval of the waiver and any necessary budget amendments required to implement the waiver to the Chairmen of the House Appropriations and Senate Finance Committees by December 1, 2002."

(This amendment requires DMAS, the Virginia Department for the Aging, and the Virginia Area Agencies on Aging (AAAs) to maximize funds for in-home services to certain low-income Virginians. A portion of the general funds currently appropriated for this purpose would be transferred from the Department for the Aging to match federal Medicaid funds. The waiver would be targeted at individuals who meet nursing facility screening criteria and currently receive certain home- and community-based services through the Medicaid elderly and disabled waiver. The waiver would be a "model" waiver consisting of no more than 200 slots, and services would be provided in specific regions of the Commonwealth. Home-delivered meals would be limited to no more than two meals per day and environmental modifications would be capped at no more than $2,000 per client. Allowable environmental modifications would have to delay or prevent institutionalization and could include the installation of ramps and grab bars, widening of doorways, and other modifications. The modifications must provide a direct medical or remedial benefit to the individual, but they could not be improvements of general utility to the home. Language is added to require DMAS to report back to the General Assembly on the status of its waiver request and any necessary budget amendments needed to implement the waiver.)