2002 Session

Budget Amendments - SB30 (Committee Approved)

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Medicaid for Home-Delivered Meals/Other (language only)

Item 325 #39s

Item 325 #39s

Health And Human Resources
Medical Assistance Services, Department of

Page 257, after line 7, insert:
"HH.  In order to maximize Medicaid revenue, The Department of Medical Assistance Services (DMAS), shall use general fund appropriations for the Virginia Department for the Aging as match for additional Medicaid funds for Home Delivered Meals and environmental modifications, to be provided to eligible Medicaid recipients through a model Home and Community Based Services Waiver.  The individuals eligible for the model waiver shall be limited to recipients of 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."

(This amendment requires DMAS, area agencies on aging (AAAs), and the Department for the Aging (VDA) to provide in-home services to certain low income persons meeting nursing facility screening criteria. The AAAs and VDA would continue to provide services persons that do not qualify for Medicaid waiver services. The model waiver would consist of no more than 200 slots, and services would be provided in specific regions of the Commonwealth. The waiver would reimburse no more than two meals per day, and environmental modifications would be capped at no more than $2,000 per client. To qualify for reimbursement, environmental modifications must delay or prevent institutionalization and may include the installation of ramps, grab bars, and widening of doorways. The modifications must be of direct medical or remedial benefit to the individual but cannot be improvements to the home which are of general utility.)