Item 322 | First Year - FY2003 | Second Year - FY2004 |
|---|---|---|
| Administrative and Support Services (47900) | $107,877,219 | $102,804,039 |
| General Management and Direction (47901) | FY2003 $94,854,719 | FY2004 $89,781,539 |
| Computer Services (47902) | FY2003 $13,022,500 | FY2004 $13,022,500 |
| Fund Sources: | ||
| General | FY2003 $42,946,182 | FY2004 $43,002,447 |
| Special | FY2003 $50,000 | FY2004 $50,000 |
| Federal Trust | FY2003 $64,881,037 | FY2004 $59,751,592 |
Authority: Title 32.1, Chapters 9 and 10, Code of Virginia; P.L. 89-87, as amended, Title XIX, Social Security Act, Federal Code.
A. By November 15 of each year, the Department of Planning and Budget, in cooperation with the Department of Medical Assistance Services, shall prepare and submit a forecast of Medicaid expenditures, upon which the Governor’s budget recommendations will be based, for the current and subsequent two years to the Chairmen of the House Appropriations and Senate Finance Committees. The forecast shall detail the number of new nursing home beds expected to be added each year and the resulting impact on the Medicaid budget. In addition, the Department of Medical Assistance Services shall submit accuracy reports of the forecast in relation to the agency’s actual expenditure activity to the Department of Planning and Budget. These reports shall be submitted on a quarterly basis, commencing September 15, 2002, and continuing throughout the biennium.
B. As a condition of this appropriation, the Department of Medical Assistance Services shall submit written status reports to the Secretary of Health and Human Resources and the Directors of the Department of Planning and Budget and the Department of Technology Planning on the development and implementation of its new Medicaid Management Information System. These reports shall be submitted on a quarterly basis, commencing on July 1, 2000, and continuing until the new system has received its certification from the Centers for Medicare and Medicaid Services.
C. The Department of Medical Assistance Services, to the extent permissible under federal law, shall enter into an agreement with the Department of Mental Health, Mental Retardation and Substance Abuse Services to share Medicaid claims and expenditure data on all Medicaid-reimbursed mental health, mental retardation and substance abuse services, and any new or expanded mental health, mental retardation and substance abuse services that are covered by the State Plan for Medical Assistance. The information shall be used to increase the effective and efficient delivery of publicly funded mental health, mental retardation and substance abuse services.
D. If implementation of the new Medicaid Management Information System is delayed to the point that it is unlikely to receive Centers for Medicare and Medicaid Services (CMS) certification and the resulting retroactive adjustment in federal financial participation from 50 percent to 75 percent for claims processing prior to the end of the fiscal year that the system is first implemented, the Department of Accounts shall provide an interest-free treasury loan to the Department of Medical Assistance Services to address any remaining cost associated with implementation and certification of the new system. Such loan shall be repaid from the retroactive payment by CMS for the additional 25 percent match for claims processing. However, prior to requesting a treasury loan, the Department shall explore other financing strategies during the implementation period of this project and, in consultation with the Department of Planning and Budget, shall select the most viable option for ensuring completion of this project.