2004 Session

Budget Amendments - SB30 (Committee Approved)

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Cash & Counseling Demonstration & Evaluation (language only)

Item 326 #40s

Item 326 #40s

Health And Human Resources
Medical Assistance Services, Department of

Page 264, after line 47, insert:
"BBB.  Contingent upon (i) receiving approval by the Robert Wood Johnson (RWJ) Foundation for a Cash and Counseling Demonstration and Evaluation grant, or (ii) an appropriation for a fiscal agent and staff to implement the program, the Department of Medical Assistance Services shall request a §1115 Research and Demonstration Waiver from the Centers for Medicare and Medicaid services.  The waiver application shall include the location of the two demonstration sites as Lynchburg and Winchester.  The Department shall promulgate emergency regulations to become effective within 280 days or less after receiving approval from the Centers for Medicare and Medicaid Services."

(This amendment directs the Department of Medical Assistance Services to seek approval for a research and demonstration waiver from the federal government to pilot a "Cash and Counseling" program. Cash and counseling, a type of consumer-directed care, is a new federal initiative designed to address the growing shortage of community-based Medicaid providers. Cash and counseling programs allow recipients to draw resources from accounts funded by Medicaid in order to arrange for approved services under the program.)