2004 Special Session I

Budget Amendments - HB5001 (Conference Report)

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Establish 300 Medicaid Day Support Waiver Slots

Item 326 #19c

Item 326 #19c

First Year - FY2005 Second Year - FY2006
Health And Human Resources
Medical Assistance Services, Department of FY2005 $0 FY2006 $2,918,700 GF
FY2005 $0 FY2006 $2,918,700 NGF

Page 250, line 37, strike "$4,428,632,619" and insert "$4,434,470,019".
Page 264, after line 47, insert:
"BBB.  Out of this appropriation, $2,918,700 from the general fund and $2,918,700 from nongeneral funds the second year shall be provided for 300 slots for a 1915(c) Medicaid waiver for
day support services.  Contingent upon approval by the Centers for Medicare and Medicaid Services (CMS), the Department of Medical Assistance Services (DMAS) is directed to develop such waiver in coordination with the Department of Mental Health, Mental Retardation, and Substance Abuse Services, and affected constituents.  The Department shall have the authority to enact emergency regulations under § 2.2-4011 of the Administrative Process Act to effect this provision."

(This amendment provides $2.9 million from the general fund in the second year and matching federal Medicaid dollars to create a new Day Support Waiver program for 300 individuals with mental retardation who are living at home and are on the waiting list for mental retardation waiver services. Day support services include a variety of training,assistance, support, and specialized supervision provided in a nonresidential setting to increase self-help,socialization, and adaptive skills. As of January 2004, it was estimated that more than 2,000 individuals were waiting for a mental retardation waiver slot. This initiative, in addition to the expansion of the Mental Retardation waiver program by 700 slots, will provide services for almost 1,000 individuals with mental retardation who are living in the community.)