2004 Special Session I

Budget Amendments - HB5001 (Conference Report)

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Copays for Medicaid Services

Item 326 #7c

Item 326 #7c

First Year - FY2005 Second Year - FY2006
Health And Human Resources
Medical Assistance Services, Department of FY2005 ($500,000) FY2006 ($500,000) GF
FY2005 ($500,000) FY2006 ($500,000) NGF

Page 250, line 37, strike "$4,057,098,577" and insert "$4,056,098,577".
Page 250, line 37, strike "$4,428,632,619" and insert "$4,427,632,619".
Page 264, after line 47, insert:
"BBB.  The Department of Medical Assistance Services shall have the authority to amend its State Plan for Medical Assistance to implement and/or increase cost sharing requirements for eligible recipients as determined necessary to meet the savings targets included in this Act, consistent with federal law concerning Medicaid cost-sharing  and in a manner which limits administrative complexities as deemed appropriate by the Department.  The Department shall have the authority to enact emergency regulations under § 2.2-4011 of the Administrative Process Act to effect this provision.  The Department shall report on the implementation of this provision to the Chairmen of the Senate Finance and House Appropriations Committees by October 1, 2004."

(This amendment requires the Medicaid program to implement and/or increase minimal cost sharing requirements for Medicaid recipients for services in order to achieve savings of $500,000 general fund each year. Currently, the Virginia Medicaid program does not charge copayments for a number of services as allowed by federal law and regulations. Language is added requiring the Department to report on the imposition of new cost-sharing requirements by October 1, 2004.)