2005 Session

Budget Amendments - HB1500 (Member Request)

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Chief Patron: Fralin
Medicaid for Children At Risk of Custody Relinquishment

Item 326 #35h

Item 326 #35h

First Year - FY2005 Second Year - FY2006
Health And Human Resources
Medical Assistance Services, Department of FY2005 $0 FY2006 $7,500,000 GF
FY2005 $0 FY2006 $7,500,000 NGF

Page 301, line 51, strike "$4,730,530,852" and insert "$4,745,530,852".
Page 321, after line 16, insert:
The Director of the Department of Medical Assistance Services shall develop and apply for a waiver, pursuant to § 1915 (c) of the Social Security Act, to offer services to children who meet the specified criteria and who shall be determined to be in need of services through the use of the uniform assessment instrument and process of the community policy and management team set forth in § 2.2-5209, Code of Virginia. The child shall meet the criteria set forth  in subdivisions  A 1 and A 2 of §2.2-5212, Code of Virginia, and the child's custody shall be at risk of being relinquished or entrusted by his parents or guardians to local social services agencies pursuant to §63.2-900, Code of Virginia, in order to receive needed mental health services. The waiver shall be designed, in so far as allowed by federal law and regulations, to provide the following services to children with serious emotional disturbance and their families: (i) assessment and diagnosis, (ii) case management, (iii) crisis intervention, (iv) mental health consultation, (v) behavioral aide services, (vi) medical management, (vii) outpatient psychotherapy, (viii) day treatment and partial hospitalization services, (ix) respite care, (x) family support and training, and (xi) wraparound services. The waiver shall include provisions for cost sharing based on a sliding scale.
2.  Out of this appropriation, $7,500,000 the second year from the general fund and $7,500,000 the second year from nongeneral funds shall be provided for 200 slots for the waiver program developed as specified in paragraph VVV.1."

(This amendment provides additional general funds and matching federal Medicaid funds in the second year for the Department of Medical Assistance Services to develop a waiver program for children who would otherwise have to be relinquished or entrusted by their parents or guardians to local social services agencies in order to receive needed mental health services and whose parents or guardians cannot pay for such services, pursuant to House Bill 2296. A companion amendment in Item 299 also provides funding and directs the Comprehensive Services Act (CSA) to provide such services to children entering the system of care through the CSA program who are at risk of custody relinquishment.)