2006 Session

Budget Amendments - SB30 (Committee Approved)

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Medicaid Buy-In Program

Item 302 #41s

Item 302 #41s

First Year - FY2007 Second Year - FY2008
Health And Human Resources
Medical Assistance Services, Department of FY2007 $252,832 FY2008 $644,552 GF
FY2007 $252,832 FY2008 $644,552 NGF
FY2007 2.00 FY2008 2.00 FTE

Page 258, line 32, strike "$4,989,007,434" and insert "$4,989,513,098".
Page 258, line 32, strike "$5,325,426,176" and insert "$5,326,715,280".
Page 266, strike lines 7 through 14 insert:
"X.  Within the limits of this appropriation, the Department of Medical Assistance Services shall amend the State Plan for Medical Assistance Services to implement a Medicaid Buy-in Program on January 1, 2007.  The program shall be designed to include cost sharing provisions.  The agency shall promulgate emergency regulations to become effective within 280 days or less from the enactment of this act."

(This amendment provides funding and staff to implement a Medicaid Buy-in Program, within the limits of the appropriation, allowing individuals with disabilities who are on Medicaid to continue receiving health care services while working. The Medicaid Buy-In option in the Balanced Budget Act of 1997 provides states with the opportunity to develop work incentives that encourage people with disabilities to work or increase their level of work and continue to receive Medicaid benefits. Language contained in the introduced budget is stricken which would have required the department to re-submit a Medicaid Buy-in Program Research and Demonstration Waiver to the federal Centers for Medicare and Medicaid (CMS). CMS has already rejected this approach by Virginia, since 32 other states already implement a Medicaid Buy-in Program and previous research has demonstrated the value of this type of program.)