2006 Special Session I

Budget Amendments - HB5002 (Conference Report)

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Medicaid Buy-In Program

Item 302 #18c

Item 302 #18c

First Year - FY2007 Second Year - FY2008
Health And Human Resources
Department Of Medical Assistance Services FY2007 $170,286 FY2008 $462,652 GF
FY2007 $170,286 FY2008 $462,652 NGF
FY2007 2.00 FY2008 2.00 FTE

Page 258, line 32, strike "$4,989,007,434" and insert "$4,989,348,006".
Page 258, line 32, strike "$5,325,426,176" and insert "$5,326,351,480".
Page 266, strike lines 7 through 14 and 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.  At the time of enrollment in the program, the individual must either be a current Medicaid recipient or meet the income, asset and eligibility requirements for the Medicaid-covered group for individuals age 65 or older, blind or disabled who have incomes that do not exceed 80 percent of the federal poverty income guidelines.  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.)