2009 Session

Budget Amendments - HB1600 (Member Request)

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Chief Patron: Bulova
Medicaid Reimbursement for Adult Day Health Care

Item 306 #21h

Item 306 #21h

First Year - FY2009 Second Year - FY2010
Health And Human Resources
Medical Assistance Services, Department of FY2009 $0 FY2010 $514,500 GF
FY2009 $0 FY2010 $514,500 NGF

Page 324, line 2, strike "$5,933,087,351" and insert "$5,934,116,351".

(This amendment provides a $514,500 from the general fund and a like amount of federal Medicaid matching funds in the second year to increase the reimbursement rate for adult day health care during the last quarter of the 2008-10 biennium. Adult day health care is much less expensive than alternative care in a nursing facility for which these clients qualify. Providers of adult day health care report a gap of $18.13 per client on average between actual costs and Medicaid reimbursement, which must be made up through contributions from individuals, churches, corporations, and foundations. This amendment will increase the statewide rate paid for Medicaid adult day health care services from $50.61/day to about $60.00/day in Northern Virginia and from $46.11/day to about $56.00/day in the rest of the state. With the increase, providers will continue to need to leverage private dollars to meet projected costs.)