2010 Session

Budget Amendments - HB30 (Floor Approved)

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Medicaid DME Reimbursement (language only)

Item 297 #2h

Item 297 #2h

Health And Human Resources
Medical Assistance Services, Department of

Page 209, line 4, after "Committees", insert:
"Notwithstanding the findings and suggestions contained therein, the fee schedule rate reduction for incontinence supplies shall not exceed the 10 percent reduction recommended in this report."
Page 209, line 17, after "(CMS).", insert:
"Such competitive bidding process shall, to the fullest extent permitted by applicable law, require providers to (i) contribute to the economy of Virginia through employment of Virginia citizens, (ii) have a corporate compliance program, and (iii) utilize patient representatives who maintain regular contact with recipients in support of proper product usage and quality of care."
Page 209, line 21, after "authorization"  insert:
", provided that such limit shall be no fewer than 100 units per month for any provider with a documented corporate compliance program".

(This amendment modifies language in the introduced budget which limits the amount of savings to be gained from reducing reimbursement by 10 percent for Durable Medical Equipment (DME). Language also requires the department to ensure that the competitive bidding process requires providers to contribute to Virginia employment, have a documented corporate compliance program and use patient representatives who have regular contact with recipients in support of proper product usage and quality of care. Language also restricts any limit on incontinence supplies to 100 units per month before prior authorization requirements would begin.)