2010 Session

Budget Amendments - SB30 (Committee Approved)

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Reduce Nursing Home Rates by 4 Percent in FY 2012

Item 297 #17s

Item 297 #17s

First Year - FY2011 Second Year - FY2012
Health And Human Resources
Medical Assistance Services, Department of FY2011 $0 FY2012 ($18,426,616) GF
FY2011 $0 FY2012 ($18,426,616) NGF

Page 196, line 50, strike "$7,272,405,030" and insert "$7,235,551,798".
Page 206, line 47, after the period, insert:
“In addition, operating rates shall be reduced four percent from that which would otherwise be calculated in FY 2012.  To the extent the 101st United States Congress enacts legislation that extends enhanced federal Medicaid funding, the first year amount reducing inflation and the second year amount reducing operating rates in this paragraph shall not become effective.
2.  The Director of the Department of Medical Assistance Services shall work with the Virginia Health Care Association and the Virginia Hospital and Healthcare Association to identify and develop changes to the existing methodology for determining Medicaid payment rates for facilities to provide a rate add-on on a sliding scale basis to facilities that serve a high proportion of Medicaid beneficiaries to minimize the impact of budget-related payment reductions on Medicaid dependent groups.  The Director shall report his findings to the House Appropriations and Senate Finance Committees no later than January 1, 2011.”

(This amendment reduces the operating payment rate for nursing homes by four percent in the second year. Language is added to restore funding for the first year inflationary adjustment and the second year operating rate reduction if Congress passes a six-month extension of enhanced federal Medicaid funding. Language is also added to explore a mechanism to reimburse facilities if they serve a disproportionate share of Medicaid clients.)