2010 Session

Budget Amendments - SB30 (Committee Approved)

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Reduce Practitioner Rates by 4 Percent in FY 2012

Item 297 #18s

Item 297 #18s

First Year - FY2011 Second Year - FY2012
Health And Human Resources
Medical Assistance Services, Department of FY2011 $0 FY2012 ($14,714,275) GF
FY2011 $0 FY2012 ($14,714,275) NGF

Page 196, line 50, strike "$7,272,405,030" and insert "$7,242,976,480".
Page 209, after line 23, insert:
“XXX. 1.  Effective July 1, 2011, the Department shall reduce by 4% rates determined under RBRVS in 12 VAC 30-80-190 at the same time as the annual update.  To the extent the 101st United States Congress enacts legislation that extends enhanced federal Medicaid funding, the amounts reduced in this paragraph shall not become effective.
2.  The Director of the Department of Medical Assistance Services shall work with the relevant organizations representing physicians and other relevant practitioners to identify and develop changes to the existing methodology for determining Medicaid payment rates for practitioners to provide a rate add-on on a sliding scale basis to practitioners that serve a high proportion of Medicaid beneficiaries to minimize the impact of budget-related Medicaid 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 funding by four percent for physicians and other practitioners delivering Medicaid funded services the second year. Language is added to restore funding if Congress passes a six-month extension of enhanced federal Medicaid funding. Language is also added to explore a mechanism to reimburse practitioners more if they serve a disproportionate share of Medicaid clients.)