2010 Session

Budget Amendments - SB30 (Conference Report)

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FMAP - Indirect Medical Education for Out-of-State Hospitals

Item 297 #17c

Item 297 #17c

First Year - FY2011 Second Year - FY2012
Health And Human Resources
Medical Assistance Services, Department of FY2011 ($1,695,182) FY2012 ($1,917,627) GF
FY2011 ($1,695,182) FY2012 ($1,917,627) NGF

Page 196, line 50, strike "$6,806,326,159" and insert "$6,802,935,795".
Page 196, line 50, strike "$7,272,405,030" and insert "$7,268,569,776".
Page 208, line 43, after "TTT." insert "1.".
Page 208, after line 49, insert:
"2.  Effective July 1, 2010, the Department of Medical Assistance Services shall amend the State Plan for Medical Assistance to establish a threshold for out-of-state cost reporting hospitals to qualify for indirect medical education payments.  In addition to meeting all other requirements, out-of-state cost reporting hospitals must have Virginia Medicaid utilization in the base year of at least 12 percent of total Medicaid days.  The department shall have the authority to implement this reimbursement change effective July 1, 2010, and prior to the completion of any regulatory process undertaken in order to effect such change."

(This amendment assumes savings by creating a new threshold for out-of-state hospitals to receive additional payments related to indirect medical education. In order to qualify for indirect medical education payments, at least 12 percent of out-of-state hospitals total Medicaid bed days will need to be Virginia Medicaid patients beginning July 1, 2010. No other state provides Virginia hospitals with additional IME payment that the Commonwealth provides to out-of-state hospitals.)