2012 Session

Budget Amendments - SB30 (Member Request)

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Chief Patron: Howell
Increase Medicaid Part C Early Intervention Case Mgmt. Rates

Item 307 #20s

Item 307 #20s

First Year - FY2013 Second Year - FY2014
Health And Human Resources
Medical Assistance Services, Department of FY2013 $1,268,440 FY2014 $1,268,440 GF
FY2013 $1,268,440 FY2014 $1,268,440 NGF

Page 225, line 49, strike "$7,438,749,436" and insert "$7,441,286,316".
Page 225, line 49, strike "$9,042,320,948" and insert "$9,044,857,828".
Page 239, after line 5, insert:
"LLL. The Department of Medical Assistance Services shall amend the State Plan for Medical Assistance to increase the rate for Part C Early Intervention Targeted Case Management from $120 to $175.40 per month.  The department shall have authority to enact emergency regulations under
§ 2.2-4011 of the Administrative Process Act to effect these provisions."

(This amendment provides $1.3 million from the general fund and $1.3 million from federal Medicaid matching funds each year to increase the Medicaid payment rate for Part C early intervention targeted case management for infants and toddlers with disabilities. Funding would increase rates from $120 to $175.40 per month consistent with the rate paid for targeted case management for individuals in the Medicaid Developmental Disability wavier program. When Medicaid coverage was originally established for these services, a review by the Department of Medical Assistance Services determined that the rate of $175 per month reflected the costs to provide the service; however, the need for budget neutrality resulted in the establishment of a lower rate of $120 per month. This increase in the rate will assist the local lead agencies to provide adequate case management for the 3,816 infants and toddlers and their families each month and will help eliminate the waiting list for these services which is prohibited by the federal Individuals with Disabilities Education Act. Because these services are critical to families to ensure that their infants and toddlers develop to their full potential and avoid later special education placements, prompt service delivery is critical. Without targeted case management, linkage to vital services is greatly impeded.)