2012 Session

Budget Amendments - SB30 (Member Request)

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Chief Patron: Hanger
Funding for Medicaid Adult Day Health Care Rates

Item 307 #8s

Item 307 #8s

First Year - FY2013 Second Year - FY2014
Health And Human Resources
Medical Assistance Services, Department of FY2013 $339,270 FY2014 $348,760 GF
FY2013 $339,270 FY2014 $348,760 NGF

Page 225, line 49, strike "$7,438,749,436" and insert "$7,439,427,976".
Page 225, line 49, strike "$9,042,320,948" and insert "$9,043,018,468".

(This amendment adds $339,270 GF the first year and $348,760 GF the second year and an equal amount of federal Medicaid matching funds to provide a 10 percent increase for adult day health services provided under Medicaid waivers. Adult day health care, which were reduced in FY 2010, is much less expensive than alternative care in a nursing facility for which these clients qualify. Providers of adult day health care report a gap of $19.00 per client on average between actual costs and Medicaid reimbursement, which must be made up through contributions from individuals, churches, corporations, and foundations. These services are almost exclusively provided to Medicaid waiver recipients. This amendment will increase the statewide rate paid for Medicaid adult day health care services from $50.10/day to about $55.11/day in Northern Virginia and from $45.65/day to about $50.22/day in the rest of the state.)