2013 Session

Budget Amendments - HB1500 (Member Request)

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Chief Patron: Hope
Medicaid Exceptional Needs Rate Pilot Project

Item 307 #37h

Item 307 #37h

First Year - FY2013 Second Year - FY2014
Health And Human Resources
Medical Assistance Services, Department of FY2013 $0 FY2014 $2,764,300 GF
FY2013 $0 FY2014 $2,764,300 NGF

Page 263, line 15, strike "$8,033,837,513" and insert "$8,039,366,113".
Page 280, after line 14 insert:
"JJJJ.  The Department of Medical Assistance Services shall establish a fee-for-service rate aligned with the actual cost of delivering person-centered services for individuals with complex medical  or behavioral needs, effective July 1, 2013, as a pilot program in Northern Virginia.  In establishing the rate, the department shall work with the Department of Behavioral Health and Developmental Services and with an established provider and stakeholder coalition in Northern Virginia to develop the rate methodology.  Recommendations from this workgroup shall be used to develop the rate to meet the needs of individuals receiving services through either  the Intellectual Disability (ID) Wavier or Individual and Family Developmental Disabilities Support (DD) Waiver who are participating in the pilot program.  The Northern Virginia pilot region will include areas served by the Community Services Boards of Arlington, Alexandria, Fairfax-Falls Church, Prince William and Loudoun.   The department shall have authority to promulgate regulations to implement this change within 280 days or less from the enactment of this act.   Results of the pilot program shall be considered in the submission of the new ID/DD waiver applications to the federal Centers for Medicare and Medicaid."

(This amendment provides $2.8 million from the general fund and $2.8 million from federal Medicaid matching funds and language to establish a pilot program in Northern Virginia to provide a reimbursement rate for services needed to ensure the health, safety and welfare of individuals with complex medical or behavioral needs who receive services through either the Intellectual Disability (ID) Wavier or Individual and Family Developmental Disabilities Support (DD) Waiver. The funding will support the pilot project for one year.)