2014 Special Session I

Budget Amendments - SB5003 (Committee Approved)

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Marketplace VA - Fund DMAS Administrative Costs

Item 301 #24s

Item 301 #24s

First Year - FY2015 Second Year - FY2016
Health and Human Resources
Medical Assistance Services, Department of FY2015 $15,539,457 FY2016 $13,163,607 GF
FY2015 $32,036,226 FY2016 $27,831,845 NGF
FY2015 22.00 FY2016 22.00 FTE

Page 245, line 42, strike "$8,495,724,272" and insert "$8,543,299,955".
Page 245, line 42, strike "$8,761,183,102" and insert "$8,802,178,554".
Page 266, after line 36, insert:
"L.  Notwithstanding §§ 63.2-501 and 32.1-325, the Department shall have authority to establish a centralized processing unit for the administration of the program to include responding to inquiries, distributing applications and program information, case management, and receiving and processing applications.  The Department may contract with third-party administrators to provide any of these services in accordance with federal approval.  This central processing unit may be utilized to administer these functions for all Title XIX and Title XXI program applicants/recipients, with proper coordination of similar functions administered by the State and local departments of social services for other public assistance programs pursuant to § 63.2-501.  This does not preclude the Title XIX and Title XXI programs from the responsibilities of local social services agencies under § 63.2-501 in cooperatively exercising the eligibility functions in accordance with the established memorandum of understanding, as may be modified to reflect this centralized eligibility function."

(This amendment funds the administrative costs associated with implementation of Marketplace Virginia that requires additional staff and contract costs as the program increases enrollment. DMAS contracts for claims processing, managed care enrollment broker services, auditing services, service authorizations and other services that will likely experience higher processing volumes and therefore higher contract costs.)