2015 Session

Budget Amendments - HB1400 (Conference Report)

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Medicaid Centralized Eligibility Processing

Item 304 #2c

Item 304 #2c

First Year - FY2015 Second Year - FY2016
Health and Human Resources
Department of Medical Assistance Services FY2015 $0 FY2016 ($1,000,000) GF
FY2015 $0 FY2016 ($3,000,000) NGF

Page 281, line 43, strike "$164,659,411" and insert "$160,659,411".
Page 283, after line 26, insert:
"L. Out of this appropriation, $3,283,004 the second year from the general fund and $9,839,000 the second year from nongeneral funds is provided for the enhanced operation of the Cover Virginia Call Center as a centralized eligibility processing unit (CPU) that shall be limited to processing Medicaid applications received from the Federally Facilitated Marketplace, telephonic applications through the call center, or electronically submitted Medicaid-only applications.  The enhancement to the Cover Virginia Call Center contract to operate as a CPU is limited to fiscal year 2016.  The department shall report the number of applications processed on a monthly basis and payments made to the contractor to the Director, Department of Planning and Budget and the Chairman of the House Appropriations and Senate Finance Committees.  The report shall be submitted no later than 30 days after the end of each quarter of the fiscal year."

(This amendment reduces $1.0 million from the general fund and $3.0 million from nongeneral funds in the second year and adds budget language to specify how much funding was added in the introduced budget to modify the Cover Virginia Call Center into a centralized processing unit (CPU) to make final eligibility determinations for Medicaid applications. In addition, a report is required on the workload and costs of the CPU. The CPU was authorized to provide temporary relief related to the increase in Medicaid applications at local departments of social services and a backlog of applications from the Federally Facilitated Marketplace. With the second year of enrollment through the federal exchange wrapping up, it is expected that the volume of cases should begin to even out, requiring less funding to handle the cases expected in fiscal year 2016.)