2015 Session

Budget Amendments - HB1400 (Member Request)

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Chief Patron: Robinson
Co-Patron(s): O'Bannon, Yost
Increase ID, DD and Day Support Rates Including NoVA Differential

Item 301 #24h

Item 301 #24h

First Year - FY2015 Second Year - FY2016
Health and Human Resources
Medical Assistance Services, Department of FY2015 $0 FY2016 $28,700,000 GF
FY2015 $0 FY2016 $28,700,000 NGF

Page 257, line 32, strike "$8,515,698,638" and insert "$8,573,098,638".
Page 281, after line 10, insert:
"OOOO.  Out of this appropriation, $28,700,000 from the general fund and $28,700,000 from nongeneral funds the second year shall be used to increase reimbursement rates by 10 percent for unique services provided through the
Intellectual Disabilities (ID), the Individual and Family Developmental Disabilities Support (DD), and Day Support waiver.   This rate increase shall not apply to sponsored residential services.  Funding shall also be used to increase the Northern Virginia differential from 15 to 20 percent above the current rate paid for all other providers.  The department shall have the authority to implement this reimbursement change effective July 1, 2015, and prior to the completion of any regulatory process undertaken in order to effect such change."

(This amendment provides funding to increase ID, DD, and Day Support waiver services, with the exception of sponsored residential services, by 10 percent effective July 1, 2015. Funding is also provided to increase the Northern Virginia differential from the current rate of 15 percent to 20 percent. While these Medicaid waiver programs are being redesigned, the rate study of services provided through the programs has been completed. The current rates are insufficient to enable the Commonwealth to meet the Department of Justice Settlement Agreement targets for moving individuals from intermediate care facilities for the intellectually disabled to the community, the Centers for Medicare and Medicaid rules for community integration, or the provider's ability to pay direct care staff a living wage. The new rates would provide a strong base upon which to build the new waiver programs.)