2015 Session

Budget Amendments - HB1400 (Member Request)

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Chief Patron: Head
Preadmission Screening for Medicaid LTC Services (language only)

Item 301 #28h

Item 301 #28h

Health and Human Resources
Medical Assistance Services, Department of

Page 281, after line 10, insert:
"OOOO. Notwithstanding § 32.1-330 of the Code of Virginia, all individuals who will be eligible for community or institutional long-term care services as defined in the state plan for medical assistance shall be evaluated to determine their need for nursing facility services as defined in that plan. The Department shall require a preadmission screening of all individuals who, at the time of application for admission to a certified nursing facility as defined in §32.1-123, are eligible for medical assistance or will become eligible within six months following admission. Screenings may be performed by a team of licensed physicians, nurses, and social workers at the Woodrow Wilson Rehabilitation Center (WWRC) for WWRC clients only. For institutional screening, the Department shall contract with acute care hospitals. The Department shall contract with other public or private entities to conduct required community-based and institutional screenings in addition to or in lieu of the screening teams described in this section. The department shall have the authority to implement this reimbursement change effective July 1, 2015 and prior to completion of any regulatory process in order to effect such change."

(This amendment modifies existing authority in the Code of Virginia for preadmission screening for individuals eligible for Medicaid community or institutional Medicaid long-term care. A requirement for community-based screening to be conducted by a screening team comprised of a physician, nurse, social worker or other assessor employed by the Department of Health or the local department of social services has been eliminated. Instead language requires the Department of Medical Assistance Services to contract with public or private entities for these screenings. Finally, language is added to give DMAS the ability to implement the contracts in fiscal year 2016 prior to the completion of the regulatory process.)