2015 Session

Budget Amendments - HB1400 (Member Request)

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Chief Patron: Stolle
Medicaid Physician Supplemental Payments for EVMS (language only)

Item 301 #30h

Item 301 #30h

Health and Human Resources
Medical Assistance Services, Department of

Page 279, line 2, after "2.", insert: "a."
Page 279, after line 10, insert:
"b. The Department of Medical Assistance Services shall promulgate regulations and any other actions, including contract amendments, in order to increase funding to managed care organizations for the purpose of securing access to physician services for enrollees in the Virginia Medicaid Managed Care Program. Medicaid physician providers with a medical school located in Eastern Virginia that is a political subdivision of the Commonwealth shall be eligible for this increased funding.  The amount of the increased funding shall be based on the difference between the average commercial rate approved by the Centers for Medicare and Medicaid Services (CMS) and the payments otherwise made to physicians. Funding for the state share for the Medicaid  payments are authorized in the Item 243 of this act. The department shall have the authority to implement these changes consistent with the effective date of the managed care contracts approved by CMS and prior to completion of any regulatory process in order to effect such changes."

(This amendment provides the Department of Medical Assistance Services with the authority to make supplemental Medicaid managed care payments to physicians of Eastern Virginia Medical School. The state share of the Medicaid payments will be made by EVMS and authority for this transfer of funds is contained in a companion amendment in Item 243. The current budget provides the authority for Medicaid supplemental payments to EVMS physicians in the Medicaid fee-for-service program.)