2015 Session

Budget Amendments - SB800 (Floor Approved)

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Workgroup on Best Medical Practices (language only)

Item 301 #16s

Item 301 #16s

Health and Human Resources
Department of Medical Assistance Services

Page 281, after line 10, insert:
"OOOO.  The Department of Medical Assistance Services shall convene a work group comprised of representatives from the Virginia College of Emergency Physicians, the Medical Society of Virginia and the Virginia Hospital and Healthcare Association to develop a set of best medical practices to identify Medicaid and uninsured "super utilizers," coordinate their care and cooperate on a local, regional and statewide basis.  Such best practices may include (i) adoption of a system to electronically exchange patient information among emergency departments on a regional or statewide basis, (ii) development of a process to create care plans for super utilizers, including patients who are in the Medicaid Client Medical Management program, and (iii) establishment of regional care coordination teams comprised of emergency medicine physicians, hospital leaders, primary care physicians, DMAS representatives, substance abuse professionals and mental health service providers to develop and review care plans for identified super utilizers, electronically accessible to providers in the region's emergency departments to help ensure consistent care to this population regardless of where they present for care.  The director shall report to the Chairmen of the House Appropriations and Senate Finance Committees by October 1, 2015."

(This amendment requires the Department of Medical Assistance Services to convene a workgroup of stakeholders to develop best medical practices for high utilizers of emergency medical services.)