2015 Session

Budget Amendments - SB800 (Floor Approved)

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Supplemental Managed Care Payments to EVMS (language only)

Item 301 #17s

Item 301 #17s

Health and Human Resources
Department of Medical Assistance Services

Page 279, line 2, after "2." insert "a.".
Page 279, line 7, after "physicians." strike the remainder of the line.
Page 279, line 8, strike "authorized in Item 243.".
Page 279, after line 10, insert:  
"b.  The department shall increase payments to Medicaid managed care organizations for the purpose of securing access to Medicaid physician services in Eastern Virginia (through higher rates to physicians affiliated with a medical school located in Eastern Virginia that is a political subdivision of the Commonwealth subject to applicable limits).  The department shall revise its contracts with managed care organizations to incorporate these supplemental capitation payments (and provider payment requirements) subject to approval by CMS.  No payment shall be made without approval from CMS.
c. Funding for the state share for these Medicaid payments is authorized in Item 243."

(This amendment provides authority for the Department of Medical Assistance Services to increase payments to Medicaid managed care organizations to allow Eastern Virginia Medical School (EVMS) to receive federally funded Physician Supplemental Payments from serving enrollees in the Virginia Medicaid Managed Care Program. The match needed for these funds will come directly from EVMS and there is a companion amendment in Item 243. There would be no cost to the Commonwealth.)