2015 Session

Budget Amendments - SB800 (Floor Approved)

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Medicaid Centralized Eligibility Processing (language only)

Item 304 #2s

Item 304 #2s

Health and Human Resources
Department of Medical Assistance Services

Page 283, after line 26, insert:
"L. Out of this appropriation, $4,283,004 the second year from the general fund and $12,839,000 the second year from nongeneral funds is provided for the enhanced operation of the Cover Virginia Call Center as a Centralized Eligibility Unit (CPU) that shall be limited to processing Medicaid applications received from the Federally Facilitated Marketplace, telephonic applications through the call center, or Medicaid-only applications.  The enhancement to the Cover Virginia Call Center contract to operate as a CPU is limited to FY 2016.  The department shall report the number of applications processed on a monthly basis and payments made to the contractor to the Director, Department of Planning and Budget and the Chairman of the House Appropriations and Senate Finance Committees.  The report shall be submitted no later than 30 days after the end of each quarter."

(This amendment adds budget language to specify how much funding was added in the introduced budget to modify the Cover Virginia Call Center into a Centralized Processing Unit (CPU) to make final eligibility determinations for Medicaid applications. In addition, a report is required on the workload and costs of the CPU. The CPU was authorized to provide temporary relief related to the increase in Medicaid applications at local departments of social services and due to the backlog of applications from the Federally Facilitated Marketplace.)