2015 Session

Budget Amendments - SB800 (Member Request)

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Chief Patron: Alexander
Co-Patron(s): Lewis
Supplemental Payments to EVMS Physicians (language only)

Item 301 #31s

Item 301 #31s

Health and Human Resources
Medical Assistance Services, Department of

Page 281, after line 10, insert:
"OOOO.  The Department  of Medical Assistance Services shall promulgate  regulations and take 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 will 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 Item 243.  The department  shall have the authority to implement these reimbursement changes consistent with the effective date of the managed care contracts approved by CMS and prior to the completion of any regulatory process in order to effect such changes."

(This amendment provides authority for the Department of Medical Assistance Services to promulgate regulations 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 for Item 243. There would be no cost to the Commonwealth.)