2016 Session

Budget Amendments - SB30 (Committee Approved)

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Increase Adult Day Health Care Rates by Five Percent

Item 306 #12s

Item 306 #12s

First Year - FY2017 Second Year - FY2018
Health and Human Resources
Department of Medical Assistance Services FY2017 $159,009 FY2018 $175,161 GF
FY2017 $159,009 FY2018 $175,161 NGF

Page 250, line 34, strike "$9,740,405,698" and insert "$9,740,723,716".
Page 250, line 34, strike "$11,552,255,000" and insert "$11,552,605,322".

Page 274, after line 33, insert:

"SSSS.  Out of this appropriation, $159,009 from the general fund and $159,009 from nongeneral funds  the first year and $175,161 from the general fund and $175,161 from nongeneral funds  the second year shall be used to increase reimbursement rates for adult day health services provided through Medicaid home- and community-based waiver programs  by five percent effective July 1, 2016."


(This amendment adds funds to provide a five percent increase in the Medicaid waiver reimbursement rate for adult day health services. Adult day health care is much less expensive than alternative care in a nursing facility for which these clients qualify. Providers of adult day health care report a gap of $18.13 per client per day between actual costs and Medicaid reimbursement, which must be made up through contributions from individuals, churches, corporations, and foundations. These services are almost exclusively provided to Medicaid waiver recipients. This amendment will increase the statewide rate paid for Medicaid adult day health care services from $60.10/unit to $63.11/unit in Northern Virginia and from $55.65/unit to $58.43/unit in the rest of the state. A "unit" represents 6 or more hours in a day.)