2017 Session

Budget Amendments - HB1500 (Conference Report)

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Medicaid Improvements in Long-Term Services and Supports Screening

Item 310 #6c

Item 310 #6c

First Year - FY2017 Second Year - FY2018
Health and Human Resources
Department of Medical Assistance Services FY2017 $0 FY2018 $687,500 GF
FY2017 $0 FY2018 $687,500 NGF
FY2017 0.00 FY2018 4.00 FTE

Page 312, line 42, strike "$222,406,344" and insert "$223,781,344".

Page 316, after line 3, insert:

"R.1 The Department of Medical Assistance Services (DMAS) shall take actions to improve the reliability of Medicaid eligibility screenings for long-term services and supports, including: (i) validation of the children's criteria used with the Uniform Assessment Instrument to determine eligibility for Medicaid long-term services and supports, and (ii) design and implementation of an inter-rater reliability test for the pre-admission screening process.

2.  The department shall work with relevant stakeholders to (i) assess whether hospital screening teams are making appropriate recommendations regarding placement in institutional care or home and community-based care; (ii) determine whether hospitals should have a role in the screening process; and (iii) determine what steps must be taken to ensure the Uniform Assessment Instrument is implemented consistently and does not lead to unnecessary institutional placements.

3.  The department shall report to the General Assembly by December 1 on steps taken to address the risks associated with hospital screenings, including any statutory or regulatory changes needed to improve such screenings."


(This amendment adds $687,500 from the general fund and a like amount of matching federal Medicaid funds the second year, four positions and language to implement recommendations from a recent review of the Virginia Medicaid Program by the Joint Legislative Audit and Review Commission to improve the reliability of Medicaid screening for long-term services and supports.)