2017 Session

Budget Amendments - SB900 (Member Request)

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Chief Patron: Barker
Eliminate CSA Local Medicaid Match

Item 285 #3s

Item 285 #3s

First Year - FY2017 Second Year - FY2018
Health and Human Resources
Children's Services Act FY2017 $0 FY2018 $28,526,197 GF

Page 264, line 21, strike "$332,099,501" and insert "$360,625,698".


(This amendment provides $28.5 million the second year from the general fund to remove the local match required in the Children's Services Act program for children placed in residential treatment centers and for certain foster care case management costs. Currently, localities are required to pay a portion of the non-federal Medicaid match for children eligible for Medicaid reimbursed services, the only aspect of the Medicaid program in Virginia that requires a local match and a cost that has grown substantially since inception of the local match in 2001. The new proposed process by which children will be admitted to residential treatment via Medicaid potentially will bifurcate the decision about the local match contribution, further complicating the issue. Eliminating the local match for residential treatment would align the financial responsibility for the placement decision with the decision-making authority for these placements.)