2018 Session

Budget Amendments - SB30 (Floor Approved)

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Requirements for Supplemental Payments (language only)

Item 303 #20s

Item 303 #20s

Health and Human Resources
Department of Medical Assistance Services


Page 278, after line 4, insert:

"PPP. Notwithstanding any other provision of law, any hospital provider that does not contract with each of the six health plans to participate in their provider network as part of the Medicaid Commonwealth Coordinated Care Plus program shall not be eligible for supplemental payments through an Upper Payment Limit (UPL) program and shall not be eligible for Disproportionate Share Hospital payments. The Department of Medical Assistance Services shall have the authority to amend the state plan for medical assistance to implement these provisions on July 1, 2018, and prior to the completion of any regulatory action to effect such changes."


(This amendment provides that hospitals that choose not to fully participate in the Commonwealth's Coordinated Care Plus managed care program, which is a key component of Virginia's Medicaid safety net program, shall not be eligible to participate in supplemental payment programs that are designed to strengthen the safety net.)