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2018 Session

Budget Amendments - SB30 (Member Request)

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Chief Patron: Reeves
Consumer-Directed Agency with Choice Model (language only)

Item 303 #28s

Item 303 #28s

Health and Human Resources
Department of Medical Assistance Services

Language

Page 278, after line 4, insert:

"PPP.  Effective July 1, 2018, the Department of Medical Assistance Services shall explore and utilize private sector technology based platforms and service delivery options to allow qualified, licensed providers to deliver the Consumer-Directed Agency with Choice model in the Commonwealth of Virginia. The department shall work with stakeholders to develop and implement this model of care, and shall submit a status report to the Chairmen of the House Appropriations and Senate Finance Committees by December 1, 2018.  The department shall have the authority to amend the necessary waiver(s) and the State Plan under Title XIX of the Social Security Act to make the necessary changes. Such changes shall include the services covered, provider qualifications, medical necessity criteria, and reimbursement methodologies and rates. The department shall have the authority to promulgate emergency regulations to implement these changes within 280 days or less from the enactment date of this Act."



Explanation

(This amendment directs the Department of Medical Assistance Services to explore and utilize private sector technology based platforms and service delivery options to allow qualified, licensed providers to deliver the Consumer-Directed Agency with Choice model in the Commonwealth of Virginia in order to improve quality outcomes, reduce potential for fraud, waste and abuse, and increase efficiency. The department is required to submit a status report to the Chairmen of the House Appropriations and Senate Finance Committees by December 1, 2018.)