2018 Special Session I

Budget Amendments - HB5002 (Committee Approved)

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DD Waiver Provider Audit Hold Harmless Provisions (language only)

Item 303 #4h

Item 303 #4h

Health and Human Resources
Department of Medical Assistance Services


Page 278, after line 4, insert:

"PPP.  For the period beginning September 1, 2016 until 180 days after publication and distribution of the Developmental Disabilities Waivers provider manual by the Department of Medical Assistance Services (DMAS), retraction of payment from Developmental Disabilities Waivers providers following an audit by DMAS or one of its contractors is only permitted when the audit points identified are supported by the Code of Virginia, regulations, DMAS general providers manuals, or DMAS Medicaid Memos in effect during the date of services being audited."


(This amendment adds language to hold Medicaid Developmentally Disabled (DD) Waiver providers harmless from audit findings under certain circumstances.)