2019 Session

Budget Amendments - SB1100 (Member Request)

View Budget Item
View Budget Item amendments

Chief Patron: Hanger
Increase Adult Day Health Care Rates

Item 303 #15s

Item 303 #15s

First Year - FY2019 Second Year - FY2020
Health and Human Resources
Department of Medical Assistance Services FY2019 $0 FY2020 $1,400,000 GF
FY2019 $0 FY2020 $1,400,000 NGF

Page 315, line 7, strike "$14,974,837,166" and insert "$14,977,637,166".

Page 342, after line 27, insert:

"YYY. Effective, July 1, 2019, the Department of Medical Assistance Services shall increase reimbursement rates for adult day health services provided through Medicaid home- and community-based waiver programs by 25 percent.  The department shall have the authority to implement this reimbursement change effective July 1, 2019, and prior to the completion of any regulatory process undertaken in order to effect such change."


(This amendment provides $1.4 million from the general fund and a like amount of federal Medicaid matching funds to provide a 25 percent increase in the Medicaid waiver reimbursement rate for adult day health services. Adult day health care is much less expensive than alternative care in a nursing facility for which these clients qualify. Providers of adult day health care report a gap between actual costs and Medicaid reimbursement, which must be made up through contributions from individuals, churches, corporations, and foundations. These services are almost exclusively provided to Medicaid waiver recipients. This amendment increases by 25 percent the statewide rate paid for Medicaid adult day health care services, which is currently in Northern Virginia $61.60 and $57.04 in the rest of the state.)