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2019 Session

Budget Amendments - SB1100 (Member Request)

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Chief Patron: Dunnavant
Review of Agency Directed Personal Care Rates (language only)

Item 303 #22s

Item 303 #22s

Health and Human Resources
Department of Medical Assistance Services

Language

Page 342, after line 27, insert:

"YYY.  The Department of Medical Assistance Services shall review the rates paid to personal care service providers and determine if those rates adequately reimburse providers for the costs incurred to deliver care and are appropriate to maintain an adequate provider network in all geographic areas of the Commonwealth. Such review shall include: i) a comparison of how personal care service provider rates in the Commonwealth compare to reimbursement levels in other states; ii) a comparison of how personal care service provider rates levels have trended compared to inflation over the last 30 years; iii) a calculation of what it would cost the Commonwealth to assume financial responsibility for paying for electronic visit verification for personal care providers as it does for consumer-directed providers; iv) an analysis of the regulatory requirements and costs on personal care service providers versus those on consumer-directed providers and a determination of what requirements and costs could be removed in order to better achieve parity; and v) any other recommendations to foster and encourage the deployment of personal care service providers in underserved areas.  The department shall report its findings to the Chairmen of the House Appropriations and Senate Finance Committees by October 1, 2019."



Explanation

(This amendment directs the Department of Medical Assistance Services to review the rates paid to personal care service providers and determine if those rates adequately reimburse providers for the costs incurred to deliver care and are appropriate to maintain an adequate provider network in all geographic areas of the Commonwealth.)