2020 Session

Budget Amendments - HB30 (Floor Approved)

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Modify MCOs Regulations for Midwife Coverage (language only)

Item 313 #19h

Item 313 #19h

Health and Human Resources
Department of Medical Assistance Services


Page 321, after line 18, insert:

"GGGG. The Department of Medical Assistance Services shall amend the managed care regulations to specify that all contracts with health plans in a Medicaid managed care delivery model shall reimburse any midwife who performs prenatal, intra-partum, and postpartum care of women, including their newborn infants, as out-of-network providers, if not currently eligible as an in-network provider according to § 54.1-2957, § 54.1-2957.7, § 54.1-2957.8, § 54.1-2957.9, § 54.1-2957.11, § 54.1-2957.12, § 54.1-2957.13, and § 54.1-2957.03, Code of Virginia."


(This amendment adds language directing the agency to amend managed care regulations to have Medicaid managed care plans reimburse midwifery services as an out-of-network provider if not already eligible as an in-network provider.)