2020 Session

Budget Amendments - HB30 (Floor Approved)

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DMAS Advisory Panel on Behavioral Health Redesign (language only)

Item 313 #5h

Item 313 #5h

Health and Human Resources
Department of Medical Assistance Services


Page 321, after line 18, insert:

"GGGG.  The Department of Medical Assistance Services (DMAS) shall convene an advisory panel of representatives chosen by the Virginia Association of Community Services Boards (VACSB), the Virginia Association of Community-Based Providers (VACBP), the Virginia Coalition of Private Provider Associations (VCOPPA), Caliber, and the Virginia Network of Private Providers (VNPP) who will meet at least bi-monthly with the appropriate staff from DMAS to review and advise on all aspects of the plan for and implementation of the redesign of behavioral health services with a specific focus on ensuring that the systemic plan incorporates development, and maintenance of sustainable business models.  Upon advice of the Advisory panel, DMAS will assign staff to review operations of a sample of providers to examine the process for service authorization, the interpretation of the medical necessity criteria, and the claims processing by all Medicaid managed care organizations.  DMAS will report their findings from this review to the advisory panel and to the Secretary of Health and Human Resources, and the Chairs of House Appropriations and Senate Finance by November 1, 2020."


(This amendment adds language requiring DMAS to convene an advisory panel of representatives from stakeholder organizations to review and advise on agency efforts to redesign behavioral health services, including specifics of implementation and a review of operational processes that affect sustainable business models. Language requires DMAS to report on its findings from this review by November 1, 2020.)