2020 Session

Budget Amendments - SB30 (Member Request)

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Chief Patron: Hanger
FAMIS Supplemental Payments

Item 312 #2s

Item 312 #2s

First Year - FY2021 Second Year - FY2022
Health and Human Resources
Department of Medical Assistance Services FY2021 $15,402,333 FY2022 $15,402,333 NGF

Page 293, line 25, strike "$251,515,129" and insert "$266,917,462".
Page 293, line 25, strike "$271,393,523" and insert "$286,795,856".

Page 294, after line 17, insert:

"G. The Department of Medical Assistance Services shall have the authority to amend the State Plan for Medical Assistance under Title XXI to (i) increase inpatient and outpatient payment rates to private acute care hospitals operating in Virginia to the upper payment limit gap and (ii) fill the managed care organization hospital payment gap. The department shall include such payments in the private acute care hospital enhanced payments authorized in Item 3-5.16 of this act. All other reimbursements for the Children's Health Insurance Security Plan shall take precedence over enhanced payments for private acute care hospitals. The department shall promulgate regulations to implement these provisions to be effective within 280 days of its enactment. The department may implement any changes necessary to implement these provisions prior to the promulgation of regulations undertaken in order to effect such changes."


(This amendment provides $15.4 million in nongeneral funds for the FAMIS programs to make enhanced rate payments for private acute care hospitals. This amendment directs the department to pursue federal authority necessary for enhanced rate payments on FAMIS inpatient and outpatient services. The state share is funded through an assessment on the private acute care hospitals and an increase in payments would have no effect on the general fund.)