2021 Special Session I

Budget Amendments - HB1800 (Conference Report)

View Budget Item
View Budget Item amendments

Improving Reimbursement for School-Based Services

Item 313 #6c

Item 313 #6c

First Year - FY2021 Second Year - FY2022
Health and Human Resources
Department of Medical Assistance Services FY2021 $0 FY2022 ($104,168) GF
FY2021 $0 FY2022 $2,314,798 NGF

Page 345, line 39, strike "$17,494,923,315" and insert "$17,497,133,945".

Page 346, line 55, strike "$496,601,500", insert "$496,705,668".

Page 382, after line 17, insert:

"AAAAAA. The Department shall amend the State Plan for Medical Assistance to allow payment of medical assistance services delivered to Medicaid-eligible students when such services qualify for reimbursement by the Virginia Medicaid program and may be provided by school divisions, regardless of whether the student receiving care has an individualized education program or whether the health care service is included in a student's individualized education program. Such services shall include those covered under the state plan for medical assistance services or by the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit as specified in § 1905(r) of the federal Social Security Act, and shall include a provision for payment of medical assistance for health care services provided through telemedicine services, as defined in § 38.2-3418.16. No health care provider who provides health care services through telemedicine shall be required to use proprietary technology or applications in order to be reimbursed for providing telemedicine services."


(This amendment provides $2.3 million from federal Medicaid funds the second year related to expanding Medicaid coverage of school-based services outside of a student's individualized education program. There is no state match required as the local schools certify local expenditures as the state match. The amendment also reflects a savings of $104,168 from the general fund the second year since five percent of the additional federal funding for school-based services is retained by the state and deposited to the Health Care Fund to offset general fund costs.)