2021 Special Session I

Budget Amendments - HB1800 (Floor Approved)

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Authorize Development of Single Medicaid Managed Care Program

Item 313 #12h

Item 313 #12h

First Year - FY2021 Second Year - FY2022
Health and Human Resources
Department of Medical Assistance Services FY2021 $0 FY2022 $1,017,162 GF
FY2021 $0 FY2022 $1,502,838 NGF

Page 345, line 39, strike "$17,494,923,315" and insert "$17,497,443,315".

Page 355, strike lines 10 through 54.

Page 356, strike lines 1 through 28 and insert:

"EE. The Department of Medical Assistance Services shall seek federal authority through the necessary waiver(s) and/or State Plan authorization under Titles XIX and XXI of the Social Security Act to merge the Commonwealth Coordinated Care Plus, Medallion 4.0, and FAMIS managed care programs into a single, streamlined managed care program that links seamlessly with the fee-for-service program. Such changes shall include CHIP State Plan and waiver amendments and other necessary authorities to align the children's programs by transitioning the separate CHIP/FAMIS population to a CHIP-Medicaid expansion children's group. The department shall have authority to implement necessary changes upon federal approval and prior to the completion of any regulatory process undertaken in order to effect such change."


(This amendment provides $1.0 million from the general fund and $1.5 million in matching federal Medicaid funds and language authorizing the Department of Medical Assistance Services to seek federal authority to merge its managed care programs into a single streamlined program to provide the agency with the ability to operate a more efficient and effective managed care program and provide greater value to Medicaid beneficiaries, providers and managed care organizations. This funding will be used to cover systems changes and other up front administrative costs to effect the changes.)