2021 Special Session I

Budget Amendments - SB1100 (Committee Approved)

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Support Payments for Medicaid Developmental Disability Waiver Providers

Item 314 #1s

Item 314 #1s

First Year - FY2021 Second Year - FY2022
Health and Human Resources
Department of Medical Assistance Services FY2021 $15,000,000 FY2022 $0 GF

Page 382, line 18, strike "$821,702" and insert "$15,821,702".

Page 382, after line 34, insert:

"C.  The Department of Medical Assistance Services, in collaboration with the Department of Behavioral Health and Developmental Services and the Department of Planning and Budget, shall develop criteria to provide support payments to Medicaid Developmental Disability Waiver providers that have experienced a significant disruption in operations and revenue during the COVID-19 public health emergency (PHE).  The criteria shall include: (i) first priority to provide financial support for providers that have received no other state or federal assistance to date during the PHE, including supported employment providers; (ii) the second priority shall be other waiver providers that have received some limited assistance from state and federal sources, including day support providers, but may need additional assistance; (iii) the third priority to support other waiver providers that are still in operation and are at risk of closing due to the PHE disruption and for which the Commonwealth needs to maintain an adequate provider network such that when the PHE emergency ends there are sufficient providers to meet the service needs of Medicaid members; (iv) a support payment amount to be based on the provider's Medicaid monthly revenue and service authorizations prior to the PHE, however, for the period of assistance provided to the provider the payment may not exceed 65 percent of that prior monthly revenue; (v) the time period for assistance, which may not exceed three months; and (vi) other relevant criteria to meet the intent of this funding.  The department shall issue guidelines within 20 days of enactment of this Act.  After the guidelines are issued providers shall have 30 days to submit their applications consistent with the guidelines.  The department shall determine the appropriate payments based on the guidelines, which shall be prorated if funding is insufficient, and begin making the payments no later than 30 days after the provider submission deadline. Any unexpended balance as of June 30, 2021 shall not revert to the general fund, but shall be reappropriated for this purpose into FY 2022."


(This amendment adds $15.0 million the first year from the general fund to provide support payments to Medicaid Developmental Disability Waiver providers. Payments would help support the stabilization of providers during COVID-19 and would retain community service capacity after the pandemic ends.)