2022 Session

Budget Amendments - HB30 (Member Request)

View Budget Item
View Budget Item amendments

Chief Patron: Sickles
Streamline Medicaid Application Process for SSI Recipients

Item 304 #44h

Item 304 #44h

First Year - FY2023 Second Year - FY2024
Health and Human Resources
Department of Medical Assistance Services FY2023 $1,896,750 FY2024 $1,976,209 GF
FY2023 $14,306,226 FY2024 $15,154,311 NGF

Page 313, line 47, strike "$18,732,988,737" and insert "$18,749,191,713".
Page 313, line 47, strike "$19,820,607,534" and insert "$19,837,738,054".

Page 340, after line 10, insert:

"PPPP. The Department of Medical Assistance Services shall execute a 1634 Agreement with Social Security Administration, eliminating the need for SSI recipients to file a Medicaid application and undergo annual redeterminations of eligibility for Medicaid. The department shall have the authority to promulgate emergency regulations to implement these amendments within 280 days or less from the enactment of this act or upon execution of 1634 agreement with the Social Security Administration and receipt of Federal authority."


(This amendment adds $1.9 million the first year and $2.0 million the second year from the general fund and $14.3 million the first year and $15.2 million the second year from matching federal Medicaid funds and other nongeneral funds to streamline the Medicaid application process for federal Supplemental Security Income recipients so that recipients do not have to file separate SSI and Medicaid applications and undergo annual renewals in both programs. Currently, the Medicaid program uses a Medicaid eligibility standard as outline in Section 209(b) of the Social Security Act, applying more restrictive criteria to evaluate SSI recipients for Medicaid. This was adopted when the Medicaid program was first adopted and implemented in Virginia. Additional funding would be necessary for this change, as an estimated 1,284 additional SSI recipients would be eligible for Medicaid, about half of whom would be eligible for long term care supports and services through the CCC Plus program.)