2022 Session

Budget Amendments - SB30 (Member Request)

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Chief Patron: Ruff
Increase Reimbursement for Durable Medical Equipment

Item 304 #20s

Item 304 #20s

First Year - FY2023 Second Year - FY2024
Health and Human Resources
Department of Medical Assistance Services FY2023 $4,380,000 FY2024 $0 GF
FY2023 $5,620,000 FY2024 $0 NGF

Page 313, line 47, strike "$18,732,988,737" and insert "$18,742,988,737".

Page 340, after line 10, insert:

"PPPP.  The Department of Medical Assistance Services shall amend the State Plan for Medical Assistance Services, and any necessary waivers thereof, to reimburse any durable medical equipment (DME) and supplies item that has a durable medical equipment regional carrier (DMERC) rate at 100 percent of the DMERC rate. The department shall implement these changes effective July 1, 2022, and prior to the completion of any regulatory process undertaken in order to effect such change."


(This amendment includes funding and language that changes the Medicaid payment for covered durable medical equipment (DME) and supplies to 100 percent of the Centers for Medicare and Medicaid Services DMERC fee schedule. Through the Federal CARES Act Medicare DMERC rates were increased until the Public Health Emergency (PHE) ends. Because of the current way Virginia Medicaid rates are calculated, they are not affected by this Medicare increase. Once the PHE ends there will be no fiscal impact for Virginia from this legislation.)