2023 Session

Budget Amendments - HB1400 (Member Request)

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Chief Patron: Sickles
EPSDT Therapeutic Group Homes Rate Increase

Item 304 #39h

Item 304 #39h

First Year - FY2023 Second Year - FY2024
Health and Human Resources
Department of Medical Assistance Services FY2023 $0 FY2024 $460,000 GF
FY2023 $0 FY2024 $460,000 NGF

Page 355, line 40, strike "$22,919,178,986" and insert "$22,920,098,986".

Page 383, line 44, after "change.", insert:

"The department shall include any and all Early Periodic Screening Diagnosis and Treatment (EPSDT) Therapeutic Group Homes in such rate increase effective July 1, 2022, regardless of the number of providers and whether or not such facilities were previously included in the list of eligible procedure and revenue codes provided in the Medicaid Bulletin to Providers of Home and Community Based Services Waivers (HCBS) and EPSDT services participating in Virginia Medical Assistance Programs and Medicaid Managed Care Organizations (MCOs) dated October 16, 2021. The department shall have the authority to implement these changes prior to completion of any regulatory process undertaken in order to effect such change."


(This amendment provides $460,000 from the general fund and $460,000 from nongeneral funds the second year to increase reimbursement for Early Periodic Screening Diagnosis and Treatment (EPSDT) therapeutic Group Homes that were excluded from the 12.5 percent rate increase, despite qualifying for such increase in 2021 and 2022. EPSDT therapeutic group homes provide services for 70 children in Virginia.)