LEGAL NOTICE

COMMONWEALTH OF VIRGINIA

DEPARTMENT OF MEDICAL ASSISTANCE SERVICES

NOTICE OF INTENT TO AMEND

(Pursuant to §1902(a)(13) of the Act (U.S.C. 1396a(a)(13))

THE VIRGINIA STATE PLAN FOR MEDICAL ASSISTANCE

This Notice was posted on December 1, 2023

The Virginia Department of Medical Assistance Services (DMAS) hereby affords the public notice of its intention to amend the Virginia State Plan for Medical Assistance to provide for changes to the Methods and Standards for Establishing Payment Rates — Other Types of Care (12 VAC 30-80).  

This notice is intended to satisfy the requirements of 42 C.F.R. § 447.205 and of § 1902(a)(13) of the Social Security Act, 42 U.S.C. § 1396a(a)(13).  A copy of this notice is available for public review from Meredith Lee, DMAS, 600 Broad Street, Suite 1300, Richmond, VA  23219, or via e-mail at:  Meredith.Lee@dmas.virginia.gov. 

DMAS is specifically soliciting input from stakeholders, providers and beneficiaries, on the potential impact of the proposed changes discussed in this notice.  Comments or inquiries may be submitted, in writing, within 30 days of this notice publication to Meredith Lee and such comments are available for review at the same address.  Comments may also be submitted, in writing, on the Town Hall public comment forum attached to this notice.

This notice is available for public review on the Regulatory Town Hall (https://townhall.virginia.gov) on the General Notices page, found at:  https://townhall.virginia.gov/L/generalnotice.cfm

Methods & Standards for Establishing Payment Rates-Other Types of Care (12 VAC 30-80)

1. In accordance with the 2023 Special Session, Item 304.TTTT, the state plan is being revised to increase the reimbursement rates for Early Intervention services, excluding case management, by 12.5 percent for all children under age three enrolled in Early Intervention in Virginia Medicaid.

The expected increase in annual aggregate fee-for-service expenditures is $8,995 in state general funds and $9,445 in federal funds in federal fiscal year 2024.

2. In accordance with the 2023 Special Session, Item 304. VVVV.1, the state plan is being revised to increase rates by 10 percent for the following Medicaid-funded community-based services: Intensive In-Home, Mental Health Skill Building, Psychosocial Rehabilitation, Therapeutic Day Treatment, Outpatient Psychotherapy, Peer Recovery Support Services -- Mental Health.

The expected increase in annual aggregate fee-for-service expenditures is $131,548 in state general funds, $9,605 in special funds, and $224,573 in federal funds in federal fiscal year 2024.

3. In accordance with the 2023 Special Session, Item 304.VVVV.2, the state plan is being revised to increase rates by 10 percent for the following Medicaid-funded community-based services: Comprehensive Crisis Services (which include 23-hour Crisis Stabilization, Community Stabilization, Crisis Intervention, Mobile Crisis Response, and Residential Crisis Stabilization), Assertive Community Treatment, Mental Health - Intensive Outpatient, Mental Health - Partial Hospitalization, Family Functional Therapy and Multisystemic Therapy.

The expected increase in annual aggregate fee-for-service expenditures is $43,903 in state general funds, $8,434 in special funds, and $122,004 in federal funds in federal fiscal year 2024.

4. In accordance with the 2023 Special Session, Item 304.WWWW, the state plan is being revised to increase the rates for mental health partial hospitalization from a per diem rate of $250.62 to $500.00 and shall increase the rate for mental health intensive outpatient programs from a per diem of $159.20 to $250.00.

The expected increase in annual aggregate fee-for-service expenditures is $4,118 in state general funds, $844 in special funds, and $11,922 in federal funds in federal fiscal year 2024.

5. In accordance with the 2023 Special Session, Item 304.YYYY, the state plan is being revised to increase the rates for agency and consumer-directed personal care services by five percent. (A corresponding rate increase of 5% will be provided for personal care services and for companion and respite services provided under home and community- based waivers, however, the increase is not included in this state plan amendment but via waiver  documentation.)  

The expected increase in annual aggregate fee-for-service expenditures is $1,187 in state general funds and $1,246 in federal funds in federal fiscal year 2024.