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 August 1, 2016

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 increase the rate paid for Case Management Services for individuals with developmental disabilities.  This change will be reflected in an update to the Methods and Standards for Establishing Payment Rates—Other Types of Care (12 VAC 30-80).

This notice is not required by 42 C.F.R. § 447.205 and of § 1902(a)(13) of the Social Security Act, 42 U.S.C. § 1396a(a)(13), but is nevertheless designed to meet those requirements.  A copy of this notice is available for public review from William Lessard, Provider Reimbursement Division, DMAS, 600 Broad Street, Suite 1300, Richmond, VA  23219, or via e-mail at:  William.Lessard@dmas.virginia.gov.

DMAS is specifically soliciting input from stakeholders, providers and beneficiaries, on the potential impact of the proposed increase in the case management rate for individuals with developmental disabilities, and any effect on beneficiary access to care.  Comments or inquiries may be submitted, in writing, within 30 days of this notice publication to Mr. Lessard and such comments are available for review at the same address.  Comments may also be submitted, in writing, and are available for review on the Town Hall public comment forum attached to this notice.

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

DMAS is clarifying that it is not changing its methods and standards for setting payment rates.  However, in order to comply with the legislative mandates set forth in the 2016 Acts of Assembly, Chapter 780, Item 306, DMAS is posting this notice of its intent to increase the rate paid for Case Management services for individuals with developmental disabilities.

Reimbursement Changes Affecting Other Providers (12 VAC 30-80)

12VAC30-80-110 is being amended to:

Remove the reference to rates that were established in September, 2013, as DMAS plans to increase the rates for Case Management services for individuals with developmental disabilities by 38%.The rate increase will be effective July 1, 2016.

The expected annual increase in expenditures for the rate increase is $964,211.81.