Department of Medical Assistance Services
Board of Medical Assistance Services
General Notice: Public Notice - Intent to Amend the State Plan - Avoidable ER Claims and Hospital Readmissions
CLOSED Opened on 5/20/2020 and Ended on 6/19/2020
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194 comments
| Comment Title | Commenter | |
|---|---|---|
| Detrimental Impact of the ER Utilization Program | Richard Gill, MD | 6/19/20 10:38 pm |
| ER utilization program | John P. Riordan, MD, MSc | 6/19/20 10:37 pm |
| DMAS letter | Komal Dhir, Emergency Physician | 6/19/20 10:27 pm |
| the ER is the only place they can get care | dont do this to the poor and homeless | 6/19/20 10:26 pm |
| Medicaid reimbursement | Mechelle Ledwith CEPMV | 6/19/20 10:15 pm |
| Emergency Room Visits | Albert He, Emergency Physician | 6/19/20 10:06 pm |
| Stop Automatic Downcoding to protect vulnerable Medicaid patients | Leah Frank, MHS, PA-C, Emergency Physicians of Tidewater | 6/19/20 8:36 pm |
| Medicaid reimbursement | Zachary Dillon, M.D. | 6/19/20 8:28 pm |
| Save the emergency medical safety net for Virginians and stop the ER Utilization Program | Brian Anderson, MD. FACEP Centra Health | 6/19/20 8:08 pm |
| ER Utilization Program is Dangerous and Bad for Virginians | Russell Goldstein, MD - Alteon Health | 6/19/20 6:23 pm |
| Strong Opposition to the proposed ER utilization reimbursement schedule | Blaise MacEachern, MD | 6/19/20 6:08 pm |
| Protect Our Patients | Charles Sheldon, MD, FACEP | 6/19/20 5:58 pm |
| Don't Harm ER Patients | Emergency Physicians of Tidewater | 6/19/20 5:57 pm |
| ER Utilization and Readmission Penalties | Keenan Caldwell Vice President, Government Relations Sentara Healthcare | 6/19/20 5:52 pm |
| STOP cuts to ED reimbursement for prudent layperson concerns | Teresa M ross, MD Virginia Hospital Center | 6/19/20 5:40 pm |
| Stop the ER Utilization program reimbursement cuts | Jay Kugler, DO FACEP Commonwealth Emergency Physicians | 6/19/20 5:32 pm |
| Comment to DMAS on the Emergency Room Utilization Program | Clark Barrineau, The Medical Society of Virginia | 6/19/20 5:24 pm |
| Stop this legislation | Jeffrey Morgan, MD, Richmond Emergency Physicians Inc | 6/19/20 5:01 pm |
| Stop the ER Utilization program reimbursement cuts | Lawrence Leslie, MD | 6/19/20 4:40 pm |
| Reconsider ER Utilization Program | Kathryn Mutter, MD, MPH | 6/19/20 4:18 pm |
| Stop ER Utilization Program | INOVA ED | 6/19/20 4:13 pm |
| Avoidable ER Claims and Hospital Readmissions | Melinda Hancock, VCU Health System | 6/19/20 4:09 pm |
| DMAS: Impact of the ER Utilization Program | Daniel Hawkins MD, UVA | 6/19/20 3:55 pm |
| Violation of CMS (Federal Regulations) & Trampling of “Prudent Layperson” Legislation | Peter J. Paganussi, MD, FACEP | 6/19/20 3:45 pm |
| ER Utilization Program Failure | Heather Lounsbury, MD | 6/19/20 3:36 pm |
| Just say no | Grayson Goldman DO; REPI | 6/19/20 3:12 pm |
| Stop this legislation | Jeffrey Mason, Richmond Emergency Physicians Inc | 6/19/20 2:58 pm |
| please stop the legislation | Ashley Zelenak MD, Richmond Emergency Physicians | 6/19/20 2:45 pm |
| Harm to patients | Robert E. O'Connor | 6/19/20 2:44 pm |
| Please | Margaret Sande, MD | 6/19/20 2:26 pm |
| Hospital Readmissions | Brent Rawlings on behalf of Virginia Hospital & Healthcare Association | 6/19/20 2:18 pm |
| STOP!! ER utilization program | Nicole Curry PA-C | 6/19/20 2:17 pm |
| Avoidable ER Claims | Brent Rawlings on behalf of Virginia Hospital & Healthcare Association | 6/19/20 2:17 pm |
| DMAS must stop the implementation of the Emergency utilization program. | Sara F. Sutherland, MD, MBA, FACEP, UVA Health System | 6/19/20 2:16 pm |
| Unfair reimbursement | Oliver Agustin | 6/19/20 1:51 pm |
| Unfair reimbursement plan | Darrielle Blum | 6/19/20 1:39 pm |
| Comments on new Virginia Medicaid reimbursement policy | Kendall Shaw, VCUHS | 6/19/20 1:30 pm |
| Stop the ER utilization program. The prudent layperson standard exists for a reason. | Christopher Thom, MD, UVAHealth | 6/19/20 1:29 pm |
| Stop DMAS | Katharine Fayad, MD CEPMV | 6/19/20 12:36 pm |
| ER and Readmissions Comment | Anthony Keck, Ballad Health | 6/19/20 12:34 pm |
| Severe Errors in Design of ER Utilization Program | Marc Kealhofer, ScM; MD/PhD student (Virginia Commonwealth University SOM) | 6/19/20 12:30 pm |
| Stop the DMAS ER utilization program | Lewis Siegel, Chesapeake Emergency Physicians | 6/19/20 12:17 pm |
| Is a pandemic the right time to lower payments to hospitals? | Bradley Conlin - Medical Student / Former Paramedic | 6/19/20 12:15 pm |
| Protect our Patients | Brooke Lindborg, MD | 6/19/20 12:08 pm |
| Re: Stop Unfair reimbursement proposal | Michelle Pyka, DePaul Medical Center | 6/19/20 12:07 pm |
| STOP the suggested ER Reimbursement For Preventable Causes amendment | Dr Kevin Connelly | 6/19/20 12:04 pm |
| Stop the ER Utilization in Program in Virginia | Robert Wilson. Emergency Medicine Physician, Richmond, VA | 6/19/20 11:59 am |
| DMAS Stop the ER Utilization Program | Thomas L Vizioli Jr, Emergency Physicians of Tidewater | 6/19/20 11:59 am |
| Preventable ED Visits | Christopher Carpenter | 6/19/20 11:55 am |
| STOP the proposed Emergency Reimbursement policy | Connor Carry, MD - VCU Health | 6/19/20 11:50 am |
| Please stop the ER Utilization Program in Virginia | Brittany Lamb, MD INOVA Loudoun hospital | 6/19/20 11:48 am |
| Stop the ER Utilization Program in Virginia | Marwan Jaber, MD, ER physician with CEP at Inova Loudon Hospital, Leesburg | 6/19/20 11:41 am |
| Humble Urge for Reversal of ER Utilization Program | James Chung, Eastern Virginia Medical School | 6/19/20 11:39 am |
| Stop ER Utilization Program. | David Lala, PA-C, Emergency Physicians of Tidewater | 6/19/20 11:38 am |
| DMAS downcoding of Medicaid Emergency Department Visits | Michael Joseph Bono, MD. Emergency Physicians of Tidewater | 6/19/20 11:35 am |
| "Preventable" ER Visits | Jonathan Byrne, MD Assistant Director, Sentara Obici Emergency Dept | 6/19/20 11:30 am |
| Cost shift away from Medicaid | Hugh Hill MD JD FACEP | 6/19/20 11:29 am |
| Stop ER Utilization Program. | Curtis Reiber, VCU SOM | 6/19/20 11:28 am |
| Limiting patient access to care | Jagadish Potluri MD, CEP | 6/19/20 11:23 am |
| Please delay or cancel implementation of these changes to the State Plan | Jake O'Shea, MD; Chief Medical Officer, HCA Healthcare Capital Division | 6/19/20 11:19 am |
| Stop ER utilization program | Adam Nyarady PA-C Emergency Physicians of Tidewater | 6/19/20 11:15 am |
| Avoidable ER Claims and Hospital Readmissions | Mark Duncan, Riverside Health System | 6/19/20 11:07 am |
| Detrimental impact on Minorities. | Pranav Virmani, MD. CEP | 6/19/20 10:48 am |
| Medicaid reimbursement | Ginny Khanna CEPMV | 6/19/20 10:39 am |
| Delay DMAS - Support patients and ER physicians | Kyle Alexander, VCU School of Medicine Class of 2022 | 6/19/20 10:34 am |
| Protect ER Patients | Joseph C Mason MD | 6/19/20 10:07 am |
| Medicaid reimbursement changes in Emergency Care | Heather M, citizen | 6/19/20 9:59 am |
| ER Utilization Program | Christina Johnson | 6/19/20 9:36 am |
| Halt implementation of ER utilization program | Austin Reynolds, MD, CEPMV | 6/19/20 9:26 am |
| Opposition of Medicaid Reimbursement Cuts | Richard Tan, United States Air Force | 6/19/20 8:52 am |
| Protect vulnerable populations and the people that care for them! | Dennis Bernier, DO, Commonwealth Emergency Physicians | 6/19/20 7:34 am |
| Don’t cripple vulnerable patients from getting care | Aaron Rudd, DO. Bon Secours Richmond | 6/19/20 6:45 am |
| ER Utilization Program | F. Jerome Diskin, MD | 6/19/20 6:22 am |
| Stop the implementation of the ER utilization program | Michael Homeyer MD FACEP Commonwealth Emergency Physicians | 6/19/20 12:25 am |
| This Bill Will Damage Patients and ER Providers Alike | Josh Long, NP, Winchester Emergency Physicians | 6/18/20 11:49 pm |
| Stop ER DMAS code restriction | OrthoVirginia | 6/18/20 10:45 pm |
| Stop ER Utilization Program | Aleksandr Zyskin, EVMS Class of 2024 | 6/18/20 10:30 pm |
| Stop DMAS | Brian Dykstra, EVMS class of 2024 | 6/18/20 9:30 pm |
| Stop the ER DMAS program | Ronak Shah, MD | 6/18/20 9:14 pm |
| DMAS ER program | OrthoVirginia | 6/18/20 8:30 pm |
| Please DO NOT implement DMAS | Gabrielle Ransford MD, EVMS | 6/18/20 8:11 pm |
| Stop the ER Utilization Program | Caroline Benz | 6/18/20 7:52 pm |
| Stop ER Code restriction | Peter Caprise, Orthovirginia | 6/18/20 7:19 pm |
| Stop the ER Utilization program | Gretchen Shaar-Hagwood, MD | 6/18/20 4:34 pm |
| Stop the ER Utilization Program | Douglas R Landry, MD | 6/18/20 3:48 pm |
| Delay the ER Utilization Program to Ensure Access to Emergency Care & Protect Prudent Layperson | Virginia College of Emergency Physicians | 6/18/20 3:29 pm |
| STOP the $14.98 DMAS Emergency Care Reimbursement Policy | JEFFREY GERSBACH MD Shenandoah Memorial Hospital Woodstock VA | 6/18/20 2:49 pm |
| ER Utilization Program | Carol McCammon MD MPH FACEP | 6/18/20 12:42 pm |
| Do NOT Implement ER Utilization Program | Zane Shuck, MD - Emergency Physicians of Tidewater | 6/18/20 12:07 am |
| Stop DMAS | Matthew Lillis | 6/17/20 11:52 pm |
| ER UTILIZATION PROGRAM | William C Reha MD MBA | 6/17/20 11:03 pm |
| STOP DMAS | Kathleen Anderson, MD | 6/17/20 10:28 pm |
| ER Utilization Program Hurts Patients & Physicians | Emma Craige, UVA MS-2 | 6/17/20 10:00 pm |
| Please stop the "ER Utilization Program" | Gavin Rogers, MD RES (EVMS) | 6/17/20 10:00 pm |
| Please oppose Emergency Utilization Bill | Adrian Romero, Sentara | 6/17/20 9:11 pm |
| Stop DMAS! | Andy Bunch, MD | 6/17/20 8:14 pm |
| ER Utilization Program | Wendy Curulla, MD | 6/17/20 7:49 pm |
| Stop DMAS! | April Shackleford MD | 6/17/20 7:45 pm |
| ER utilization | Carilion Clinic | 6/17/20 7:30 pm |
| Please Protect Virginia's Patients and Hospitals, Stop the ER Utilization Bill | Joseph Lang, MD FACEP, ABEM-EMS | 6/17/20 7:13 pm |
| Impact of ER Utilization Program on access to care for Medicaid patients | Thomas Wagner, MD FACEP Emergency Physicians of Tidewater | 6/17/20 6:46 pm |
| Undermines EMTALA, Violates Prudent Layperson Standard, and Promotes Health Disparities | Trisha Anest MD MPH FACEP | 6/17/20 6:31 pm |
| limiting payment for low acuity ER visits | John Knarr | 6/17/20 5:37 pm |
| This legislation is not the solution. | Adam Trusty, Eastern Virginia Medical School, MS-2 | 6/17/20 5:34 pm |
| er utilization decisions | Samuel Dan Caughron | 6/17/20 5:19 pm |
| protect patients; stop implementation of the ER utilization program | JHubbard, PA-C, Cheseapeake Regional Emergency Dept | 6/17/20 5:10 pm |
| oppose ER utilization "preventable" illnesses | Gregory Zachmann, M.D. Jefferson Surgical Clinic | 6/17/20 5:04 pm |
| ER visits by Medicaid patients and others | Ananda Pandurangi, MD, VCU Health | 6/17/20 4:11 pm |
| Downgrading physicians services for Emergency Care | Bruce A. Silverman, MD, Charleston Enterprises, LLC | 6/17/20 3:15 pm |
| Do not reduce medicid for "avoidable visits" | Ben Chopski DO, VCU Health | 6/17/20 3:15 pm |
| Protect Patients | James Spriggs, VCU SOM | 6/17/20 3:08 pm |
| Why punish the rescuers? | Dr. Molly Davis, MD | 6/17/20 2:54 pm |
| Save the safety net! | Bart Johnson, Shenandoah Emergency Physicians | 6/17/20 2:47 pm |
| ER Utilization Program | Jeff Kessel | 6/17/20 2:44 pm |
| ER Utilization Program | Lowell Inhorn, MD | 6/17/20 2:21 pm |
| Ensuring Access to Emergency Care by Protecting the Prudent Layperson Standard | Katherine Schaffer, EVMS MS-3 | 6/17/20 2:07 pm |
| Please don't abandon the "Prudent Layperson" standard | Richard L. Manolio, MD, Chesapeake Regional Emergency Department | 6/17/20 12:26 pm |
| HB30 - Medicaid Downcoding budget amendment | James Palma; Chesapeake Regional Medical Center | 6/17/20 10:32 am |
| Please STOP DMAS Legislation | Kevin Knoop, MD, MS Riverside Health System | 6/17/20 10:13 am |
| If you THINK you are having an emergency, call 911 | Ben Fickenscher, | 6/17/20 10:05 am |
| Strongly against the ER Utilization Program proposed changes | JASON DELONG, MD | 6/17/20 9:40 am |
| Maintain the Prudent Layperson Standard! | Peter Alan Sim, MD, FACEP | 6/17/20 9:32 am |
| Keep the Prudent Layperson standard, not a diagnosis list | Leonard Yang, M.D., F.A.C.E.P. | 6/16/20 11:58 pm |
| Protect patients | Steven Bauer MD | 6/16/20 9:50 pm |
| Keep patients from dying | John Shaner, MD, Riverside Regional Medical Center | 6/16/20 9:25 pm |
| A Guaranteed Way to Close Your Local Emergency Department and Kill Patients | Jason Garrison | 6/16/20 8:58 pm |
| Do Not Pass 'ER Utilization Program | Edwin McLaughlin MD, Emergency Physicians of Tidewater | 6/16/20 7:42 pm |
| Oppose 12VAC 30-80; bad financially & unjust as well (equity, access, & safety consequences) | Paul Mullan, MD, MPH, FAAP, Children's Hospital of the King's Daughters | 6/16/20 4:34 pm |
| More than just a bad idea financially - A morally bad idea: equity, access, and safety consequences | Paul Mullan, MD, MPH, FAAP, Children's Hospital of the King's Daughters | 6/16/20 4:23 pm |
| Preventable ER Visit list is bad for Virginia ERs and bad for Virginians. | Gary Kavit MD FACEP , Riverside Health System | 6/16/20 12:00 pm |
| Avoidable ER Claims and Hospital Readmissions | Curtis Byrd | 6/16/20 11:29 am |
| Do NOT Implement ER Utilization Program | Benjamin Chidester, EPT EVMS | 6/16/20 2:12 am |
| Protect patients, not insurance companies | Patrick Bourke | 6/15/20 3:29 pm |
| DMAS | Manuel Armada | 6/15/20 3:02 pm |
| DMAS | Katharine Catlett, MD, Bon Secours Richmond | 6/15/20 12:27 pm |
| DMAS' Preventable ER Visits | Audrey Grant, MD., FACEP -Inova ER of Reston/ Herndon | 6/15/20 11:57 am |
| Keep reimbursement levels appropriate for necessary care | Morgan North, MS | 6/15/20 11:40 am |
| Keep Emergency Departments Open | Jesse Spangler, MD | 6/15/20 10:06 am |
| Stop insurance company lobbyists | Jennifer Termeer | 6/15/20 10:01 am |
| Protect patients, not insurance companies | Glen Hookey, MD | 6/15/20 9:15 am |
| ER Utilization Program | William Azie | 6/15/20 8:32 am |
| Detrimental Impact of ER Utilization Program | Elizabeth Tracy, PA, Bon Secours Hampton Roads | 6/15/20 7:42 am |
| We've been down this road | Mark Sochor, MD, MS, FACEP - University of Virginia Health System | 6/15/20 7:19 am |
| Please No | Dr Lauren Brown, Centra Health | 6/15/20 4:07 am |
| Stop the Implementation of the ER Utilization Program | Theodore Tzavaras, MD | 6/14/20 11:11 pm |
| DMAS | Douglas Bernstein, MD | 6/14/20 9:55 pm |
| Detrimental Impact of the ER Utilization Program | Doug NAssif | 6/14/20 9:34 pm |
| All people deserve care | Robert Reiser MD | 6/14/20 9:05 pm |
| Halt Medicaid Downcoding Program | Sara McCarthy | 6/14/20 6:25 pm |
| Halt This Legislation | Becky Johnson, EVMS MS-4 | 6/14/20 4:34 pm |
| Protect Patients Interests and the Prudent Layperson Standard for Emergency Care | Charles S. Graffeo MD | 6/14/20 3:38 pm |
| Do NOT implement the ER Utilization Program | Emily Harbin, Emergency Physicians of Tidewater | 6/14/20 2:57 pm |
| Please ensure access to emergency care | Dr. Rebecca Lipscomb | 6/14/20 2:09 pm |
| MD | Joran Sequeira, Bon Secours Richmond | 6/14/20 1:35 pm |
| Do NOT Implement ER Utilization Program | AJ Langa, Emergency Physicians of Tidewater | 6/14/20 11:43 am |
| Do NOT Implement ER Utilization program | Jessica Grace Cartoski | 6/14/20 10:20 am |
| Stop the Implementation of the ER Utilization Program | Francis L Counselman | 6/14/20 9:57 am |
| Please stop this harmful legislation | Jeff Leary, MD, Richmond Emergency Physicians | 6/14/20 9:57 am |
| Do NOT Implement ER Utilization program | Charles Beaudette MD | 6/14/20 9:41 am |
| Medicaid reimbursement | Gregory Lamb, MD. Richmond Emergency Physicians Inc. | 6/14/20 8:17 am |
| ER Utilization program | Everett Embrey, MD, FACEP | 6/14/20 7:30 am |
| Stop implementation of the ER utilization program (DMAS) | Chris Johnson, Richmond Emergency Physicians, Inc. | 6/14/20 7:16 am |
| STOP DUMAS | Cara Marks, MD | 6/14/20 5:17 am |
| STOP the implemtation of the ER utilization program (DMAS) | Chris Hughes, Richmond Emergency Physicians, Inc. | 6/14/20 3:11 am |
| Stop this bill | Anjeza Cipi | 6/13/20 9:26 pm |
| Stop the ER Utilization Program | Cameron Olderog, MD | 6/13/20 8:45 pm |
| Stop the implementation of the ER utilization program (DMAS) | Tricia Stolle | 6/13/20 5:04 pm |
| MD | matthew jones | 6/13/20 4:55 pm |
| Please stope this harmful bill | C. Adam Sawyer, MD, Emergency Physicians of Tidewater | 6/13/20 4:11 pm |
| please stop this harmful legislation, | Eleanor Erwin | 6/13/20 3:26 pm |
| dmas | charles cole | 6/13/20 3:08 pm |
| Stop the avoidable ED payment adjustment | Peter Brooks, EVMS | 6/13/20 2:33 pm |
| STOP the ER Utilization Program | Lipika Bhat | 6/13/20 1:41 pm |
| Stop this harmful legislation | David Nesbitt | 6/13/20 1:39 pm |
| Stop Detrimental ER utilization program | Robert Antoniuk | 6/13/20 12:57 pm |
| STOP the "Avoidable" ED visit payment rate adjustment!!! | Jaysun Cousins, MD. Emergency Physicians of Tidewater | 6/13/20 12:49 pm |
| Patients are not doctors - don’t pass this bill. | Dr Laura Quint, Inova Fairfax Hospital, | 6/13/20 12:40 pm |
| Stop the implementation of the ER utilization program (DMAS) | Julie Myers | 6/13/20 12:18 pm |
| Stop ER Utilization Program in Virginia | George Luiskutty | 6/13/20 11:59 am |
| Stop the implementation of the ER utilization program (DMAS) | Stewart Martin, M.D., Emergency Physicians of Tidewater | 6/13/20 11:48 am |
| Medicaid reimbursement | Eric Deutsch | 6/13/20 11:31 am |
| Stop this bill! | Lucie “Tex” Ford, EVMS Emergency Medicine Resident | 6/13/20 11:31 am |
| Preventable ER visit coding | Shannon Knapp, MD | 6/13/20 11:26 am |
| Detrimental Impact of the ER Utilization Program | Scott Sparks, MD, Riverside Regional Medical Center | 6/13/20 11:26 am |
| Medicaid reimbursement | Jared Goldberg,MD | 6/13/20 11:24 am |
| Stop the implementation of the ER utilization program | Phillip Jordan, Emergency Physicians of Tidewater and EVMS | 6/13/20 11:23 am |
| Stop the implementation of the ER utilization program (DMAS) | Joel C Michael MD FACEP Asst Clinical Professor EVMS School of Medicine | 6/13/20 11:12 am |
| DMAS | Dan McCormack, MD | 6/13/20 11:11 am |
| Stop the implementation of the ER utilization program (DMAS) | Scott McCann | 6/13/20 10:58 am |
| ER Utilization Program | Peter J. Paganussi, M.D., FACEP | 6/13/20 10:55 am |
| Stop the implementation of the ER utilization program (DMAS) | Bruce Lo, Emergency Physicians of Tidewater, Eastern Virginia Medical Schoo | 6/13/20 10:48 am |
| Medicaid reimbursement | Randal Geldreich,MD | 6/13/20 10:43 am |
| medicaid reimbursement | scott hickey, vacep | 6/13/20 10:40 am |
| ED list of preventable visits | Christopher Turnbull | 6/13/20 10:40 am |
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