Virginia Regulatory Town Hall
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Department of Medical Assistance Services
 
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Board of Medical Assistance Services
 
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8/16/23  4:38 pm
Commenter: Daniela Pretzer - The BridgeLine

CM Agency/provider requirements
 

1. Guarantee that individuals have access to emergency services assistance either directly or on-call 24 hours per day, seven days per week and holidays on a 24-hour basis…

Please clarify what “emergency assistance” entails and how that differs from the previous version that stated “emergency services”.  We currently do not provide all emergencies assistance but have safety plans for clients to call 911 and 988 when needed.  A 24/7 would be a financial burden to the current non-profit brain injury providers.

2. Ability to serve: ‘Demonstrate the ability to serve individuals in need of comprehensive services regardless of an individual’s ability to pay or eligibility for Medicaid reimbursement. (i.e., lapse in coverage, transitional care, etc.)’

For clarification, we believe it should read ‘Demonstrate the ability to serve individuals in need of non-medial comprehensive brain injury services regardless of an individual’s ability to pay or eligibility for Medicaid reimbursement. (i.e., lapse in coverage, transitional care, etc.).

Question: How will the organization get reimbursed if a client is not able to pay or eligible for Medicaid reimbursement? This could be costly. This was a question last time and has not been addressed. Thank you for clarifying.

 

 

CommentID: 218790