Date Posted: 3/20/2003
Expiration Date: 5/7/2003
Submitted to Registrar for publication:
No comment forum defined for this notice.
Department of Medical Assistance Services
Notice of Intent to Increase Medical Assistance Payments for Services Provided by Community Services Boards
Notice is hereby given that the Department of Medical Assistance Services (DMAS) intends to change its methods and standards for setting payment rates for services provided by Community Services Boards (CSBs) to individuals eligible for Medicaid under the authority of Title XIX of the federal Social Security Act. The Virginia Department Medical Assistance Services administers the joint federal-state Medicaid program for the Commonwealth of Virginia. This notice is intended to satisfy the requirements of 42 CFR 447.205.
The Commonwealth of Virginia currently provides reimbursement for community mental health services and MR case management services provided by CSBs to individuals eligible for Medicaid. The department makes payments to CSBs for the specific services provided to eligible Medicaid recipients in accordance with an established fee schedule for all providers of these services.
The department intends to change its methods and standards for setting payments so that it can make supplemental lump sum payments for these services provided by CSBs in recognition of the unique role they play in Virginia’s health care delivery system and to better meet the goals of the program. The supplemental payments will be such that total payments will not exceed the maximum permitted under federal law.
The estimated increase in aggregate expenditures for these rate increases is $6,500,000 for fiscal year 2003 and $ 28,300,000 on an annual basis thereafter.
A copy of this notice is available for public review from N. Stanley Fields, Director, Division of Cost Settlement and Audit, DMAS, 600 E. Broad Street, Suite 1300, Richmond, VA 23219. Comments or inquiries may be submitted, in writing, within 30 days of this notice publication to this same individual at the address given.