Bill > HB1495

This bill directs the Department of Medical Assistance Services (the Department) to improve its supervision of "services facilitators," which are entities that help individuals access and manage Medicaid-funded services, particularly those that are consumer-directed. The Department will incorporate these services into a statewide contract and create a plan to monitor key aspects of care, such as timely requests for service authorization and regular reassessments. Furthermore, the bill mandates that the Department seek approval from the Centers for Medicare and Medicaid Services (CMS), a federal agency that oversees Medicare and Medicaid, to implement these oversight measures. Crucially, the bill also requires the Department to change its rules so that individuals do not lose their Medicaid coverage if a services facilitator fails to complete an eligibility determination, as long as the individual otherwise qualifies for medical assistance.

Budget and Finance, Health and Social Services

https://lis.virginia.gov/bill-details/20261/HB1495