Virginia House Bill HB1282

Virginia 2024 Regular Session

• Introduced: 1/10/24
• Refer: 1/10/24

Caption

1915(c) Home and Community-Based Services Medicaid Waivers; state plan amendments, program rule.

Impact

By removing the stated provision, HB1282 aims to enhance access to personal care services for recipients of Medicaid. This could potentially lead to increased flexibility in how care services are coordinated and delivered within families, allowing legally responsible individuals to be reimbursed even when other support is available. Such changes may significantly improve the quality of care for individuals who require assistance, ensuring they have the support needed in a community setting without the financial constraint that currently exists.

Summary

House Bill 1282 seeks to amend regulations concerning the 1915(c) Home and Community-Based Services Medicaid Waivers in Virginia. The bill mandates the Department of Medical Assistance Services (DMAS) and the Department of Behavioral Health and Developmental Services (DBHDS) to submit state plan amendments to the Centers for Medicare and Medicaid Services. This will allow for modifications to program rules specifically relating to the Community Living Waiver, Family and Individual Supports Waiver, and Commonwealth Coordinated Care Plus Waiver. A notable change proposed is the elimination of the requirement that a legally responsible individual can only receive reimbursement for personal care services if no other person is available to provide those services to the Medicaid member.

Contention

Discussion surrounding HB1282 may include perspectives on the implications of modifying these Medicaid waiver rules. Proponents of the bill argue that it alleviates unnecessary restrictions that could limit access to vital services for individuals needing home and community-based care. However, there may be concerns regarding the potential for increased costs or implications for service oversight and quality assurance. Stakeholders may debate the balance between ensuring access to care and maintaining standards for reimbursement and support services.