Virginia House Bill 1294 (Prior Session Legislation)

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Spectrum: Partisan Bill (Democrat 1-0)
Status: Introduced on January 20 2022 - 25% progression, died in committee
Action: 2022-02-15 - Left in Health, Welfare and Institutions
Pending: House Health, Welfare and Institutions Committee
Text: Latest bill text (Introduced) [HTML]

Personal care services; requirements for managed care organizations. Requires the Department of Medical Assistance Services (the Department) to include in every contract between the Department and a managed care organization a provision that (i) authorizations or reauthorizations of consumer-directed or agency-directed personal care service hours for individuals receiving services through the Commonwealth Coordinated Care Plus waiver shall be required no more frequently than once every 12 months unless warranted by a substantial change in the medical needs of the service recipient and (ii) the managed care organization shall not remove a provider that provides consumer-directed or agency-directed personal care services for individuals receiving services through the Commonwealth Coordinated Care Plus waiver from its provider network without cause, and shall provide a written statement setting forth such cause to the provider prior to such removal. Personal care services; requirements for managed care organizations. Requires the Department of Medical Assistance Services (the Department) to include in every contract between the Department and a managed care organization a provision that (i) authorizations or reauthorizations of consumer-directed or agency-directed personal care service hours for individuals receiving services through the Commonwealth Coordinated Care Plus waiver shall be required no more frequently than once every 12 months unless warranted by a substantial change in the medical needs of the service recipient and (ii) the managed care organization shall not remove a provider that provides consumer-directed or agency-directed personal care services for individuals receiving services through the Commonwealth Coordinated Care Plus waiver from its provider network without cause, and shall provide a written statement setting forth such cause to the provider prior to such removal. The bill also requires the Department to seek federal approval to amend the Commonwealth Coordinated Care Plus waiver and, upon receipt of such approval, amend the implementing regulations to provide that authorizations and reauthorizations of consumer-directed or agency-directed personal care service hours for individuals receiving services through the Commonwealth Coordinated Care Plus waiver shall be required no more frequently than once every 12 months unless warranted by a substantial change in the medical needs of the service recipient.

Personal care services; requirements for managed care organizations.

Del. Wendy Gooditis [D]

2022-02-01 - House - House: Subcommittee recommends laying on the table (5-Y 0-N) (Y: 5 N: 0 NV: 0 Abs: 1) [PASS]

Date	Chamber	Action
2022-02-15	House	Left in Health, Welfare and Institutions
2022-02-01	House	Subcommittee recommends laying on the table (5-Y 0-N)
2022-01-28	House	Assigned HWI sub: Subcommittee #3
2022-01-20	House	Referred to Committee on Health, Welfare and Institutions
2022-01-20	House	Presented and ordered printed 22103371D

Chapter	Article	Section	Citation Type	Statute Text
32	1	331.05	(n/a)	See Bill Text

Type	Source
Summary	https://lis.virginia.gov/cgi-bin/legp604.exe?221+sum+HB1294
Text	https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+HB1294+hil
Supplement	https://lis.virginia.gov/cgi-bin/legp604.exe?221+oth+HB1294F122+PDF
Roll Call	https://lis.virginia.gov/cgi-bin/legp604.exe?221+vot+H1203V0002+HB1294