2026 SESSION

HOUSE SUBSTITUTE

26107348D

HOUSE BILL NO. 1495

AMENDMENT IN THE NATURE OF A SUBSTITUTE

(Proposed by the House Committee on Health and Human Services

on ________________)

(Patron Prior to Substitute—Delegate Tran)

A BILL to direct the Department of Medical Assistance Services to seek the necessary permission from the Centers for Medicare and Medicaid Services to enhance oversight of services facilitation.

Be it enacted by the General Assembly of Virginia:

1. § 1. That the Department of Medical Assistance Services (the Department) shall enhance oversight of Medicaid services facilitation for consumer directed services. Such oversight shall include incorporation of the services into the statewide Fiscal Employer Agent contract and the development of a contract monitoring and oversight plan to ensure proper management of consumer directed care. Such plan shall include monitoring timely service authorization requests, annual plan of care and individualized service planning, and reassessment visits. The Department shall submit state plan amendments, apply for waivers, and update provider manuals or guidance as necessary to implement the provisions of this act.