SEARCH SITE
VIRGINIA LAW PORTAL
- Code of Virginia
- Virginia Administrative Code
- Constitution of Virginia
- Charters
- Authorities
- Compacts
- Uncodified Acts
- RIS Users (account required)
SEARCHABLE DATABASES
- Bills & Resolutions
session legislation - Bill Summaries
session summaries - Reports to the General Assembly
House and Senate documents - Legislative Liaisons
State agency contacts
ACROSS SESSIONS
- Subject Index: Since 1995
- Bills & Resolutions: Since 1994
- Summaries: Since 1994
Developed and maintained by the Division of Legislative Automated Systems.
1998 SESSION
989096260WHEREAS, as the Department of Medical Assistance Services (DMAS) moves the Medical Assistance Program into a managed care environment through Medallion II, the effects of this decision on mental health, mental retardation, and substance abuse services on those individuals receiving those services have attracted considerable interest; and
WHEREAS, the first phase of this move, in Tidewater, included mental health clinic services and psychiatric inpatient hospitalization services, but excluded certain other services, in capitated contracts negotiated with health maintenance organizations; and
WHEREAS, this continues to fragment service delivery, making it more difficult for consumers and their families to obtain needed services that are coordinated and integrated; and
WHEREAS, the current proposal for implementing Medallion II in Northern Virginia includes psychiatric inpatient hospitalization in the capitated contracts but excludes certain mental health clinic services, along with certain other services excluded in the Tidewater contracts; and
WHEREAS, different states have selected a variety of solutions to the question of how to fund, administer, and deliver mental health, mental retardation, and substance abuse services financed by Medicaid; and
WHEREAS, one approach involves "carving out" all of these services from any managed care contracts negotiated with Health Maintenance Organizations or other networks of physical health care service providers; and
WHEREAS, the Joint Subcommittee to Evaluate the Future Delivery of Publicly Funded Mental Health, Mental Retardation and Substance Abuse Services (HJR 240, 1996) has endorsed the concept of a "carve out" approach in which the Department of Medical Assistance Services would subcontract the administration of Medicaid-covered mental health, mental retardation, and substance abuse services to the Department of Mental Health, Mental Retardation and Substance Abuse Services; now, therefore, be it
RESOLVED the House of Delegates, the Senate concurring, That in order to have sufficient time to develop the data and evaluative foundation to manage the proposed "carve out," implementation of all subcontracting or "carve out" proposals, with the exception of replacing the match currently transferred from grants to localities, be deferred until the 2001 Session of the General Assembly. To provide guidance on such implementation, the Secretary of Health and Human Resources, the Department of Mental Health, Mental Retardation and Substance Abuse Services, and the Department of Medical Assistance Services should present recommendations prior to the 2001 Session of the General Assembly on the implementation of the "carve out" which would become effective July 1, 2001.