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Developed and maintained by the Division of Legislative Automated Systems.
1998 SESSION
986781701WHEREAS, in Virginia, adult care residences are a key component of the long-term care continuum; and
WHEREAS, these facilities provide care for individuals who are ambulatory in varying degrees, with assisted living and intensive assisted living residents providing care for more a population with greater need; and
WHEREAS, recently, the Virginia Medicaid Program was directed, through budget language, to reimburse adult care residences on a per day basis for eligible residents; and
WHEREAS, in addition to the Medicaid reimbursement, clients of adult care residences may be eligible to receive auxiliary grants to pay for their care; and
WHEREAS, in addition to adult care residences and other mechanisms for delivery of long-term care, the Department of Medical Assistance Services conducts a program to reimburse adult day care through a waiver; and
WHEREAS, adult care residences care for individuals for 24 hours a day and adult day-care programs care for individuals for much fewer hours, e.g., the hours caregivers work or shop; and
WHEREAS, the reimbursement for the care rendered by adult care residences is much lower than that for adult day-care programs; and
WHEREAS, the reimbursement for adult care residences was set by law, with the Department of Medical Assistance Services having no discretion in setting the rates; and
WHEREAS, although the program to reimburse adult care residences is relatively new and the adult day-care program has been in existence for some time, the differences in the reimbursement appear difficult to rationalize; now, therefore be it
RESOLVED by the Senate, the House of Delegates concurring, That the Department of Medical Assistance Services is requested to study reimbursement rates for adult care residences and adult day-care. The Department is requested to examine (i) the basis on which reimbursement was established for adult care residences, (ii) the precise services for which reimbursement is made in the adult care residences, and (iii) the costs and other factors related to these issues. The Department is requested to include representatives from the long-term care community, particularly adult care residences and adult day-care, in this study. The Department is further requested to recommend an equitable solution to these reimbursement differences.
All agencies of the Commonwealth shall provide assistance to the Department of Medical Assistance Services for this study, upon request.
The Department shall complete its work in time to submit its findings and recommendations to the Governor and the 1999 Session of the General Assembly as provided in the procedures of the Division of Legislative Automated Systems for the processing of legislative documents.