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2024 SESSION

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24104733D
HOUSE BILL NO. 593 Offered January 10, 2024 Prefiled January 9, 2024 A BILL to require the Department of Medical Assistance Services to seek authority to establish a neurobehavioral science unit and to submit an amendment to the state plan for medical assistance services to the Centers for Medicare and Medicaid Services to implement a waiver for individuals with traumatic brain injury and neurocognitive diagnoses; work group. ---------- Patron-- Sickles ---------- Referred to Committee on Health and Human Services ----------

Be it enacted by the General Assembly of Virginia:

1. § 1. That the Department of Medical Assistance Services (the Department) shall amend the state plan for medical assistance services to add neurobehavioral and neurorehabilitation facilities to support individuals with traumatic brain injuries and neurocognitive disorders by January 1, 2025. The neurobehavioral and neurorehabilitation facilities shall be considered as an alternative institutional placement for individuals requiring traumatic brain injury 1915(c) home and community-based waiver services. The Department shall set service definitions, administrative structure, eligibility criteria, eligibility and enrollment processes, and reimbursement rates required for administration of the program.

§ 2. That the Department shall submit an amendment to the state plan for medical assistance services to the Centers for Medicare and Medicaid Services to modify its existing 1915(c) waiver or seek a new 1915(c) waiver as necessary to receive federal approval to administer home and community-based services for qualifying individuals with traumatic brain injuries or neurocognitive disorders as defined by the Department no later than January 1, 2026. The Department shall set service definitions, administrative structure, eligibility criteria, eligibility and enrollment processes, and reimbursement rates required for administration of the program.

§ 3. That the Department shall have authority to promulgate emergency regulations for the neurobehavioral and neurorehabilitation facilities and the traumatic brain injury waiver upon approval.

§ 4. That the Department shall convene a work group of relevant stakeholders to provide updates on the progress and the implementation of the neurobehavioral and neurorehabilitation facilities and the traumatic brain injury services waiver.