Virginia HB 1495: Medicaid; oversight of services facilitation for consumer directed services.

Bill Text

2027 SESSION

INTRODUCED

26104529D

HOUSE BILL NO. 1495

Offered January 23, 2026

A BILL to direct the Department of Medical Assistance Services to seek the necessary permission from the Centers for Medicare and Medicaid Services to oversee the activities of Medicaid-enrolled services facilitators.

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Patrons—Tran, Cohen, Shin and Laufer

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Referred to Committee on Health and Human Services

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Be it enacted by the General Assembly of Virginia:

1. § 1. That the Department of Medical Assistance Services (the Department) shall seek the necessary permission from the Centers for Medicare and Medicaid Services to oversee the activities of Medicaid-enrolled services facilitators. Such oversight shall include verification that services facilitators provide services, including eligibility determinations, in a timely manner, as determined by the Department. The Department shall amend its regulations to provide that a member shall maintain enrollment in medical assistance programs when such enrollment would lapse as a result of failure of a services facilitator to conduct an eligibility determination and such member otherwise meets the requirements for eligibility for medical assistance. 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.