Vermont S 200: An act relating to the Medicaid school-based services program

Bill Text

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VT LEG #385886 v.1
S.200 1
Introduced by Senator Lyons 2
Referred to Committee on 3
Date: 4
Subject: Health; human services; education; Agency of Human Services; 5
Agency of Education; Medicaid; school-based services 6
Statement of purpose of bill as introduced: This bill proposes to transfer sole 7
authority over the Medicaid school-based services program to the Agency of 8
Human Services. It would also modify the amounts from the federal 9
reimbursement for Medicaid school-based services that are available to 10
supervisory unions and to the Agencies of Human Services and of Education. 11
An act relating to the Medicaid school-based services program 12
It is hereby enacted by the General Assembly of the State of Vermont: 13
Sec. 1. 33 V.S.A. § 1904 is added to read: 14
§ 1904. MEDICAID SCHOOL-BASED SERVICES PROGRAM 15
(a)(1) It is the intent of the General Assembly that the State of Vermont 16
maximize its receipt of federal reimbursement for medically related services 17
provided to students who are eligible under Title XIX (Medicaid) of the Social 18
Security Act. 19

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VT LEG #385886 v.1
(2) It is also the intent of the General Assembly that Vermont’s school-1
based medical assistance program shall comply with all federal Medicaid 2
requirements. As the State Medicaid agency, the Agency of Human Services 3
shall have sole responsibility for determining and maintaining program 4
compliance. 5
(b) The Agency of Education: 6
(1) shall be responsible for coordination of the school-based medical 7
assistance program with statewide education policy and objectives and for 8
communicating with supervisory unions; and 9
(2) may specify the use of program funds received by State education 10
agencies in accordance with 16 V.S.A. § 2959a. 11
(c) The Agency of Human Services shall adopt rules in accordance with 12
3 V.S.A. chapter 25 to identify the services that are available through the 13
school-based medical assistance program and to set forth the requirements for 14
supervisory union participation. The rules shall include State and federal 15
requirements for: 16
(1) Medicaid reimbursement; 17
(2) Medicaid cost reports; 18
(3) provider enrollment and trainings; 19
(4) service documentation; 20
(5) Medicaid eligibility; and 21

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VT LEG #385886 v.1
(6) any other provisions necessary for compliance with the Medicaid 1
program. 2
(d) The Agency of Human Services shall support supervisory unions by 3
funding and providing the technical elements of the program necessary for 4
federal compliance. 5
Sec. 2. 33 V.S.A. § 1904a is added to read: 6
§ 1904a. SCHOOL-BASED MEDICAID REIMBURSEMENT FUND 7
(a) The School-Based Medicaid Reimbursement Fund is established as a 8
special fund to receive federal reimbursements for medically related services 9
delivered pursuant to the Medicaid school-based services program described in 10
section 1904 of this chapter. Monies received by the State pursuant to this 11
section shall be transferred to the School-Based Medicaid Reimbursement 12
Fund, which shall be administered by the Agency of Human Services, and 13
Fund receipts shall be allocated in accordance with this section. 14
(b) The Department of Vermont Health Access shall pay 55 percent of the 15
federal reimbursement monies generated by the medically related services 16
delivered in each supervisory union pursuant to the Medicaid school-based 17
services program to the supervisory union based on the Medicaid cost reports, 18
service claims, and Medicaid administrative costs submitted by the supervisory 19
union. 20

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(c)(1) Up to 25 percent of the federal reimbursement monies generated by 1
services delivered pursuant to the Medicaid school-based services program 2
shall be available for the administrative costs of the Agencies of Education and 3
of Human Services related to the collection, operations, and reporting of 4
school-based medical assistance programs and statewide programs. 5
(2) The Agencies shall enter into a memorandum of understanding 6
setting forth the processes by which Medicaid reimbursement monies available 7
for administrative costs and statewide programs are allocated to the Agencies. 8
(3) The Secretaries of Education and of Human Services shall expend 9
monies from the Fund only as appropriated by the General Assembly. 10
(d) At the close of each fiscal year, the Commissioner of Finance and 11
Management shall transfer to and deposit any balance remaining in the School-12
Based Medicaid Reimbursement Fund into the Education Fund. 13
Sec. 3. 16 V.S.A. § 2959a is amended to read: 14
§ 2959a. EDUCATION MEDICAID RECEIPTS MEDICAID SCHOOL- 15
BASED SERVICES PROGRAM; SUPERVISORY UNIONS AND 16
SUPERVISORY DISTRICTS 17
(a) It is the intent of the General Assembly that the State of Vermont shall 18
maximize its receipt of feder