SB 1307

Abstract

Department of Medical Assistance Services; school-based health services; telemedicine. Directs the Board of Medical Assistance Services to amend the state plan for medical assistance services to provide for payment of medical assistance services delivered to Medicaid-eligible students when such services qualify for reimbursement by the Virginia Medicaid program and may be provided by school divisions, regardless of whether the student receiving care has an individualized education program or whether the health care service is included in a student's individualized education program. The bill specifies that such services shall include those covered under the state plan for medical assistance services or by the Early and Periodic Screening, Diagnostic, and Treatment benefit as specified in § 1905(r) of the federal Social Security Act, and shall include a provision for payment of medical assistance for health care services provided through telemedicine services. The bill also requires the Department of Medical Assistance Services to provide technical assistance to the Department of Education and local school divisions to facilitate their understanding of and compliance with federal ordering, referring, and prescribing provider screening and enrollment requirements.

Department of Medical Assistance Services; school-based health services; telemedicine. Directs the Board of Medical Assistance Services to amend the state plan for medical assistance servicesto provide for payment of medical assistance for health care services provided in any public or private primary or secondary school, regardlessof whether the student receiving care has an individualized educationprogram or whether the health care service is included in a student'sindividualized education program. The bill requires that coveredservices include applied behavior analysis, preventive health care,behavioral health care, diagnostic care including routine screenings,and acute care services and that services may be provided in personor through telemedicine. The bill also requires the Department ofMedical Assistance Services to provide technical assistance to theDepartment of Education and local school divisions to facilitate their understanding of and compliance with federal ordering, referring,and prescribing (ORP) provider screening and enrollment requirements.