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_ 383 Item Details($) Appropriations($) ITEM 287. First Year Second Year First Year Second Year FY2025 FY2026 FY2025 FY2026 I. 1. The Department of Medical Assistance Services is authorized to amend the FAMIS MOMS and FAMIS Select demonstration waiver (No. 21-W-00058/3) for FAMIS MOMS enrollees to add coverage for dental services to align with pregnant women's coverage under Medicaid. 2. The Department of Medical Assistance Services is authorized to amend the State Plan under Title XXI of the Social Security Act to plan to allow enrollment for dependent children of state employees who are otherwise eligible for coverage. 3. The department shall have authority to implement necessary changes upon federal approval and prior to the completion of any regulatory process undertaken in order to effect such changes. 288. Medicaid Program Services (45600) $23,551,886,420 $25,132,314,024 $25,120,006,619 $26,316,442,804 Payments for Graduate Medical Education Residencies (45606) $11,700,000 $11,700,000 Reimbursements to State-Owned Mental Health and Intellectual Disabilities Facilities (45607) $59,169,094 $59,169,094 Reimbursements for Behavioral Health Services (45608) $33,170,217 $41,620,380 $34,139,694 $51,309,093 Reimbursements for Medical Services (45609) $13,135,903,244 $13,824,223,326 $13,736,364,318 $14,205,862,824 Reimbursements for Long-Term Care Services (45610) $2,563,379,249 $2,715,130,659 $2,802,074,125 $2,968,979,072 Payments for Healthcare Coverage for Low- Income Uninsured Adults (45611) $7,748,564,616 $8,480,470,565 $8,476,559,388 $9,019,422,721 Fund Sources: General $6,569,608,332 $6,857,733,973 $6,938,713,631 $7,240,645,423 Dedicated Special Revenue $2,063,554,209 $2,259,799,827 $2,186,985,425 $2,291,018,540 Federal Trust $14,918,723,879 $16,014,780,224 $15,994,307,563 $16,784,778,841 Authority: Title 32.1, Chapters 9 and 10, Code of Virginia; P.L. 89-97, as amended, Title XIX, Social Security Act, Federal Code. A. Out of this appropriation, $28,964,751 the first year and $28,998,773 the second year from the general fund and $30,204,343 the first year and $30,170,321 the second year from the federal trust fund is provided for reimbursement to the institutions within the Department of Behavioral Health and Developmental Services. B.1. Included in this appropriation is $2,095,498 the first year and $4,422,228 the second year from the general fund and $21,798,953 the first year and $24,169,583 the second year from nongeneral funds to reimburse the Virginia Commonwealth University Health System for indigent health care costs as reported by the hospital and adjusted by the department for indigent care savings related to Medicaid expansion. This funding is composed of disproportionate share hospital (DSH) payments, indirect medical education (IME) payments, and any Medicaid profits realized by the Health System. Payments made from the federal DSH fund shall be made in accordance with 42 USC 1396r-4. 2. Included in this appropriation is $13,916,579 the first year and $14,900,252 the second year from the general fund and $29,552,860 the first year and $30,508,352 the second year from nongeneral funds to reimburse the University of Virginia Health System for indigent health care costs as reported by the hospital and adjusted by the department for indigent care savings related to Medicaid expansion. This funding is comprised of disproportionate share hospital (DSH) payments, indirect medical education (IME) payments, and any Medicaid profits realized by the Health System. Payments made from the federal DSH fund shall be made in accordance with 42 USC 1396r-4. 3. The general fund amounts for the state teaching hospitals have been reduced to mirror the general fund impact of reduced and no inflation for inpatient services in prior years. It