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_ 386 Item Details($) Appropriations($) ITEM 288. First Year Second Year First Year Second Year FY2025 FY2026 FY2025 FY2026 Plan for Medical Assistance under Title XIX of the Social Security Act, and any waivers thereof, to implement coverage for newly eligible individuals pursuant to 42 U.S.C. § 1396d(y)(1)[2010] of the Patient Protection and Affordable Care Act (PPACA). 2. In the event that the increased federal medical assistance percentages for newly eligible individuals included in 42 U.S.C. § 1396d(y)(1)[2010] of the PPACA are modified through federal law or regulation from the methodology in effect on January 1, 2014, resulting in a reduction in federal medical assistance as determined by the department in consultation with the Department of Planning and Budget, the Department of Medical Assistance Services shall disenroll and eliminate coverage for individuals who obtained coverage through 42 U.S.C. § 1396d(y)(1) [2010] of the PPACA. The disenrollment process shall include written notification to affected Medicaid beneficiaries, Medicaid managed care plans, and other providers that coverage will cease as soon as allowable under federal law following the date the department is notified of a reduction in Federal Medical Assistance Percentage. K. The Department of Medical Assistance Services shall adjust the medically needy income limits for the Medicaid program annually to account for changes in the Consumer Price Index. L.1.a. As of July 1, 2024, the Community Living (CL) waiver authorizes 12,176 slots. b. As of July 1, 2024, the Family and Individuals Support (FIS) waiver authorizes 5,463 slots. c. As of July 1, 2021, the Building Independence (BI) waiver authorizes 400 slots. 2. Notwithstanding Chapters 228 and 303 of the 2009 Virginia Acts of Assembly and §32.1- 323.2 of the Code of Virginia, the Department of Medical Assistance Services shall not add any slots to the Intellectual Disabilities Medicaid Waiver or the Individual and Family Developmental Disabilities and Support Medicaid Waiver other than those slots authorized specifically to support the Money Follows the Person Demonstration, individuals who are exiting state institutions, any slots authorized under Chapters 724 and 729 of the 2011 Virginia Acts of Assembly or §37.2-319, Code of Virginia, or authorized elsewhere in this Act. 3. Upon approval by the Centers for Medicare and Medicaid Services of the application for renewal of the CL, FIS and BI waivers, expeditious implementation of any revisions shall be deemed an emergency situation pursuant to § 2.2-4002 of the Administrative Process Act. Therefore, to meet this emergency situation, the Department of Medical Assistance Services shall promulgate emergency regulations to implement the provisions of this Act. 4.a. The Department of Medical Assistance Services (DMAS) shall amend the CL waiver to add 172 slots in fiscal year 2025 and 172 slots in fiscal year 2026. Effective July 1, 2024, 172 slots shall be phased in with 43 slots added each quarter beginning on July 1, 2024. Effective July 1, 2025, 172 slots shall be phased in with 43 slots added each quarter beginning on July 1, 2025. An amount estimated at $6,614,153 the first year and $17,196,797 the second year from the general fund and $6,881,364 the first year and $17,891,546 the second year from nongeneral funds is provided to cover the anticipated costs of the new slots. b. The Department of Medical Assistance Services (DMAS) shall amend the FIS waiver to add 1,548 slots in fiscal year 2025 and 1,548 slots in fiscal year 2026. Effective July 1, 2024, 1,548 slots shall be phased in with 387 slots added each quarter beginning on July 1, 2024. Effective July 1, 2025, 1,548 slots shall be phased in with 387 slots added each quarter beginning on July 1, 2025. An amount estimated at $25,504,080 the first year and $71,882,928 the second year from the general fund and $26,534,443 the first year and $74,786,992 the second year from nongeneral funds is provided to cover the anticipated costs of the new slots. c. The Department of Medical Assistance Services, in collaboration with the Department of Behavioral Health and Developmental Services, shall separately track all costs associated with the additional slots added in paragraphs 4.a. and 4.b. above. By December 1 of each year, the department shall report this data to the Chairmen of the House Appropriations and Senate Finance and Appropriations Committees and the Director, Department of Planning and Budget. M. The Department of Medical Assistance Services shall seek federal authority through the necessary waiver(s) and/or State Plan authorization under Titles XIX and XXI of the Social