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Medicaid managed‑care changes, provider‑payment rules and hospital tax proposals could reshape provider revenue
Summary
DMAS Director Cheryl Roberts and CFO Chris Gordon briefed the committee on Medicaid managed‑care rollouts (Cardinal Care), new federal policy proposals affecting eligibility and provider payments, and how proposed federal limits on state-directed hospital funding could hit supplemental payments and rural hospitals.
Cheryl Roberts, director of the Department of Medical Assistance Services (DMAS), told the Senate Finance Committee June 4 that DMAS will launch Cardinal Care managed care on July 1, transferring roughly 1.4 million enrollees into the new contracts and adding Humana Healthy Horizons for about 100,000 people.
Roberts said the unwinding of pandemic-era renewals is complete and DMAS now serves about 1.8 million Virginians. She described contract changes that incorporate requests from the General Assembly, expanded compliance and oversight functions, and a consolidation of foster-care enrollments into a single plan to improve service continuity for children.
On federal reconciliation, Roberts said…
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