Get Full Government Meeting Transcripts, Videos, & Alerts Forever!
Get email alerts on the Medicaid Self Direction topic
No spam. Unsubscribe anytime.
Subcommittee approves measure to let Medicaid self-direction participants delegate employer duties without new EIN
Summary
SB 114 would allow participants in Medicaid self-direction programs to delegate employer duties to authorized persons without obtaining a new employer identification number, reducing administrative burden and delays in payment to caregivers, supporters said. The committee advanced the bill.
Senate Bill 114 would permit participants in Medicaid self-direction programs to delegate specific employer duties to authorized persons without requiring a new employer identification number (EIN), simplifying administrative processes and reducing delays.
The sponsor said the change would allow participants more control while avoiding repetitive EIN changes that create administrative burden for state agencies and program participants. Testimony noted one fiscal employee processed over 700 employer-of-record changes in 2024, contributing to backlogs and payment delays.
Supporters including Sarah Herbert of the Consumer Directed Care Network of Virginia and Ashley Wright of The Arc of Virginia said the bill would prevent interruptions in care and payment for caregivers by streamlining EIN and employer-of-record processes. "We serve 15,000 participants in this program in this state, fully support the bill, and see it as a simplification... that helps prevent delays in care and payment to caregivers," Herbert said.
The subcommittee voted to advance SB 114; members recorded unanimous support in subcommittee. The full committee will consider the measure next, including any technical changes or implementation guidance from Medicaid administrators.
