Memorandum — COVID-19 Vaccination Costs Incurred in FY 2021 and a Projection of FY 2022 Costs (August 16, 2021)
Summary
In this August 16, 2021 memorandum, Karen Kimsey, MSW, Director of the Virginia Department of Medical Assistance Services, sends the chairs of the Senate Finance and House Appropriations committees a report on COVID-19 vaccination costs incurred in FY 2021 and a projection of FY 2022 costs. It says the report is submitted under the 2020 Appropriation Act, Item 313. The report's table shows FY 2021 total expenditures of $7,227,132, including $7,216,470 for the managed care carve-out. It adds that the American Rescue Plan Act of 2021 authorizes 100 percent Federal Medical Assistance Percentage for expenditures related to COVID-19 vaccines, effective April 1, 2021.
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“Memorandum — COVID-19 Vaccination Costs Incurred in FY 2021 and a Projection of FY 2022 Costs (August 16, 2021).”
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COMMONWEALTH of VIRGINIA
Department of Medical Assistance Services
KAREN KIMSEY SUITE 1300
DIRECTOR 600 EAST BROAD STREET
August 16, 2021 RICHMOND, VA 23219
804/786-7933
804/343-0634 (TDD)
www.dmas.virginia.gov
MEMORANDUM
TO: The Honorable Janet D. Howell
Chair, Senate Finance Committee
The Honorable Luke E. Torian
Chair, House Appropriations Committee
The Honorable Mark D. Sickles
Vice Chair, House Appropriations Committee
Dan Timberlake
Director, Department of Planning and Budget
Karen Kimsey, MSW
FROM: Director, Virginia Department of Medical Assistance Services
SUBJECT: COVID-19 vaccination costs incurred in FY 2021 and a projection of FY 2022 costs
This report is submitted in compliance with the Virginia Acts of the Assembly – The 2020
Appropriation Act, Item 313.XXXXX.2., which states:
XXXXX.2. By August 1, 2021, DMAS shall develop a report that details all COVID-19
vaccination costs incurred in FY 2021 and a projection of FY 2022 costs. This report shall
include, at a minimum, a breakdown of spending by purpose and fund as well as the impact on
managed care capitated payments. DMAS shall provide this report to the Director, Department
of Planning and Budget and the Chairmen of the House Appropriations and Senate Finance
and Appropriations Committees upon completion.
Should you have any questions or need additional information, please feel free to contact me at
(804) 786-8099.
KK/[CB]
Enclosure
Pc: The Honorable Daniel Carey, M.D., Secretary of Health and Human Resources
COVID-19 vaccination costs incurred in FY 2021 and a
projection of FY 2022 costs
A Report to the Virginia General Assembly August 1, 2021
About DMAS and Medicaid
Report Mandate:
DMAS’s mission is to improve the
2. By August 1, 2021, DMAS shall develop a report that details all COVID-19
health and well-being of Virginians
vaccination costs incurred in FY 2021 and a projection of FY 2022 costs. This report through access to high-quality
shall include, at a minimum, a breakdown of spending by purpose and fund as well as health care coverage.
the impact on managed care capitated payments. DMAS shall provide this report to
the Director, Department of Planning and Budget and the Chairmen of the House DMAS administers Virginia’s
Appropriations and Senate Finance and Appropriations Committees upon completion. Medicaid and CHIP programs for
more than 1.8 million Virginians.
Members have access to primary and
specialty health services, inpatient
Executive Summary care, dental, behavioral health as well
DMAS reviewed all expenditures associated with COVID-19 vaccinations as as addiction and recovery treatment
services. In addition, Medicaid long-
adopted by the 2021 General Assembly session. The information presented in the
term services and supports enable
table represents what was appropriated, the actual costs incurred, and the
thousands of Virginians to remain in
projected costs to vaccinate Non-Expansion Medicaid Adult members pursuant to their homes or to access residential
Item 313 XXXXX.2: and nursing home care.
Budget Item 313 XXXXX Fund COVID-19 Vaccine Coverage for Non- Medicaid members historically have
Expansion Medicaid Adults included children, pregnant women,
parents and caretakers, older adults,
Item 313 XXXXX.1 and individuals with disabilities. In
2019, Virginia expanded the Medicaid
Health & Human Resources – FY 22 eligibility rules to make health care
coverage available to more than
Department of Medical Assistance Services $995,742 GF
500,000 newly eligible, low-income
$995,742 NGF adults.
Explanation: Medicaid and CHIP (known in Virginia
as Family Access to Medical
This appropriation was created to fund the cost of COVID-19 vaccinations for non- Insurance Security, or FAMIS) are
expansion Medicaid adults in fee-for-service and managed care for state fiscal jointly funded by Virginia and the
year 2021. The COVID-19 vaccine is essential for Medicaid members to protect federal government under Title XIX
against serious illness, ensure health equity and equal access regardless of and Title XXI of the Social Security
eligibility category. Act. Virginia generally receives a
dollar-for-dollar federal spending
CMS Informational Bulletin dated June 3, 2021: Medicaid, Children’s Health match in the Medicaid program.
Fiscal Year
Insurance ending
Program Juneand
(CHIP), 30, 2021:
Basic Health Program (BHP) Related Provisions in Medicaid expansion qualifies the
the American Rescue Plan Act (ARP) of 2021, authorizes states to utilize 100 Commonwealth for a federal funding
percent Federal Medical Assistance Percentage (FMAP) for expenditures related
match of no less than 90 percent for
to COVID-19 vaccines. This provision became effective April 1, 2021.
newly eligible adults, generating cost
Expenditures and projections in this report will not impact managed care capitation savings that benefit the overall state
payments. budget.
1 COVID-19 Vaccination Expenditures
FY 2021 Appropriation General Funds Federal Funds TOTAL
Chapter 552, Item 313 XXXXX.1 $0 $0 $0
FY 2021 Expenditures General Funds Federal Funds TOTAL
Fee-for-Service $1,283 $9,379 $10,662
Managed Care Carve-Out $0 $7,216,470 $7,216,470
FY 2021 Total Expenditures $1,283 $7,225,849 $7,227,132
FY 2022 Appropriation General Funds Federal Funds TOTAL
Chapter 552, Item 313 XXXXX.1 $995,742 $995,742 $1,991,484
FY 2022 Total Projections $995,742 $995,742 $1,991,484
FY 2022 Projections General Funds Federal Funds TOTAL
Fee-for-Service $0 $18,170 $18,170
Managed Care Carve-Out $0 $12,279,974 $12,279,974
FY 2022 Total Projections $0 $12,298,144 $12,298,144
2 COVID-19 Vaccination Expenditures
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