SD11 - Eligibility Determination in Virginia’s Medicaid Program

Executive Summary:
The Virginia Medicaid program provides medical, long-term care, and behavioral health services to more than one million individuals each year. The Department of Medical Assistance Services (DMAS), which administers the program, paid almost $8 billion in state and federal funds for services in FY 2014. This report examines Medicaid eligibility determination in Virginia and makes recommendations for improving accuracy and promptness.