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17
Department of Medical Assistance Services
A Delineation of Specific Functions to be Conducted
by a HBE
While a governance structure would have overall responsibilities for a
HBE, many operational tasks could be performed by existing
agencies and/or through the private sector.
The VHRI Advisory Council identified that Virginia:
• Should utilize existing Exchange entities to the extent possible to
avoid duplication and costs of setting up an Exchange;
• Should conduct Medicaid eligibility determinations for the
Exchange through DMAS, also acknowledging the work of Health
and Human Resources and affiliated secretariats through the
development of a one stop system for Medicaid enrollment; and,
• Through the Bureau of Insurance, should potentially conduct HBE
functions that are within their current mission and that the HBE or
other state agencies should assume roles that are not.