Department of Medical Assistance Services
Board of Medical Assistance Services
Amount, Duration and Scope of Selected Services
[12 VAC 30 ‑ 130]
Chapter Information
| Description | This chapter contains provisions for the following covered services which operate in combination with the related State Plan requirements: outpatient physical rehabilitation, long-stay acute care hospitals, preadmission screening and annual resident review, drug utilization review, drug utilization review in NFs, criteria for intermediate care for mentally retarded persons, community mental health/ substance abuse treatment services, DMAS-122 adjustment process, new drug review, new drugs not covered by Medicaid, Health Insurance Premium Payment Program (HIPP), Client Medical Management. |
| State Authority | COV 32.1-325 et seq et seq. |
| Federal Authority | title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) |
| Exempt from APA | No, changes to this chapter are subject to the Administrative Process Act and the standard executive branch review process. |
| Text of Regulation | Link to Virginia Administrative Code |
| Goals of Regulation | None entered |
| Meetings |
Contact Information
| Name / Title: | Emily McClellan / Regulatory Supervisor |
| Address: |
Policy Division, DMAS 600 E. Broad Street, Suite 1300 Richmond, VA 23219 |
| Email Address: | Emily.McClellan@DMAS.Virginia.gov |
| Telephone: | (804)371-4300 FAX: (804)786-1680 TDD: ()- |
| Current Actions | ||
| Action Title | Latest Stage | Status |
|---|---|---|
| Amendments to Marketing Regulations | Fast-Track | Secretary of Health and Human Resources review in progress. |
| Repeal of VICAP Regulations | Fast-Track | Stage complete. Becomes effective on 2/21/2019. |
| Peers Amendments | Fast-Track | Stage complete. Becomes effective on 2/21/2019. |
| CH 0060 2016 Psychiatric Residential Treatment Services Program Changes | Proposed | Submitted to the Registrar and awaiting publication (3/4/2019). |
| Past Actions | ||
| Action Title | Latest Stage | Status |
|---|---|---|
| Institutions for Mental Disease Reimbursement Changes | Final | Stage complete. This regulation became effective on 3/8/2017. |
| Addiction and Recovery Treatment (ARTS) Services | Fast-Track | Stage complete. This regulation became effective on 4/1/2017. |
| 2012 Client Medical Management Update | Fast-Track | Stage complete. This regulation became effective on 12/3/2015. |
| 2011 Mental Health Services Program Changes for Appropriate Utilization & Provider Qualifications | Final | Stage complete. This regulation became effective on 1/30/2015. |
| Technical Corrections for Utilization Review of Community Mental Health Rehabilitation Services | Fast-Track | Stage complete. This regulation became effective on 9/12/2013. |
| Inpatient and Outpatient Rehabilitation Update | Fast-Track | Stage complete. This regulation became effective on 1/1/2016. |
Technical Correction to References to School Division Providers
|
Final | Stage complete. This regulation became effective on 7/21/2010. |
|
Attorney General Regulatory Reform Task Force Changes
|
Final | Stage complete. This regulation became effective on 4/15/2009. |
| HIPP Program Modifications | Fast-Track | Stage complete. This regulation became effective on 7/23/2009. |
|
DRA Mandated Treatment Foster Care Changes
|
Final | Stage complete. This regulation became effective on 3/21/2007. |
| PDL, P&T Com, Drug Rebates, UR of High Drug Thresholds | Final | Stage complete. This regulation became effective on 1/3/2005. |
| MEDALLION BBA Changes | Final | Stage complete. This regulation became effective on 3/10/2005. |
| Reasonable Limits on Amounts for Necessary Medical or Remedial Care | Final | Stage complete. This regulation became effective on 7/1/2004. |
| Community Mental Health Rehabilitation Services | Final | Stage complete. This regulation became effective on 12/3/2003. |
| Residential Psychiatric Treatment under EPSDT | Final | Stage complete. This regulation became effective on 1/1/2001. |
| Case Management for Treatment Foster Care | Final | Stage complete. This regulation became effective on 1/1/2001. |
| Hospice Services and Payment Methodology | Final | Stage complete. This regulation became effective on 1/5/2000. |