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: long-stay acute care hospitals, preadmission screening and annual resident review, drug utilization review, drug utilization review in NFs, criteria for intermediate care for individuals with intellectual disabilities, DMAS-122 adjustment process, Health Insurance Premium Payment Program (HIPP), Client Medical Management, treatment foster care case management, pharmacy service authorization, marketing, Addiction Recovery and Treatment Services (ARTS), and Peer Support Services. |
| 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 | See all meetings (1) relating to this chapter. |
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 |
|---|---|---|
| 2016 Psychiatric Residential Treatment Services Program Changes | Final | Secretary of Health and Human Resources review in progress. |
| Amendments to Marketing Regulations | Fast-Track | Comment period is underway and will end on 7/24/2019. |
| Past Actions | ||
| Action Title | Latest Stage | Status |
|---|---|---|
| Repeal of VICAP Regulations | Fast-Track | Stage complete. This regulation became effective on 2/21/2019. |
| Peers Amendments | Fast-Track | Stage complete. This regulation became effective on 2/21/2019. |
| 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. |
| CMH and Peers Updates | - | |
| ARTS Updates | - | |