Agencies | Governor
Virginia Regulatory Town Hall
Agency
Department of Medical Assistance Services
Board
Board of Medical Assistance Services


chapter
State Plan Under Title XIX of the Social Security Act Medical Assistance Program; General Provisions [12 VAC 30 ‑ 10]
Guidance Documents
Chapter Information
Description This chapter contains the federal preprinted State Plan pages that are prepared and issued by the Centers for Medicare and Medicaid Services.
State Authority COV COV 32.1-325
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 To protect public health, safety, and welfare with the least possible costs and intrusiveness to the citizens and businesses of the Commonwealth. This chapter permits the Commonwealth to claim billions of dollars of federal matching funds by conforming to the mandated page templates provided by the federal Medicaid authority (Centers for Medicare and Medicaid Services).
Meetings

Contact Information
Name / Title: Emily McClellan  / Regulatory Supervisor
Address: Policy Division, DMAS
600 East Broad St., 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 Stage complete. This regulation became effective on 8/22/2019.
Expansion-Related Changes - Expansion Group, FMAP, HIPP, Determination State, SNAP Emergency/NOIRA Comment period is underway and will end on 9/4/2019.

Past Actions
Action Title Latest Stage Status
CH 0010 Requirements for LTC Facilities
This action is exempt from the executive branch review process.
Final Stage complete. This regulation became effective on 10/19/2017.
Provider Screening Requirements
This action is exempt from the executive branch review process.
Final Stage complete. This regulation became effective on 10/19/2016.
Public Assistance Reporting Information System (PARIS)
This action is exempt from the executive branch review process.
Final Stage complete. This regulation became effective on 4/10/2013.
Recovery Audit Contractors
This action is exempt from the executive branch review process.
Final Stage complete. This regulation became effective on 10/25/2012.
Medicaid Prohibition on Payments to Institutions or Entities Located Outside of the United States
This action is exempt from the executive branch review process.
Final Stage complete. This regulation became effective on 7/6/2011.
2010 Reimbursement and Provider Termination Changes
This action is exempt from the executive branch review process.
Final Stage complete. This regulation became effective on 7/1/2010.
Managed Care Provider Exclusion
This action is exempt from the executive branch review process.
Final Stage complete. This regulation became effective on 10/1/2009.
Estate Recovery Update Final Stage complete. This regulation became effective on 7/23/2009.
Attorney General Regulatory Reform Task Force Changes
This action is exempt from the executive branch review process.
Final Stage complete. This regulation became effective on 4/15/2009.
Cooperation with Medicaid Integrity Program Efforts
This action is exempt from the executive branch review process.
Final Stage complete. This regulation became effective on 11/26/2008.
Employee Education About False Claims Act
This action is exempt from the executive branch review process.
Final Stage complete. This regulation became effective on 11/1/2007.
2007 Omnibus: False Claims Recoveries;Third Party Liability
This action is exempt from the executive branch review process.
Final Stage withdrawn on 8/27/2007 prior to submitting for AG review.
Long Term Care Partnership Insurance Fast-Track Stage complete. This regulation became effective on 9/1/2007.
Program of All-Inclusive Care for the Elderly (PACE) Fast-Track Stage complete. This regulation became effective on 7/1/2007.
Periodic Review of Estate Recoveries NOIRA Stage withdrawn on 2/5/2007 after the comment period had ended.
Prospective Drug Utilization Review Final Stage complete. This regulation became effective on 1/3/2005.
2003 Omnibus Mandatory Revisions
This action is exempt from the executive branch review process.
Final Stage complete. This regulation became effective on 7/1/2003.
2001 Technical (9-Part) Amendment
This action is exempt from the executive branch review process.
Final Stage complete. This regulation became effective on 1/16/2002.
Provider Appeals Final Stage complete. This regulation became effective on 7/4/2001.
Central Processing Unit: Medicaid Eligibility Determination
This action is exempt from the executive branch review process.
Final Stage complete. This regulation became effective on 8/1/2001.
Residential Psychiatric Treatment under EPSDT Final Stage complete. This regulation became effective on 1/1/2001.
Program of All-Inclusive Care for the Elderly (PACE) Final Stage complete. This regulation became effective on 7/1/2000.
Medicaid Fraud/Abuse Detection/ Investigation;Free Choice of Providers; Conflict of Interest
This action is exempt from the executive branch review process.
Final Stage complete. This regulation became effective on 10/13/1999.
Barrier Crimes Not Permitted -
Premium Assistance Option under CHIPRA -

Withdrawn Actions
Action Title Latest Stage Status
Requirements for LTC Facilities -

Past Periodic Reviews
Optional Title Date Filed Status
8/25/2014 Pending