Department of Medical Assistance Services
Board of Medical Assistance Services
State Plan Under Title XIX of the Social Security Act Medical Assistance Program; General Provisions
[12 VAC 30 ‑ 10]
Chapter Information
Description | This chapter contains the federal preprinted State Plan pages that are prepared and issued by the Health Care Financing Administration. |
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 |
---|---|---|
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 |
---|---|---|
CH 0010 Requirements for LTC Facilities
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Final | Stage complete. This regulation became effective on 10/19/2017. |
Provider Screening Requirements
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Final | Stage complete. This regulation became effective on 10/19/2016. |
Public Assistance Reporting Information System (PARIS)
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Final | Stage complete. This regulation became effective on 4/10/2013. |
Recovery Audit Contractors
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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
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Final | Stage complete. This regulation became effective on 7/6/2011. |
2010 Reimbursement and Provider Termination Changes
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Final | Stage complete. This regulation became effective on 7/1/2010. |
Managed Care Provider Exclusion
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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
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Final | Stage complete. This regulation became effective on 4/15/2009. |
Cooperation with Medicaid Integrity Program Efforts
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Final | Stage complete. This regulation became effective on 11/26/2008. |
Employee Education About False Claims Act
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Final | Stage complete. This regulation became effective on 11/1/2007. |
2007 Omnibus: False Claims Recoveries;Third Party Liability
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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
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Final | Stage complete. This regulation became effective on 7/1/2003. |
2001 Technical (9-Part) Amendment
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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
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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
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Final | Stage complete. This regulation became effective on 10/13/1999. |
Expansion-Related Changes - Expansion Group, FMAP, HIPP, Determination State, SNAP | - | |
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 |