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

Medicare-Medicaid Demonstration Waivers [12 VAC 30 ‑ 121]
Guidance Documents
Chapter Information
Description This chapter provides for the administration of the Medicare- Medicaid demonstration waivers known as Commonwealth Coordinated Care.
State Authority COV COV 32.1-325
Federal Authority Sections 1932 and 1915 (c) of the Social Security Act
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 offer coordinated managed care for seniors and indivduals with disabilities from the well to the frail. The focus will be on providing the 'right services at the right time' and eliminating healthcare delivery systems based solely on funding sources and the need for long-term care services. To integrate the full range of Medicaid benefits (and Medicare benefits for those that are dually eligible) into a coordinated delivery system for seniors and individuals with disabilities to utilize resources more effectively, improve outcomes, achieve cost containment goals, and enhance budget predictability. To provide administrative simplification by streamlining the primary, acute and long-term care service delivery system allowing enrollees to easily maneuver through the system. To increase client and family satisfaction with the delivery of health and long-term care services provided to Medicaid-enrolled seniors and individuals with disabilities. To assure the quality of the integrated care program via established performance measures. To offer timely access to quality health and long-term care service providers.

Contact Information
Name / Title: Emily McClellan  / Regulatory Manager
Address: Division of Policy and Research
600 E. Broad St., Suite 1300
Richmond, VA 23219
Email Address:
Telephone: (804)371-4300    FAX: (804)786-1680    TDD: (800)343-0634
Current Actions
Action Title Latest Stage Status

Past Actions
Action Title Latest Stage Status
Commonwealth Coordinated Care Final Stage complete. This regulation became effective on 8/9/2017.

Withdrawn Actions
Action Title Latest Stage Status
Acute and Long-Term Care Program - ALTC II -

Past Periodic Reviews
Optional Title Date Filed Status
Medicare-Medicaid Demonstration Waivers Periodic Review
10/26/2018 Pending