Agencies | Governor
Virginia Regulatory Town Hall
Department of Medical Assistance Services
Board of Medical Assistance Services
Standards Established and Methods Used to Assure High Quality Care [12 VAC 30 ‑ 60]
Utilization Review Changes
General Information
Action Summary This action conforms DMAS' Medicaid and FAMIS utilization review regulations to several opinions from the Virginia Court of Appeals (1st Stop Health Services, Inc. vs. DMAS, 63 Va. App. 266, 756 S.E.2d 183, 2014 Va. App. LEXIS 131 (April 8, 2014) and DMAS v. Ablix Corporation, unpublished, March 17, 2015.
Chapters Affected Only affects this chapter.
Exempt from APA No, this action is subject to the Administrative Process Act and the standard executive branch review process.
RIS Project Yes  [004492]
Note This action is intended to satisfy the requirement that an entire regulation be reviewed every 4 years.
Stages associated with this regulatory action.
Stage ID Stage Type Status
7313 NOIRA Stage complete. Comment period ended 2/10/2016.
7599 Proposed Stage complete. Comment period ended 9/22/2017.
Contact Information
Name / Title: Emily McClellan  / Regulatory Supervisor
Address: Policy Division, DMAS
600 E. Broad Street, Suite 1300
Richmond, VA 23219
Email Address:
Phone: (804)371-4300    FAX: (804)786-1680    TDD: ()-

This person is the primary contact for this chapter.