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


chapter
Administration of Medical Assistance Services [12 VAC 30 ‑ 20]
Guidance Documents   Periodic Reviews
Chapter Information
Description This chapter contains numerous topics: AG certification, state agency organization/function, definition of Medicaid HMO, requirements for advance directives, coordination of Medicare Parts A/B with Medicaid, applicant/ recipient information confidentiality, NF residents' drug utilization review, reserve bed payments for recipients' absence from facility, third party liability, NF sanctions/alternative remedies, definition of specialized services, categorical determinations, etc.
State Authority COV COV 32.1-325
Federal Authority Title XIX, 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

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
Reconsideration of Final Agency Decision Proposed DPB review in progress.
2015 HIPP Updates - -
Periodic Review of Estate Recoveries - -
Estate Recovery Update - -
2007 Omnibus: False Claims Recoveries;Third Party Liability - -
Increased Cost-Sharing Measures - -

Past Actions
Action Title Latest Stage Status
Appeal Regulation Updates Final Stage complete. This regulation became effective on 8/10/2016.
Electronic Claims Submission Requirement Final Stage complete. This regulation became effective on 11/6/2014.
Estate Recovery Update under MIPPA Final Stage complete. This regulation became effective on 1/2/2013.
Informal Provider Appeals Update Final Stage complete. This regulation became effective on 8/17/2011.
Health Insurance Premium Payment (HIPP) Cost Effectiveness Methodology Final Stage complete. This regulation became effective on 10/25/2012.
Health Insurance Premium Payment (HIPP) for Kids Program Fast-Track Stage complete. This regulation became effective on 11/8/2012.
Estate Recovery Update Final Stage complete. This regulation became effective on 7/23/2009.
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.
Long Term Care Partnership Insurance Fast-Track Stage complete. This regulation became effective on 9/1/2007.
Provider Appeals Final Stage complete. This regulation became effective on 7/4/2001.

Withdrawn Actions
Action Title Latest Stage Status
Increase Cost-Sharing Measures Emergency/NOIRA Stage withdrawn after the Governor's office completed its review.
Recipient Cost Sharing and Similar Charges Proposed Stage withdrawn on 7/24/2003 after the comment period had ended.