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


chapter
Amount, Duration and Scope of Selected Services [12 VAC 30 ‑ 130]
Guidance Documents   Periodic Reviews
Chapter Information
Description This chapter contains provisions for the following covered services which operate in combination with the related State Plan requirements: outpatient physical rehabilitation, long-stay acute care hospitals, preadmission screening and annual resident review, drug utilization review, drug utilization review in NFs, criteria for intermediate care for mentally retarded persons, community mental health/ substance abuse treatment services, DMAS-122 adjustment process, new drug review, new drugs not covered by Medicaid, Health Insurance Premium Payment Program (HIPP), Client Medical Management.
State Authority COV 32.1-325 et seq et seq.
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 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
Institutions for Mental Disease Reimbursement Changes Final Final Adoption period is underway and will end on 3/8/2017.
Addiction and Recovery Treatment (ARTS) Services Fast-Track Comment period is underway and will end on 3/8/2017.
CH 0060 2016 Psychiatric Residential Treatment Services Program Changes Emergency/NOIRA Comment period is underway and will end on 3/22/2017.

Past Actions
Action Title Latest Stage Status
2012 Client Medical Management Update Fast-Track Stage complete. This regulation became effective on 12/3/2015.
2011 Mental Health Services Program Changes for Appropriate Utilization & Provider Qualifications Final Stage complete. This regulation became effective on 1/30/2015.
Technical Corrections for Utilization Review of Community Mental Health Rehabilitation Services Fast-Track Stage complete. This regulation became effective on 9/12/2013.
Inpatient and Outpatient Rehabilitation Update Fast-Track Stage complete. This regulation became effective on 1/1/2016.
Technical Correction to References to School Division Providers Final Stage complete. This regulation became effective on 7/21/2010.
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.
DRA Mandated Treatment Foster Care Changes Final Stage complete. This regulation became effective on 3/21/2007.
PDL, P&T Com, Drug Rebates, UR of High Drug Thresholds Final Stage complete. This regulation became effective on 1/3/2005.
MEDALLION BBA Changes Final Stage complete. This regulation became effective on 3/10/2005.
Reasonable Limits on Amounts for Necessary Medical or Remedial Care Final Stage complete. This regulation became effective on 7/1/2004.
Community Mental Health Rehabilitation Services Final Stage complete. This regulation became effective on 12/3/2003.
Residential Psychiatric Treatment under EPSDT Final Stage complete. This regulation became effective on 1/1/2001.
Case Management for Treatment Foster Care Final Stage complete. This regulation became effective on 1/1/2001.
Hospice Services and Payment Methodology Final Stage complete. This regulation became effective on 1/5/2000.