Virginia Regulatory Town Hall
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Department of Medical Assistance Services
 
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Board of Medical Assistance Services
 
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10/4/17  4:44 pm
Commenter: Paul Dearman, Resident in Counseling, Community Intervention Associates LLC

Vague wording on page 62 of CMHRS Chapter 2
 

Regarding CMHRS, Chapter II, under Mental Health Skill Building, Medical Necessity Criteria, #3: "The individual shall not be in a supervised setting as described in §63.2-905.1 of the Code of Virginia. If the individual is transitioning into an independent living situation, services shall only be authorized for up to six months prior to the date of transition"

We are reading 2 possible interpretations of this. Is it stating that an individual receiving those services is ineligible under all circumstances, AND that other individuals living with their parents, for example, can only receive services up to 6 months prior to moving out/going to college/etc? OR is it stating that individuals receiving services described in §63.2-905.1 can receive services up to 6 months prior to the end of those services and that there's no restrictions on anyone else ages 18-21?

CommentID: 62851