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]
Action is Exempt from Article 2 of the Administrative Process Act
Face-to-Face Encounter Requirement for Home Health
Action 4768
General Information
Action Summary On February 2, 2016, U.S. Centers for Medicare and Medicaid Services (CMS) issued final regulations to amend the process for authorizing Home Health Services for Medicaid beneficiaries. These changes include a requirement for physicians or certain approved non-physician practitioners to conduct and document face-to-face encounters with Medicaid beneficiaries (within specific timeframes, required documentation components, and the allowance for telehealth as permitted by each state) for the payment and delivery of Home Health Services under Medicaid. The final rule modifies requirements on the delivery of Home Health Services, broadening it beyond the home setting but excluding hospitals, nursing facilities, intermediate care facilities for individuals with intellectual disabilities (ICF/IID) or settings in which “payment is or could be made under Medicaid for inpatient services that include room and board.”
Chapters Affected Only affects this chapter.
Executive Branch Review This Action is exempt from Article 2 of the Administrative Process Act. The normal executive branch review process is not required. As such, it can be submitted directly for publication and is effective upon publication.
Exempt Citation: This regulatory action qualifies as final exempt because it meets the requirements of federal law or regulations, provided such regulations do not differ materially from those required by federal law or regulation, and the Registrar has so determined in w
RIS Project Yes  [005023]
New Periodic Review This action will not be used to conduct a new periodic review.
Stages associated with this regulatory action.
Stage ID Stage Type Status
7849 Final Stage complete. This regulation became effective on 07/13/2017.
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.