Virginia Regulatory Town Hall
Agency
Department of Medical Assistance Services
Board
Board of Medical Assistance Services
chapter
Methods and Standards for Establishing Payment Rate; Other Types of Care [12 VAC 30 ‑ 80]
Action is Exempt from Article 2 of the Administrative Process Act
Action:
Repeal and Replacement of Chapter 80 Reimbursement Regulations
Action 6784
 
General Information
Action Summary This regulatory action repeals and replaces Chapter 80 of the DMAS reimbursement regulations in direct response to the mandate in HB1600 Item 288.JJJJJ which reads: The Department of Medical Assistance Services (DMAS) shall have the authority to submit final exempt regulatory packages to repeal existing provider reimbursement regulations in 12 VAC 30-70, 12 VAC 30-80, and 12 VAC 30-90 and replace them with new sections containing text that is identical to the Medicaid state plan as it was in effect on March 1, 2025. Changes shall not impact any aspect of the Medicaid program or increase costs. These regulatory packages shall be promulgated according to the following schedule: Chapter 70 sections shall be submitted for executive branch review within 30 days from the enactment date of this Act; Chapter 80 sections shall be submitted for executive branch review within 60 days from the enactment date of this Act; Chapter 90 sections shall be submitted for executive branch review within 90 days from the enactment date of this Act. This regulatory action removes the outdated language related to provider reimbursement rates for chapter 12VAC30-80 and replaces it with text from the up-to-date State Plan. This action repeals and replaces all of the chapter 12VAC30-80 regulations except 12VAC30-80-21, which remains in the VAC.
Chapters Affected Only affects this chapter.
Executive Branch Review This Action is exempt from Article 2 of the Administrative Process Act, but falls within the Executive Branch and will be reviewed by the Governor's Office.
RIS Project Yes  [8130]
New Periodic Review This action will not be used to conduct a new periodic review.
 
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Contact Information
Name / Title: Syreeta Stewart  / Regulatory Coordinator
Address: 600 E. Broad St., Suite 1300
Richmond, VA 23219
Email Address: Syreeta.Stewart@dmas.virginia.gov
Phone: (804)298-3863    FAX: (804)786-1680    TDD: (800)343-0634