Virginia Regulatory Town Hall
Agency
Department of Medical Assistance Services
 
Board
Board of Medical Assistance Services
 
chapter
Waivered Services [12 VAC 30 ‑ 120]
 
Guidance Documents
Chapter Information
Description This chapter contains provisions for the following waivered services: Family and Individual Supports Waiver, Community Living Waiver, and the Building Independence Waiver. This chapter also contains the requirements for MEDALLION managed care.
State Authority COV 32.1-325 et seq .
Federal Authority Title XIX of the Social Security Act (42 U.S.C. 1396)
Text of Regulation Link to Virginia Administrative Code
Goals of Regulation None entered
Meetings See all meetings (4) relating to this chapter.

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
Cardinal Care Managed Care Program Emergency/NOIRA Returned to agency requesting additional information. (returned 3 times)

Past Actions
Action Title Latest Stage Status
CCC Plus WAIVER Final Stage complete. This regulation became effective on 06/19/2024.
Client Appeals Update Fast-Track Stage complete. This regulation became effective on 08/01/2024.
Repeal of Alzheimer's Assisted Living Waiver Regulations Fast-Track Stage complete. This regulation became effective on 03/04/2022.
Electronic Visit Verification Final Stage complete. This regulation became effective on 08/18/2021.
Three Waivers (ID, DD, DS) Redesign Final Stage complete. This regulation became effective on 03/31/2021.
CCC Plus - Part 1 Final Stage complete. This regulation became effective on 03/31/2021.
Medallion Updates Fast-Track Stage complete. This regulation became effective on 04/18/2019.
Consumer Directed Services Facilitators Final Stage complete. This regulation became effective on 10/27/2018.
EPSDT Behavioral Therapy Services Final Stage complete. This regulation became effective on 12/12/2018.
2015 Technology Assisted Waiver Updates Final Stage complete. This regulation became effective on 09/06/2017.
Managed Care ARTS Fast-Track Stage complete. This regulation became effective on 05/04/2017.
Mandatory Capitated Managed Care (Medallion 3.0) Final Stage complete. This regulation became effective on 07/27/2016.
Exceptional Rate for ID Waiver Individuals Final Stage complete. This regulation became effective on 06/30/2016.
2011 Exceptions to Personal Care Service Limit Final Stage complete. This regulation became effective on 12/31/2015.
Alzheimer's Assisted Living Waiver Changes
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 09/09/2015.
MFP Cover First Month's Rent Fast-Track Stage complete. This regulation became effective on 01/01/2016.
Change Administration of DD Waiver and Other Technical Corrections
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 04/10/2014.
Repeal MEDALLION Primary Care Case Management Program Fast-Track Stage complete. This regulation became effective on 03/28/2014.
Waiver Skilled Nursing Services in Quarter Hour Increments
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 01/02/2014.
Repeal Assisted Living Services for AG-Individuals in Adult Care Residences Fast-Track Stage complete. This regulation became effective on 09/26/2013.
Technology Assisted Waiver Update Final Stage complete. This regulation became effective on 03/13/2014.
Elderly or Disabled with Consumer Direction Waiver Updates Final Stage complete. This regulation became effective on 02/12/2015.
MCO Rural Exception Final Stage complete. This regulation became effective on 01/02/2014.
Repeal HIV/AIDS Waiver Fast-Track Stage complete. This regulation became effective on 06/20/2013.
Add FC/AA Kids in MCOs Fast-Track Stage complete. This regulation became effective on 01/02/2014.
Mental Retardation/Intellectual Disability Waiver Changes Final Stage complete. This regulation became effective on 07/04/2013.
EDCD Respite Services in Children's Residential Facilities
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 01/01/2012.
Foster Care Children Enrolled into Medallion II Emergency/NOIRA Stage complete. Emergency regulation expired on 05/01/2013.
Coverage and Reimbursement of Early Intervention Services under Part C of IDEA Final Stage complete. This regulation became effective on 10/25/2012.
2011 Budget Changes for Respite and Personal Care Services
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 07/01/2011.
Alzheimer's Assisted Living Waiver Update Final Stage complete. This regulation became effective on 07/05/2012.
Provider Felony Convictions
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 11/10/2010.
Substance Abuse Treatment Services Final Stage complete. This regulation became effective on 01/21/2010.
Money Follows the Person Final Stage complete. This regulation became effective on 07/09/2009.
Remove 21 hour Personal Care Requirement for EDCD Waiver Enrollees Receiving Hospice Services
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 07/01/2009.
Attorney General Regulatory Reform Task Force Changes
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 04/15/2009.
Acute and Long-Term Care Services Final Stage complete. This regulation became effective on 03/04/2009.
Program of All Inclusive Care (PACE) as State Plan Service Fast-Track Stage complete. This regulation became effective on 02/05/2009.
2008 Reimbursement Changes
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 10/15/2008.
Alzheimer’s Assisted Living (AAL) Waiver Final Stage complete. This regulation became effective on 07/11/2007.
IFDDS Waiver Changes Final Stage complete. This regulation became effective on 07/11/2007.
Day Support Waiver for Individuals with MR Final Stage complete. This regulation became effective on 12/26/2007.
Program of All-Inclusive Care for the Elderly (PACE) Fast-Track Stage complete. This regulation became effective on 07/01/2007.
Program of All Inclusive Care for the Elderly (PACE) Fast-Track Stage withdrawn on 10/10/2006 before DPB completed its review.
Home and Community Based Services for Persons with Mental Retardaton Final Stage complete. This regulation became effective on 06/28/2006.
Elderly/Disabled Waiver Combined with Consumer-Directed Waiver Final Stage complete. This regulation became effective on 02/22/2006.
Revisions to MEDALLION Regulations as a Result of a Periodic Review Fast-Track Stage complete. This regulation became effective on 11/20/2006.
Transitional funding for AIDS Waiver, IFDDS Waiver, MR Waiver, and Technology Assisted Waiver Fast-Track Stage withdrawn on 12/21/2005 before DPB completed its review.
Pediatric Dental Program Proposed Stage withdrawn on 10/04/2005 before Attorney General's office completed its review.
Exclusion of Birth Injury Fund Participants from Medicaid and FAMIS Managed Care Fast-Track Stage complete. This regulation became effective on 03/11/2006.
Medallion II BBA changes Final Stage complete. This regulation became effective on 03/10/2005.
AIDS/HIV Waiver Final Stage complete. This regulation became effective on 03/11/2004.
Home and Community Based Elderly Plus Waiver Emergency/NOIRA Stage withdrawn on 03/30/2004 before Attorney General's office completed its review.
Individual and Family Developmental Disabilities Support Waiver (IFDDS) Final Stage complete. This regulation became effective on 10/01/2003.
Elderly & Disabled Waiver PERS Service Final Stage complete. This regulation became effective on 02/01/2003.
Managed Care: Medallion II Final Stage complete. This regulation became effective on 12/01/2002.
Mental Retardation Waiver Program Final Stage complete. This regulation became effective on 10/16/2002.
Individual and Family Developmental Disabilities Support Waiver Final Stage complete. This regulation became effective on 07/01/2001.
CBC Waiver Service for Recipients with Mental Retardation: Reduce Patient Pay Amount NOIRA Stage withdrawn on 09/04/2001 after the Governor's office completed its review.
Program of All-Inclusive Care for the Elderly (PACE) Final Stage complete. This regulation became effective on 07/01/2000.
Family Planning Waiver Services NOIRA Stage withdrawn on 06/13/2002 after the comment period had ended.

Withdrawn Actions
Action Title Latest Stage Status
No Coverage of Overtime Hours for CD Personal Assistance, Respite, and Companion Services Proposed Stage withdrawn on 11/20/2020 before the Governor's office completed its review.
Medallion Coverage for State Psychiatric Hospitals Fast-Track Stage withdrawn on 03/11/2020 prior to submitting for AG review.
CCC Plus - Part 2 (2nd Emergency Regulation) Emergency Stage withdrawn on 03/27/2019 before Attorney General's office completed its review.
Repeal Family Planning Waiver Regulations
Final Stage withdrawn on 10/13/2016 prior to submitting for AG review.
Technical Fix for Part C Children
Final Stage withdrawn on 10/13/2016 before submission to the Registrar.
Increase Personal Maintenance Allowance (PMA)
Final Stage withdrawn on 10/06/2016 before submission to the Registrar.
2015 Technology Assisted Waiver Changes
Omnibus Waiver Regulatory Changes Proposed Stage withdrawn on 11/12/2013 prior to submitting for AG review.
Federal MR Waiver Changes Emergency/NOIRA Stage withdrawn on 11/12/2013 prior to submitting for AG review.
CH 120 Money Follows the Person -- Modifying the Emergency Regulation
CH 0070 2008 Reimbursement Changes
Exceptional Rate for ID Waiver Individuals Emergency/NOIRA Stage withdrawn on 09/17/2013 prior to submitting for AG review.
2011 Exceptions to Personal Care Service Limit Emergency/NOIRA Stage withdrawn on 06/13/2011 prior to submitting for AG review.
Pediatric Dental Program Proposed Stage withdrawn on 11/03/2005 before DPB completed its review.
Personal Maintenance Allowance Increase
Final Stage withdrawn on 11/04/2008 after submission to the Registrar.