Virginia Regulatory Town Hall
Health and Human Resources
Department of Medical Assistance Services
Board of Medical Assistance Services
Mandate 1222

Mandate Information
Mandate Title:
Private Duty Nursing Services
Purpose of legislation
This regulatory action updates the Virginia Administrative Code to include the following items related to private duty nursing, in accordance with a mandate from the 2021 General Assembly: (304.MM): services covered, provider qualifications, medical necessity criteria, and rates.
Legislation mandating a change
Budget item mandating a change Item 304 (2022)
VAC chapters to be amended
12 vac 30 - 50 : Amount, Duration, and Scope of Medical and Remedial Care and Services
12 vac 30 - 80 : Methods and Standards for Establishing Payment Rate; Other Types of Care
Associated Regulatory Actions
Action 5795: Private Duty Nursing Services Under EPSDT
Latest Stage: Emergency/NOIRA
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