9/11/Commonwealth of Virginia
Department of Medical Assistance Services
Notice of Scheduling for the Medicaid Appeals Workgroup
Pursuant to Chapter 836, Item WW.3 of the 2017 Acts of Assembly the Virginia Department of Medical Assistance Services has convened a workgroup with representatives from the provider community, the legal community and the Office of Attorney General that is titled the Medicaid Appeals Workgroup. The Workgroup shall develop a plan to avoid or adjust retractions or for non-material breaches of the Provider Participation Agreement when the provider has substantially complied with the Provider Participation Agreement. The plan as developed shall include an assessment of any administrative financial impact the plan will have on the department and an analysis of any implications for the department’s efforts to combat fraud, waste, and abuse. The Department conducted an introductory meeting on July 11 and is now conducting a working meeting. A final meeting in which the Department presents the workgroup’s plan shall be held after the working meeting. Public comment will be held at both meetings and written comments will be accepted by the Department throughout the tenure of the Workgroup.
The working meeting shall be held on September 11th from 1:30-3:30 pm at the Department of Medical Assistance Services located at 600 East Broad Street, Richmond, Virginia 23219 within Rooms 7 A & B.
Public comments concerning the issues addressed by the Medicaid Appeals Workgroup may be submitted at any time prior to the close of the tenth day following the final Workgroup meeting.