Virginia Regulatory Town Hall
Agency
Department of Medical Assistance Services
 
Board
Board of Medical Assistance Services
 
chapter
Waivered Services [12 VAC 30 ‑ 120]
Action Three Waivers (ID, DD, DS) Redesign
Stage Final
Comment Period Ended on 3/31/2021
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3/24/21  1:27 pm
Commenter: Justin Creech

12VAC30-122-550 Therapeutic consultation service
 
  1. Request to bill in 15 minute increments for accuracy
  2. Provide examples of “in-kind” paperwork. We have always treated contact notes, quarterlies, and disposition summaries as “in-kind” paperwork. However, now that graphs are required in the quarterly, would this make it a billable activity? I include graphs in quarterly reports, but never previously billed.
  3. Is DMAS saying behavior support plans are required within 6 months opening the service? If so, what exceptions are made for extensive hospitalizations, change in providers, illness, delay from parent or group home provider in setting up meetings?
  4. If I begin services on 4/1 and the ISP ends on 4/30 (due to SC ISP ending), then do I request services end on 4/30 and then request the additional 5 months OR can I request 6 months on 4/1? If it is the latter, then will PA’s know if this change?
CommentID: 97417