Action:
Private Duty Nursing Services Under EPSDT
Action 5795
General Information
| Action Summary |
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: services covered, provider qualifications, medical necessity criteria, and rates. |
| Chapters Affected |
| |
VAC |
Chapter Name |
Action Type |
| Primary |
12 VAC 30-50 |
Amount, Duration, and Scope of Medical and Remedial Care and Services |
Promulgate New Regulation
|
| Other chapters |
| |
12 VAC 30 - 80 |
Methods and Standards for Establishing Payment Rate; Other Types of Care |
Amend Existing Regulation
|
|
| Executive Branch Review |
This action will go through the normal Executive Branch Review process.
|
| RIS Project |
Yes [6862] |
| Associated Mandates |
Private Duty Nursing Services
|
| New Periodic Review |
This action will not be used to conduct a new periodic review.
|
Stages
Stages associated with this regulatory action.
| Stage ID |
Stage Type |
Status |
|
9362
|
Emergency/NOIRA
|
Stage withdrawn on 04/11/2022 before DPB completed its review. |
|
9603
|
Emergency/NOIRA
|
Stage complete. Emergency regulation expired on 04/05/2025. |
|
10278
|
Fast-Track
|
Submitted to the Registrar and awaiting publication (02/09/2026). |
Contact Information
|
Name / Title:
|
Meredith Lee
/
Policy, Regulations, and Manuals Supervisor
|
|
Address:
|
Policy Division, DMAS
600 East Broad Street, Suite 1300
Richmond, VA 23219
|
|
Email Address:
|
Meredith.Lee@dmas.virginia.gov
|
|
Phone:
|
(804)371-0552
FAX: (804)786-1680
TDD: ()-
|
