Action:
Medicaid and FAMIS Prior Authorization
General Information
| Action Summary |
This action proposes to modify regulations related to outpatient psychiatric services based on the findings of the study to make the process more efficient, give providers would have more timely information, and provide better service to Medicaid recipients.
In addition, this regulatory change will clarify DMAS’s intent to preauthorize all outpatient, non-emergent Magnetic Resonance Imaging (MRI), including Magnetic Resonance Angiography (MRA) scans, Computerized Axial Tomography (CAT) scans, including Computed Tomography Angiography (CTA), or Positron Emission Tomography (PET) scans. It also changes one of the words which form the acronym CAT from Computer to Computerized. |
| Chapters Affected |
| |
VAC |
Chapter Name |
Action Type |
| Primary |
12 VAC 30-50 |
Amount, Duration, and Scope of Medical and Remedial Care and Services |
Amend Existing Regulation
|
| Other chapters |
| |
12 VAC 30 - 141 |
Family Access to Medical Insurance Security (FAMIS)Plan |
|
|
| Executive Branch Review |
This action will go through the normal Executive Branch Review process.
|
| RIS Project |
No project yet assigned to this action |
| Associated Mandates |
FAMIS -- Prior Auth. for Psych, Rehab and Home Hea
|
| 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 |
|
3488
|
Fast-Track
|
Stage complete. This regulation became effective on 07/03/2006. |
Contact Information
|
Name / Title:
|
Cindy Tyler
/
Project Manager
|
|
Address:
|
600 E. Broad Street
Suite 1300
Richmond, VA 23219
|
|
Email Address:
|
Cindy.Tyler@dmas.virginia.gov
|
|
Phone:
|
(804)225-4233
FAX: (804)786-7959
|
