Virginia Regulatory Town Hall
Department of Medical Assistance Services
Board of Medical Assistance Services
Amount, Duration, and Scope of Medical and Remedial Care and Services [12 VAC 30 ‑ 50]
Medicaid and FAMIS Prior Authorization
Action 1932
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 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:
Phone: (804)225-4233    FAX: (804)786-7959