Agencies | Governor
Virginia Regulatory Town Hall
Department of Medical Assistance Services
Board of Medical Assistance Services
Standards Established and Methods Used to Assure High Quality Care [12 VAC 30 ‑ 60]
Utilization Review Changes
[Withdrawn 4/15/2021]
Reason for Withdrawal
Items from this action will be included in the proposed stage that will follow the ER/NOIRA entitled Utilization Review (TH 5172/8454) so that all revisions of 12 VAC 30-60-5 are in synch.
General Information
Action Summary This action conforms DMAS' Medicaid and FAMIS utilization review regulations to several opinions from the Virginia Court of Appeals (1st Stop Health Services, Inc. vs. DMAS, 63 Va. App. 266, 756 S.E.2d 183, 2014 Va. App. LEXIS 131 (April 8, 2014) and DMAS v. Ablix Corporation, unpublished, March 17, 2015.
Chapters Affected Only affects this chapter.
Exempt from APA No, this action is subject to Article 2 of the Administrative Process Act.
RIS Project Yes  [004492]
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
7313 NOIRA Stage withdrawn on 04/15/2021 after the comment period had ended.
7599 Proposed Stage withdrawn on 04/15/2021 after the comment period had ended.
8177 Final Stage withdrawn on 04/15/2021 after the Governor's office completed its review.
Contact Information
Name / Title: Emily McClellan  / Regulatory Supervisor
Address: Policy Division, DMAS
600 E. Broad Street, Suite 1300
Richmond, VA 23219
Email Address:
Phone: (804)371-4300    FAX: (804)786-1680    TDD: ()-

This person is the primary contact for this chapter.