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]
Mental Health and Substance Use Case Management
Action 5908
General Information
Action Summary This regulatory action: (1) removes the limit for individuals in IMDs to only be able to receive substance use case management at the time of discharge twice in a 12-month period to comply with mental health parity; (2) aligns the state regulations with 42 CFR 411.18(a)(8)(vii); (3) clarifies Individual Service Plan review timeframes and grace periods; (4) clarifies that CSAC-Supervisees can bill for substance use case management services; and, (5) consolidates subsections B and C in 12VAC30-60-185 and removes duplicative language.
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 - 60 Standards Established and Methods Used to Assure High Quality Care Amend Existing Regulation
Executive Branch Review This action will go through the normal Executive Branch Review process.
RIS Project Yes  [7024]
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
9533 Fast-Track Secretary of Health and Human Resources review in progress.
Contact Information
Name / Title: Meredith Lee  / Policy, Regulations and Manuals Superviser
Address: Department of Medical Assistance Services
600 East Broad Street
Richmond, VA 23219
Email Address:
Phone: (804)371-0552    FAX: (804)786-1680    TDD: ()-