Description | This chapter contains provisions for the following covered services which operate in combination with the related State Plan requirements: long-stay acute care hospitals, preadmission screening and annual resident review, drug utilization review, drug utilization review in NFs, criteria for intermediate care for individuals with intellectual disabilities, DMAS-122 adjustment process, Health Insurance Premium Payment Program (HIPP), Client Medical Management, treatment foster care case management, pharmacy service authorization, marketing, Addiction Recovery and Treatment Services (ARTS), and Peer Support Services. |
State Authority | COV 32.1-325 et seq . |
Federal Authority | title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) |
Text of Regulation | Link to Virginia Administrative Code |
Goals of Regulation | None entered |
Meetings | See all meetings (1) relating to this chapter. |
Name / Title: | Emily McClellan / Regulatory Supervisor |
Address: |
Policy Division, DMAS 600 E. Broad Street, Suite 1300 Richmond, VA 23219 |
Email Address: | Emily.McClellan@DMAS.Virginia.gov |
Telephone: | (804)371-4300 FAX: (804)786-1680 TDD: ()- |
Current Actions | ||
Action Title | Latest Stage | Status |
---|---|---|
Medicaid Enterprise System Updates
|
Final | Attorney General review in progress. |
Preadmission Screening and Resident Review (PASRR) Update | Fast-Track | Attorney General review in progress. |
Consumer-Directed Attendants | Fast-Track | Secretary of Health and Human Resources review in progress. |
Past Actions | ||
Action Title | Latest Stage | Status |
---|---|---|
Removal of DEA-X Waiver
|
Final | Stage complete. This regulation became effective on 10/23/2024. |
Addiction and Recovery Treatment and Substance Use Disorder Services Updates | Fast-Track | Stage complete. This regulation became effective on 12/08/2022. |
Update of the DMAS-225 Form
|
Final | Stage complete. This regulation became effective on 09/17/2021. |
2016 Psychiatric Residential Treatment Services Program Changes | Final | Stage complete. This regulation became effective on 08/22/2019. |
CMH and Peers Updates | Fast-Track | Stage complete. This regulation became effective on 04/14/2021. |
ARTS Updates | Fast-Track | Stage complete. This regulation became effective on 03/05/2020. |
Amendments to Marketing Regulations | Fast-Track | Stage complete. This regulation became effective on 08/08/2019. |
Repeal of VICAP Regulations | Fast-Track | Stage complete. This regulation became effective on 02/21/2019. |
Peers Amendments | Fast-Track | Stage complete. This regulation became effective on 02/21/2019. |
Institutions for Mental Disease Reimbursement Changes | Final | Stage complete. This regulation became effective on 03/08/2017. |
Addiction and Recovery Treatment (ARTS) Services | Fast-Track | Stage complete. This regulation became effective on 04/01/2017. |
2012 Client Medical Management Update | Fast-Track | Stage complete. This regulation became effective on 12/03/2015. |
2011 Mental Health Services Program Changes for Appropriate Utilization & Provider Qualifications | Final | Stage complete. This regulation became effective on 01/30/2015. |
Technical Corrections for Utilization Review of Community Mental Health Rehabilitation Services | Fast-Track | Stage complete. This regulation became effective on 09/12/2013. |
Inpatient and Outpatient Rehabilitation Update | Fast-Track | Stage complete. This regulation became effective on 01/01/2016. |
Technical Correction to References to School Division Providers
|
Final | Stage complete. This regulation became effective on 07/21/2010. |
Attorney General Regulatory Reform Task Force Changes
|
Final | Stage complete. This regulation became effective on 04/15/2009. |
HIPP Program Modifications | Fast-Track | Stage complete. This regulation became effective on 07/23/2009. |
DRA Mandated Treatment Foster Care Changes
|
Final | Stage complete. This regulation became effective on 03/21/2007. |
PDL, P&T Com, Drug Rebates, UR of High Drug Thresholds | Final | Stage complete. This regulation became effective on 01/03/2005. |
MEDALLION BBA Changes | Final | Stage complete. This regulation became effective on 03/10/2005. |
Reasonable Limits on Amounts for Necessary Medical or Remedial Care | Final | Stage complete. This regulation became effective on 07/01/2004. |
Community Mental Health Rehabilitation Services | Final | Stage complete. This regulation became effective on 12/03/2003. |
Residential Psychiatric Treatment under EPSDT | Final | Stage complete. This regulation became effective on 01/01/2001. |
Case Management for Treatment Foster Care | Final | Stage complete. This regulation became effective on 01/01/2001. |
Hospice Services and Payment Methodology | Final | Stage complete. This regulation became effective on 01/05/2000. |
Periodic Reviews | ||
Last Activity | Status | |
---|---|---|
8/1/2022 Agency Completed | Retain As Is |