Description | This chapter contains the federal preprinted State Plan pages that are prepared and issued by the Centers for Medicare and Medicaid Services. |
State Authority | COV 32.1-325 |
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 | To protect public health, safety, and welfare with the least possible costs and intrusiveness to the citizens and businesses of the Commonwealth. This chapter permits the Commonwealth to claim billions of dollars of federal matching funds by conforming to the mandated page templates provided by the federal Medicaid authority (Centers for Medicare and Medicaid Services). |
Meetings |
Name / Title: | Emily McClellan / Regulatory Supervisor |
Address: |
Policy Division, DMAS 600 East Broad St., 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 |
---|---|---|
State-Based Exchange | Fast-Track | Attorney General review in progress. |
Medicaid Enterprise System Updates
|
Final | Attorney General review in progress. |
Third Party Liability Update | Fast-Track | Attorney General review in progress. |
12 Months Postpartum | Emergency/NOIRA | Attorney General review in progress. |
Past Actions | ||
Action Title | Latest Stage | Status |
---|---|---|
Tribal Consultation
|
Final | Stage complete. This regulation became effective on 11/11/2021. |
SNAP Income to Determine Medicaid Eligibility | Fast-Track | Stage complete. This regulation became effective on 09/02/2021. |
Update to Drug Utilization Review Program | Fast-Track | Stage complete. This regulation became effective on 09/02/2021. |
Expansion-Related Changes - Expansion Group, FMAP, HIPP, Determination State | Fast-Track | Stage complete. This regulation became effective on 03/17/2022. |
2016 Psychiatric Residential Treatment Services Program Changes | Final | Stage complete. This regulation became effective on 08/22/2019. |
CH 0010 Requirements for LTC Facilities
|
Final | Stage complete. This regulation became effective on 10/19/2017. |
Provider Screening Requirements
|
Final | Stage complete. This regulation became effective on 10/19/2016. |
Public Assistance Reporting Information System (PARIS)
|
Final | Stage complete. This regulation became effective on 04/10/2013. |
Recovery Audit Contractors
|
Final | Stage complete. This regulation became effective on 10/25/2012. |
Medicaid Prohibition on Payments to Institutions or Entities Located Outside of the United States
|
Final | Stage complete. This regulation became effective on 07/06/2011. |
Premium Assistance Option under CHIPRA | Final | Stage withdrawn on 09/28/2010 prior to submitting for AG review. |
2010 Reimbursement and Provider Termination Changes
|
Final | Stage complete. This regulation became effective on 07/01/2010. |
Managed Care Provider Exclusion
|
Final | Stage complete. This regulation became effective on 10/01/2009. |
Estate Recovery Update | Final | Stage complete. This regulation became effective on 07/23/2009. |
Attorney General Regulatory Reform Task Force Changes
|
Final | Stage complete. This regulation became effective on 04/15/2009. |
Cooperation with Medicaid Integrity Program Efforts
|
Final | Stage complete. This regulation became effective on 11/26/2008. |
Employee Education About False Claims Act
|
Final | Stage complete. This regulation became effective on 11/01/2007. |
2007 Omnibus: False Claims Recoveries;Third Party Liability
|
Final | Stage withdrawn on 08/27/2007 prior to submitting for AG review. |
Long Term Care Partnership Insurance | Fast-Track | Stage complete. This regulation became effective on 09/01/2007. |
Program of All-Inclusive Care for the Elderly (PACE) | Fast-Track | Stage complete. This regulation became effective on 07/01/2007. |
Periodic Review of Estate Recoveries | NOIRA | Stage withdrawn on 02/05/2007 after the comment period had ended. |
Prospective Drug Utilization Review | Final | Stage complete. This regulation became effective on 01/03/2005. |
2003 Omnibus Mandatory Revisions
|
Final | Stage complete. This regulation became effective on 07/01/2003. |
2001 Technical (9-Part) Amendment
|
Final | Stage complete. This regulation became effective on 01/16/2002. |
Provider Appeals | Final | Stage complete. This regulation became effective on 07/04/2001. |
Central Processing Unit: Medicaid Eligibility Determination
|
Final | Stage complete. This regulation became effective on 08/01/2001. |
Residential Psychiatric Treatment under EPSDT | Final | Stage complete. This regulation became effective on 01/01/2001. |
Program of All-Inclusive Care for the Elderly (PACE) | Final | Stage complete. This regulation became effective on 07/01/2000. |
Medicaid Fraud/Abuse Detection/ Investigation;Free Choice of Providers; Conflict of Interest
|
Final | Stage complete. This regulation became effective on 10/13/1999. |
Withdrawn Actions | ||
Action Title | Latest Stage | Status |
---|---|---|
Removal of Cost-Sharing | Fast-Track | Stage withdrawn on 04/25/2024 prior to submitting for AG review. |
Barrier Crimes Not Permitted | Fast-Track | Stage withdrawn on 09/29/2023 prior to submitting for AG review. |
Requirements for LTC Facilities | Final | Stage withdrawn on 07/05/2017 prior to submitting for AG review. |
Periodic Reviews | ||
Last Activity | Status | |
---|---|---|
8/25/2014 Filed | Pending |