Search Options
Symbol Legend
Proposed change submitted for Governor's Office review
Forum not yet submitted for publication
Forum submitted for publication, but not yet open
Forum is open for comments
Forum closed, changes not yet updated by the agency
Department of Medical Assistance Services
Board of Medical Assistance Services
Standards Established and Methods Used for Fee-for-Service Reimbursement
[12 VAC 30 ‑ 95]
221 guidance documents
relevant to this
chapter
for the criteria specified
| ID |
Title |
Effective Date |
|
| Agency level documents applying to all of this agency's boards |
|
5754
|
Medicaid Memos 2015
|
6/22/2015 |
|
|
5755
|
Medicaid Memos 2014
|
6/22/2015 |
|
|
5756
|
Medicaid memos 2013
|
6/22/2015 |
|
|
5757
|
Medicaid Memos 2012
|
6/22/2015 |
|
|
5758
|
Medicaid Memos 2011
|
6/22/2015 |
|
|
5759
|
Medicaid Memos 2010
|
6/22/2015 |
|
|
5760
|
Medicaid memos 2009
|
6/22/2015 |
|
|
5761
|
Medicaid Memos 2008
|
6/22/2015 |
|
|
5762
|
Medicaid Memos 2007
|
6/22/2015 |
|
|
5763
|
Medicaid Memos 2006
|
6/22/2015 |
|
|
5764
|
Medicaid Memos 1999-2005
|
6/22/2015 |
|
|
5765
|
Alzheimer's Assisted Living Waiver Manual
|
6/22/2015 |
|
|
5766
|
Baby Care Manual
|
6/22/2015 |
|
|
5767
|
Children's Mental Health Program Manual
|
6/22/2015 |
|
|
5768
|
Community Mental Health-Rehab Services Manual
|
6/22/2015 |
|
|
5769
|
Dental Manual
|
6/22/2015 |
|
|
5770
|
Durable Medical Equipment and Supplies Manual
|
6/22/2015 |
|
|
5771
|
Elderly or Disabled with Consumer Directed Services
|
6/22/2015 |
|
|
5772
|
Early Intervention Services Manual
|
6/22/2015 |
|
|
5773
|
EPSDT Manual
|
6/22/2015 |
|
|
5774
|
GAP Manual
|
6/22/2015 |
|
|
5775
|
Home Health Manual
|
6/22/2015 |
|
|
5776
|
Hospice Manual
|
6/22/2015 |
|
|
5777
|
Hospital Manual
|
6/22/2015 |
|
|
5778
|
Individual and Family Developmental Disabilities Waiver Services Manual
|
6/22/2015 |
|
|
5779
|
Independent Laboratory Manual
|
6/22/2015 |
|
|
5780
|
Local Education Agency Manual
|
6/22/2015 |
|
|
5781
|
Mental Health Clinic Manual
|
6/22/2015 |
|
|
5782
|
Mental Retardation/ Intellectual Disability Community Services
|
6/22/2015 |
|
|
5783
|
Nursing Facilities Manual
|
6/22/2015 |
|
|
5784
|
Prosthetic Devices Manual
|
6/22/2015 |
|
|
5785
|
Pre-Admission Screening Manual
|
6/22/2015 |
|
|
5787
|
Pharmacy Manual
|
6/22/2015 |
|
|
5788
|
Physician/Practitioner Manual
|
6/22/2015 |
|
|
5789
|
Plan First Manual
|
6/22/2015 |
|
|
5790
|
Podiatry Manual
|
6/22/2015 |
|
|
5791
|
Psychiatric Services Manual
|
6/22/2015 |
|
|
5792
|
Rehabilitation Manual
|
6/22/2015 |
|
|
5793
|
Renal Dialysis Clinic Manual
|
6/22/2015 |
|
|
5794
|
Technology Assisted Waiver and Private Duty Nursing Services Manual
|
6/22/2015 |
|
|
5795
|
Transportation Manual
|
6/22/2015 |
|
|
5796
|
Vision Services Manual
|
6/22/2015 |
|
|
6067
|
Medicaid Memos 2016
|
12/1/2016 |
|
|
6274
|
Medicaid Memos 2017
|
12/4/2017 |
|
|
6468
|
Medicaid Memos 2018
|
12/21/2018 |
|
|
6725
|
DMAS Recognition of Certified Substance Abuse Counselor Supervisees
|
8/1/2019 |
|
|
6726
|
Authorization of Personal Assistance Services in the Developmental Disability Waiver
|
9/4/2019 |
|
|
6729
|
VA Smiles for Children - ORM Updates Effective January 1, 2020
|
1/1/2020 |
|
|
6861
|
Virginia Informed Choice Form
|
8/17/2023 |
|
|
6862
|
Community Housing Guide: Housing Road Map
|
8/20/2020 |
|
|
6863
|
Community Housing Guide: Tenant Screening Form
|
8/20/2020 |
|
|
6865
|
Changes to the Service Delivery Hour Requirements for Addiction and Recovery Treatment Services (ARTS) Intensive Outpatient Services (IOPs): Effective March 5, 2020
|
7/23/2020 |
|
|
6866
|
Availability of Physician Training for Medicaid Long Term Services and Supports Screening
|
5/14/2020 |
|
|
6867
|
SUPPORT Act Established Medicare Part B Benefit for Opioid Use Disorder Treatment Services by Opioid Treatment Programs Effective January 1, 2020-REVISED
|
4/30/2020 |
|
|
6868
|
SUPPORT Act Established Medicare Part B Benefit for Opioid Use Disorder Treatment Services by Opioid Treatment Programs, Effective January 1, 2020
|
3/5/2020 |
|
|
6869
|
Revisions to CCC Plus Service Authorization Requirements
|
1/23/2020 |
|
|
6870
|
DRAFT Memo: Transitioning from the Commonwealth Coordinated Care Plus (CCC Plus) Waiver to a Developmental Disabilities Waiver
|
12/12/2019 |
|
|
6871
|
2019 Update Regarding DMAS Coverage of Telemedicine and Telehealth
|
10/3/2019 |
|
|
6872
|
DMAS Recognition of Certified Substance Abuse Counselor Supervisees
|
9/18/2019 |
|
|
6873
|
Authorization of Personal Assistance Services in the Developmental Disability Waiver
|
9/18/2019 |
|
|
6877
|
Retroactive Billing for Addiction and Recovery Treatment Services (ARTS) Effective July 1, 2020.
|
9/3/2020 |
|
|
6901
|
Patient Driven Payment Model (PDPM) Data Collection Effective 10/17/2020
|
11/12/2020 |
|
|
6953
|
Information Regarding Contract Requirements for Medicaid Managed Care Organizations
|
1/21/2021 |
|
|
6954
|
Information Regarding DMAS Client Appeals (State Fair Hearing)
|
1/21/2021 |
|
|
6987
|
Allowance of Preferred Office-Based Opioid Treatment (OBOT) Services Delivery via Mobile Units
|
4/29/2021 |
|
|
6988
|
Information Regarding Department of Medical Assistance Services (DMAS) Client Appeals (State Fair Hearing)
|
4/29/2021 |
|
|
6989
|
ARTS Guidance for Hospitals
|
2/18/2021 |
|
|
7003
|
Draft: Dental Coverage for Medicaid Enrolled Adults (21 years of age and older) Effective July 1, 2021
|
6/10/2021 |
|
|
7010
|
Draft Memo: Durable Medical Equipment and Supplies Rate Floor
|
6/24/2021 |
|
|
7011
|
Employment and Community Transportation (ECT)
|
4/29/2021 |
|
|
7024
|
Practice Guidelines for Behavior Support Plans
|
6/24/2021 |
|
|
7025
|
Draft: Funding for Psychiatric Residential Treatment Facilities (PRTF) Placements
|
7/8/2021 |
|
|
7026
|
DMAS-600 Form
|
7/8/2021 |
|
|
7027
|
Transfer of CSA Jurisdiction for Medicaid
|
7/8/2021 |
|
|
7059
|
Allowance of licensed school psychologists as outpatient psychiatric services providers
|
8/19/2021 |
|
|
7079
|
Draft: Addition of buprenorphine/naloxone tab SL to the Virginia Common Core Formulary/Preferred Drug List
|
9/16/2021 |
|
|
7117
|
Draft: One-time COVID-19 Support Payment for Attendant/Aides
|
12/9/2021 |
|
|
7118
|
Coverage of Additional COVID Vaccine Dose for Certain Immunocompromised Individuals
|
10/14/2021 |
|
|
7124
|
Medicaid Memos/Bulettins & Provider Manuals 2021
|
12/23/2021 |
|
|
7162
|
DD Waivers - Grid of Compatible and Incompatible Services
|
2/3/2022 |
|
|
7163
|
DD Waiver - Customized Rate - Provider Guidelines
|
9/26/2024 |
|
|
7165
|
Medicaid Memos/Bulletins & Provider Manuals 2021
|
3/2/2022 |
|
|
7212
|
Draft: Virginia Medicaid Preferred Drug List / Common Core Formulary Changes, 90 Day Supply List Changes, and Drug Utilization Review Board Approved Drug Service Authorizations
|
6/23/2022 |
|
|
7272
|
The HCBS Modifications Process
|
5/12/2022 |
|
|
7294
|
Draft: Increased Reimbursement of Medications for the Treatment of Opioid Use Disorder
|
12/8/2022 |
|
|
7378
|
Medicaid Memos/Bulletins & Provider Manuals 2022
|
12/27/2022 |
|
|
7505
|
How EPSDT Is Operationalized in Virginia Medicaid
|
1/5/2023 |
|
|
7515
|
Overview of Companion and Residential Services
|
1/19/2023 |
|
|
7541
|
In Home Support Services Guidance Document
|
7/6/2023 |
|
|
7587
|
Draft: Hospital Providers to Submit Requests for Non-Resident Alien Emergency Inpatient Admissions to Kepro for Service Authorization - effective February 20, 2023
|
3/30/2023 |
|
|
7588
|
Face-To-Face Supervisory, Services Facilitation and Case Management Visits 1/1/2023
|
12/22/2022 |
|
|
7627
|
Chapter 2 (Provider Requirements)
|
12/7/2023 |
|
|
7628
|
Psychiatric Services Manual, Chapter 6
|
12/7/2023 |
|
|
7629
|
Nursing Facility Manual, Chapter 12
|
12/7/2023 |
|
|
7630
|
Nursing Facility Manual, Chapter 10
|
12/7/2023 |
|
|
7631
|
Nursing Facility Manual, Chapter 9
|
12/7/2023 |
|
|
7632
|
Nursing Facility Manual, Chapter 7
|
12/7/2023 |
|
|
7636
|
Pharmacy Manual, Chapter 4
|
12/21/2023 |
|
|
7637
|
Pharmacists as Providers Supplement
|
12/21/2023 |
|
|
7639
|
Durable Medical Equipment Manual, Chapter 4
|
1/4/2024 |
|
|
7640
|
DD Waiver Manual, Chapter 5
|
1/18/2024 |
|
|
7645
|
Renal Dialysis Clinic Manual, Chapter 2
|
2/1/2024 |
|
|
7646
|
Renal Dialysis Clinic Manual, Chapter 4
|
2/1/2024 |
|
|
7647
|
Renal Dialysis Clinic Manual, Chapter 5
|
2/1/2024 |
|
|
7648
|
Renal Dialysis Clinic Manual, Chapter 6
|
2/1/2024 |
|
|
7649
|
Independent Lab Manual, Chapter 2
|
2/1/2024 |
|
|
7650
|
Independent Lab Manual, Chapter 4
|
2/1/2024 |
|
|
7651
|
Independent Lab Manual, Chapter 5
|
2/1/2024 |
|
|
7652
|
Independent Lab Manual, Chapter 6
|
2/1/2024 |
|
|
7653
|
Independent Lab Manual, Appendix C
|
2/1/2024 |
|
|
7663
|
Pharmacy Manual, Appendix D
|
2/1/2024 |
|
|
7664
|
Pharmacy Manual, Appendix E
|
2/1/2024 |
|
|
7665
|
Virginia Medicaid Preferred Drug List / Common Core Formulary Changes, 90 Day Supply List Changes, and Drug Utilization Review Board Approved Drug Service Authorizations
|
2/1/2024 |
|
|
7666
|
CCC+ Waiver Manual, Chapter 6
|
3/14/2024 |
|
|
7667
|
Podiatry Manual Chapter 2
|
3/14/2024 |
|
|
7668
|
Podiatry Manual Chapter 4
|
3/14/2024 |
|
|
7669
|
Podiatry Manual Chapter 5
|
3/14/2024 |
|
|
7670
|
Podiatry Manual Chapter 6
|
3/14/2024 |
|
|
7671
|
Podiatry Manual Appendix B
|
3/14/2024 |
|
|
7701
|
Early Intervention Services Manual, Appendix A
|
5/9/2024 |
|
|
7702
|
Early Intervention Services Manual, Appendix G
|
5/9/2024 |
|
|
7703
|
Early Intervention Services Manual, Appendix I
|
5/9/2024 |
|
|
7704
|
Early Intervention Services Manual, Appendix J
|
5/9/2024 |
|
|
7705
|
Temporary Detention Orders Supplement
|
4/25/2024 |
|
|
7708
|
Mental Health Services Manual, Chapter 4
|
5/9/2024 |
|
|
7709
|
Mental Health Services Manual, Appendix D
|
5/9/2024 |
|
|
7710
|
Chapter 3 (Eligibility)
|
5/9/2024 |
|
|
7711
|
Telehealth Services Supplement
|
5/9/2024 |
|
|
7712
|
Chapter 1 (the same across all provider manuals)
|
5/23/2024 |
|
|
7714
|
Early Intervention Appendix B
|
6/6/2024 |
|
|
7715
|
Early Intervention Appendix C
|
6/6/2024 |
|
|
7716
|
Early Intervention Appendix D
|
6/6/2024 |
|
|
7717
|
Early Intervention Appendix E
|
6/6/2024 |
|
|
7719
|
Vision Manual - Chapter 2
|
6/6/2024 |
|
|
7720
|
Vision Manual - Chapter 4
|
6/6/2024 |
|
|
7721
|
Vision Manual - Chapter 5
|
6/6/2024 |
|
|
7722
|
Vision Manual - Chapter 6
|
6/6/2024 |
|
|
7723
|
Vision Manual - Appendix B
|
6/6/2024 |
|
|
7725
|
Chapter 2, Developmental Disabilities Waivers Manual
|
7/4/2024 |
|
|
7726
|
Chapter 7 of Residential Treatment Services Manual (Service Auth)
|
6/6/2024 |
|
|
7733
|
EPSDT Inpatient Services Supplement
|
8/15/2024 |
|
|
7736
|
Local Education Agency Chapter 2
|
9/12/2024 |
|
|
7737
|
Local Education Agency Chapter 4
|
9/12/2024 |
|
|
7738
|
Local Education Agency Chapter 6
|
9/12/2024 |
|
|
7739
|
Hospital Provider Manual Chapter 2
|
9/12/2024 |
|
|
7740
|
Hospital Provider Manual Chapter 4
|
9/12/2024 |
|
|
7741
|
Hospital Provider Manual Chapter 5
|
9/12/2024 |
|
|
7742
|
Hospital Provider Manual Chapter 6
|
9/12/2024 |
|
|
7743
|
EPSDT Audiology and Hearing Supplement
|
9/12/2024 |
|
|
7744
|
EPSDT Service Authorization Supplement
|
9/12/2024 |
|
|
7745
|
EPSDT Private Duty Nursing Supplement
|
9/12/2024 |
|
|
7746
|
EPSDT Personal Care Supplement
|
9/12/2024 |
|
|
7747
|
EPSDT Supplement B
|
9/12/2024 |
|
|
7748
|
Early Intervention Provider Manual Chapter 2
|
9/12/2024 |
|
|
7749
|
Hospice Provider Manual Chapter 2
|
9/12/2024 |
|
|
7750
|
Hospice Provider Manual Chapter 4
|
9/12/2024 |
|
|
7751
|
Hospice Provider Manual Chapter 5
|
9/12/2024 |
|
|
7753
|
Hospice Provider Manual Chapter 6
|
9/12/2024 |
|
|
7754
|
Home Health Provider Manual Chapter 2
|
9/12/2024 |
|
|
7755
|
Home Health Provider Manual Chapter 4
|
9/12/2024 |
|
|
7756
|
Home Health Provider Manual Chapter 5
|
9/12/2024 |
|
|
7757
|
Home Health Provider Manual Chapter 6
|
9/12/2024 |
|
|
7758
|
Home Health Provider Manual Chapter 7
|
9/12/2024 |
|
|
7759
|
Mental Health Services Manual, Appendix C
|
9/12/2024 |
|
|
7762
|
Early Intervention Manual, Chapter 4
|
9/12/2024 |
|
|
7763
|
Early Intervention Manual, Chapter 5
|
9/12/2024 |
|
|
7764
|
Early Intervention Manual, Chapter 6
|
9/12/2024 |
|
|
7765
|
Chapter 5 of Local Education Agency Manual
|
9/12/2024 |
|
|
7766
|
Prosthetic Device Manual, Chapter 2
|
9/24/2024 |
|
|
7767
|
Prosthetic Device Manual, Chapter 4
|
9/24/2024 |
|
|
7768
|
Prosthetic Device Manual, Chapter 5
|
9/24/2024 |
|
|
7769
|
Prosthetic Device Manual, Chapter 6
|
9/24/2024 |
|
|
7770
|
Psychiatric Services, Chapter 2
|
9/24/2024 |
|
|
7771
|
Psychiatric Services, Chapter 4
|
9/24/2024 |
|
|
7772
|
Psychiatric Services, Chapter 5
|
9/24/2024 |
|
|
7773
|
Psychiatric Services, Chapter 7
|
9/24/2024 |
|
|
7774
|
Transportation Manual, Chapter 2
|
9/24/2024 |
|
|
7775
|
Transportation Manual, Chapter 4
|
9/24/2024 |
|
|
7776
|
Transportation Manual, Chapter 5
|
9/24/2024 |
|
|
7777
|
Transportation Manual, Chapter 6
|
9/24/2024 |
|
|
7778
|
LTSS Screening Manual, Chapter 2
|
9/24/2024 |
|
|
7779
|
LTSS Screening Manual, Chapter 4
|
9/24/2024 |
|
|
7780
|
LTSS Screening Manual, Chapter 5
|
9/24/2024 |
|
|
7781
|
Mental Health Services Manual, Chapter 2
|
9/24/2024 |
|
|
7782
|
Mental Health Services Manual, Chapter 5
|
9/24/2024 |
|
|
7783
|
Mental Health Services Manual, Chapter 6
|
9/24/2024 |
|
|
7784
|
Mental Health Services Manual, Chapter 7
|
9/24/2024 |
|
|
7785
|
Mental Health Services Manual, Chapter 10
|
9/24/2024 |
|
|
7786
|
Mental Health Services Manual, Chapter 11
|
9/24/2024 |
|
|
7787
|
Mental Health Services Manual, Chapter 13
|
9/24/2024 |
|
|
7788
|
Mental Health Services Manual, Chapter 14
|
9/24/2024 |
|
|
7789
|
Nursing Facility Manual, Chapter 2
|
9/24/2024 |
|
|
7790
|
Nursing Facility Manual, Chapter 4
|
9/24/2024 |
|
|
7791
|
Nursing Facility Manual, Chapter 5
|
9/24/2024 |
|
|
7792
|
Nursing Facility Manual, Chapter 6
|
9/24/2024 |
|
|
7793
|
Nursing Facility Manual, Chapter 7
|
9/24/2024 |
|
|
7794
|
Nursing Facility Manual, Chapter 8
|
9/24/2024 |
|
|
7795
|
Nursing Facility Manual, Chapter 9
|
9/24/2024 |
|
|
7796
|
Pharmacy Manual, Chapter 2
|
9/24/2024 |
|
|
7797
|
Pharmacy Manual, Chapter 5
|
9/24/2024 |
|
|
7798
|
Pharmacy Manual, Chapter 6
|
9/24/2024 |
|
|
7799
|
Pharmacy Manual, Chapter 7
|
9/24/2024 |
|
|
7800
|
Pharmacy Manual, Chapter 10
|
9/24/2024 |
|
|
7801
|
Plan First Manual, Chapter 2
|
9/24/2024 |
|
|
7802
|
Plan First Manual, Chapter 5
|
9/24/2024 |
|
|
7803
|
Plan First Manual, Chapter 6
|
9/24/2024 |
|
|
7804
|
Practitioner Manual, Chapter 2
|
9/24/2024 |
|
|
7805
|
Practitioner Manual, Chapter 4
|
9/24/2024 |
|
|
7806
|
Practitioner Manual, Chapter 5
|
9/24/2024 |
|
|
7807
|
Practitioner Manual, Chapter 6
|
9/24/2024 |
|
|
7808
|
Practitioner Manual, Chapter 7
|
9/24/2024 |
|
|
7809
|
Practitioner Manual, Chapter 12
|
9/24/2024 |
|
|
7810
|
Rehabilitation Manual, Chapter 2
|
9/24/2024 |
|
|
7811
|
Rehabilitation Manual, Chapter 4
|
9/24/2024 |
|
|
7812
|
Rehabilitation Manual, Chapter 5
|
9/24/2024 |
|
|
7813
|
Rehabilitation Manual, Chapter 7
|
9/24/2024 |
|
|
7814
|
Residential Treatment Services Manual, Chapter 6
|
9/24/2024 |
|
|
7815
|
Residential Treatment Services Manual, Chapter 7
|
9/24/2024 |
|
|
New
|
Virginia Medicaid Preferred Drug List / Common Core Formulary Changes, 90 Day Supply List Changes, FDA Approval of Over-the-Counter Naloxone, and Drug Utilization Review Board Approved Drug Service Authorizations
|
7/6/2023 |
|
|
New
|
Changes to Hospice Procedures Under Cardinal Care - Virginia’s Medicaid Program, Effective July 1, 2023
|
5/11/2023 |
|
|
New
|
Cardinal Care - Virginia’s Medicaid Program
|
5/11/2023 |
|
 |
|
|
|
Documents listed are for the parent board or agency since they may be relevant to this chapter. No guidance
documents apply to this chapter specifically.
