Search Options
Symbol Legend
![Blue Symbol Blue Symbol](../graphics/symbolBlue.png)
Proposed change submitted for Governor's Office review
![Grey Symbol Grey Symbol](../graphics/symbolGrey.png)
Forum not yet submitted for publication
![Orange Symbol Orange Symbol](../graphics/symbolOrange.png)
Forum submitted for publication, but not yet open
![Green Symbol Green Symbol](../graphics/symbolGreen.png)
Forum is open for comments
![Purple Symbol Purple Symbol](../graphics/symbolPurple.png)
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]
144 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
|
1/6/2022 |
|
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 |
|
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 |
|
![spacer](../graphics/invisible.gif) |
|
|
|
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.