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]
Private Duty Nursing Services Under EPSDT
Action 5795
General Information
Action Summary This regulatory action updates the Virginia Administrative Code to include the following items related to private duty nursing, in accordance with a mandate from the 2021 General Assembly: services covered, provider qualifications, medical necessity criteria, and rates.
Chapters Affected
  VAC Chapter Name Action Type
Primary 12 VAC 30-50 Amount, Duration, and Scope of Medical and Remedial Care and Services Promulgate New Regulation
Other chapters
  12 VAC 30 - 80 Methods and Standards for Establishing Payment Rate; Other Types of Care Amend Existing Regulation
Executive Branch Review This action will go through the normal Executive Branch Review process.
RIS Project Yes  [6862]
Associated Mandates Private Duty Nursing Services
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
9362 Emergency/NOIRA Stage withdrawn on 04/11/2022 before DPB completed its review.
9603 Emergency/NOIRA Stage complete. This regulation became effective on 10/06/2023 and expires on 04/05/2025.
Contact Information
Name / Title: Meredith Lee  / Policy, Regulations, and Manuals Supervisor
Address: Policy Division, DMAS
600 East Broad Street, Suite 1300
Richmond, VA 23219
Email Address:
Phone: (804)371-0552    FAX: (804)786-1680    TDD: ()-