Virginia Regulatory Town Hall
Agency
Department of Medical Assistance Services
Board
Board of Medical Assistance Services


chapter
Amount, Duration, and Scope of Medical and Remedial Care and Services [12 VAC 30 ‑ 50]
actions chapter information    Guidance Documents    Periodic Reviews
Current actions Latest Stage Status
EPSDT Applied Behavior Analysis Therapy Services NOIRA Stage complete. Comment period ended 2/13/2013.
Part D Coverage of Benzodiazepines and Barbiturates Fast-Track Governor's office review in progress.
CH 0080 Pharmacy Supplemental Rebate/Unit Dose Fee/Drug Threshold Fast-Track Governor's office review in progress.
2011 Mental Health Services Program Changes for Appropriate Utilization & Provider Qualifications Proposed Stage complete. Comment period ended 4/12/2013.
Freestanding Birthing Centers Final Not yet submitted to Attorney General for certification.
Signature Requirement for Medical Records Emergency/NOIRA Governor's office review in progress.
Physician Face to Face Encounter for Home Health Certification Final Not yet submitted to Attorney General for certification.
Medicare Prescription Drug Program (Part D) - -
Discontinue Coverage of Erectile Dysfunction Drugs for Sex Offenders - -
Case Management for Mental Health Services - -
Abortion Services - -
Prior Authorization for Dental Services - -
Institutions for Mental Disease Reimbursement Changes - -
Program of All Inclusive Care for the Elderly (PACE) - -
Expand Coverage of School Health Assessments - -
Mental Health Skill-building Services - -
Optional Family Planning Services and Group - -
Inpatient and Outpatient Rehabilitation Update - -
Coverage of Substance Abuse Treatment Services - -
Coverage of Medical Nutrition Therapy - -

Past actions Latest Stage Status
Smoking Cessation Services for Pregnant Women Final Stage complete. This regulation became effective on 2/27/2013.
2010 Durable Medical Equipment (DME) Changes Final Stage complete. This regulation became effective on 7/1/2012.
Early Intervention (Part C) Case Management Emergency/NOIRA Stage complete. This regulation became effective on 10/8/2012 and expires on 10/7/2013.
Coverage and Reimbursement of Early Intervention Services under Part C of IDEA Final Stage complete. This regulation became effective on 10/25/2012.
Children's Exemption from Hospice Election Final Stage complete. This regulation became effective on 11/10/2010.
Amount, Duration and Scope of Services - Abortion Services Final Stage complete. This regulation became effective on 7/1/2010.
Community Mental Health Services Prior Authorization Final Stage complete. This regulation became effective on 2/16/2011.
Nurse Practitioners Authorization of DME Final Stage complete. This regulation became effective on 1/1/2010.
Prior Authorization of Intensive In-Home Services Final Stage complete. This regulation became effective on 3/3/2010.
Substance Abuse Treatment Services Final Stage complete. This regulation became effective on 1/21/2010.
Attorney General Regulatory Reform Task Force Changes Final Stage complete. This regulation became effective on 4/15/2009.
Program of All Inclusive Care (PACE) as State Plan Service Fast-Track Stage complete. This regulation became effective on 2/5/2009.
Hearing Aid Services for Children Final Stage complete. This regulation became effective on 1/1/2008.
IFDDS Waiver Changes Final Stage complete. This regulation became effective on 7/11/2007.
Medicare Prescription Drug Program (Part D) Final Stage complete. This regulation became effective on 3/7/2007.
Program of All-Inclusive Care for the Elderly (PACE) Fast-Track Stage complete. This regulation became effective on 7/1/2007.
Prior Authorization for Dental Services Final Stage complete. This regulation became effective on 7/1/2006.
Medicaid and FAMIS Prior Authorization Fast-Track Stage complete. This regulation became effective on 7/3/2006.
Add Community-Based Residential Services as covered Medicaid services Final Stage complete. This regulation became effective on 1/25/2006.
Non-Emergency Transportation as a Medical Expense Final Stage complete. This regulation became effective on 7/1/2005.
Discontinue Coverage of Erectile Dysfunction Drugs for Sex Offenders Emergency/NOIRA Stage complete. Emergency regulation expired on 5/26/2006.
PDL, P&T Com, Drug Rebates, UR of High Drug Thresholds Final Stage complete. This regulation became effective on 1/3/2005.
Add Marriage and Family Therapists as Enrolled Providers Final Stage complete. This regulation became effective on 7/1/2004.
Community Mental Health Rehabilitation Services Final Stage complete. This regulation became effective on 12/3/2003.
Prior Authorization for MRI, CAT and PET Scans Emergency Stage complete. Emergency regulation expired on 6/30/2004.
Coverage of Stretcher Vans as Non-emergency Transportation Emergency Stage complete. Emergency regulation expired on 6/30/2004.
34-Day Supply of Prescription Drugs Final Stage complete. This regulation became effective on 7/1/2002.
Dental Services Final Stage complete. This regulation became effective on 7/1/2002.
Limit Coverage of Out-of-State Inpatient Hospital Services Final Stage complete. This regulation became effective on 1/2/2002.
Coverage of Ocular Prosthetics Final Stage complete. This regulation became effective on 12/5/2001.
Individual and Family Developmental Disabilities Support Waiver Final Stage complete. This regulation became effective on 7/1/2001.
Transportation Services as an Administrative Expense Final Stage complete. This regulation became effective on 7/2/2001.
Residential Psychiatric Treatment under EPSDT Final Stage complete. This regulation became effective on 1/1/2001.
Case Management for Treatment Foster Care Final Stage complete. This regulation became effective on 1/1/2001.
Expansion of School-Based Services for Special Education Children Final Stage complete. This regulation became effective on 1/1/2001.
Clinic Services: Mental Health Clinic Provider Qualifications Final Stage complete. This regulation became effective on 7/5/2000.
2000 Omnibus Amendments: HIV eligibility expansion, organ transplant coverage expansion, colorectal cancer screenings coverage. Final Stage complete. This regulation became effective on 7/1/2000.
Program of All-Inclusive Care for the Elderly (PACE) Final Stage complete. This regulation became effective on 7/1/2000.
Hospice Services and Payment Methodology Final Stage complete. This regulation became effective on 1/5/2000.
Amount, Duration, and Scope of Services Pharmacy Services: Pharmacy Infusion Services Proposed Stage complete. Comment period ended 11/10/2000.
Pharmacy Services: Coverage of Weight Loss Drugs Final Stage complete. This regulation became effective on 9/1/1999.
Preventive Services: Maternal Length of Stay Final Stage complete. This regulation became effective on 10/1/1999.
Coverage of Organ Transplant Services: Technical Amendment Final Stage complete. This regulation became effective on 9/15/1999.
Coverage of Leukemia Diagnoses under Bone Marrow/Stem Cell Transplantation Final Stage complete. This regulation became effective on 7/1/1999.

Withdrawn actions Latest Stage Status
CH 0050 Chap 50 Freestanding Birthing Centers -
Cover Special DME in Nursing Facilities -
Mental Health Services Program Changes to Ensure Appropriate Utilization and Provider Qualifications Emergency/NOIRA Stage withdrawn on 1/13/2012 after the comment period had ended.
Pediatric Dental Program Proposed Stage withdrawn before DPB completed its review.
Restore Elderly Case Management -
2001 Technical Amendments Final Stage withdrawn before submission to the Registrar.
2000 Hospital Technical Amendments Final Stage withdrawn before submission to the Registrar.
Home Health Services Durable Medical Equipment -
2000 Technical Amendments Final Stage withdrawn before submission to the Registrar.