Agencies | Governor
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]
Action:
CMHRS Changes Required by CMS
 
General Information
Action Summary CMS required that DMAS clarify that community mental health rehabilitative services fit under the umbrella of ‚Äúrehabilitative services‚ÄĚ under 42 CFR 440.130(d): services that are recommended by a physician or licensed practitioner for maximum reduction of physical or mental disability and restoration of a beneficiary to his best possible functional level. More specifically, CMS required DMAS to more clearly define each service, list and define the subcomponents of each service, specify what type of professional could provide each subcomponent, specify what a unit of service is for each service, and the date that existing reimbursement rates were set. In addition, Virginia is considering other changes to help ensure that Virginia offers a range of services that are person-centered and meet the needs of Medicaid members, and that services utilize evidence-based practices and principles including those that are outcome-oriented, trauma-informed, recovery-oriented, and based upon clear medical necessity criteria.
Chapters Affected
  VAC Chapter Name Action Type
Primary 12 VAC 30-50 Amount, Duration, and Scope of Medical and Remedial Care and Services Amend Existing Regulation
Other chapters
  12 VAC 30 - 60 Standards Established and Methods Used to Assure High Quality Care Amend Existing Regulation
Exempt from APA No, this action is subject to the Administrative Process Act and the standard executive branch review process.
RIS Project No project yet assigned to this action
 
Stages
Stages associated with this regulatory action.
Stage ID Stage Type Status
8125 NOIRA Secretary of Health and Human Resources review in progress.
 
Contact Information
Name / Title: Emily McClellan  / Regulatory Supervisor
Address: Policy Division, DMAS
600 E. Broad Street, Suite 1300
Richmond, VA 23219
Email Address: Emily.McClellan@DMAS.Virginia.gov
Phone: (804)371-4300    FAX: (804)786-1680    TDD: ()-

This person is the primary contact for this chapter.