Agencies | Governor
Virginia Regulatory Town Hall
Department of Medical Assistance Services
Board of Medical Assistance Services
Standards Established and Methods Used to Assure High Quality Care [12 VAC 30 ‑ 60]
Utilization Review Changes
General Information
Action Summary This action conforms DMAS' Medicaid and FAMIS utilization review regulations to several opinions from the Virginia Court of Appeals (1st Stop Health Services, Inc. vs. DMAS, 63 Va. App. 266, 756 S.E.2d 183, 2014 Va. App. LEXIS 131 (April 8, 2014) and DMAS v. Ablix Corporation, unpublished, March 17, 2015.
Chapters Affected Only affects this chapter.
Exempt from APA No, this action is not exempt from Article II of the APA and executive branch review.
RIS Project Yes  [004492]
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
7313 NOIRA Stage complete. Comment period ended 02/10/2016.
7599 Proposed Stage complete. Comment period ended 09/22/2017.
8177 Final Governor's office 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:
Phone: (804)371-4300    FAX: (804)786-1680    TDD: ()-

This person is the primary contact for this chapter.