Virginia Regulatory Town Hall
Department of Medical Assistance Services
Board of Medical Assistance Services
Administration of Medical Assistance Services [12 VAC 30 ‑ 20]
Settlement Agreement Discussion Process
Action 5162
General Information
Action Summary This regulatory action establishes a more formalized process by which to address administrative settlement agreements in a timely fashion. The proposed new regulation, 12 VAC 30-20-550, describes the process for settlement agreement discussions between a Medicaid provider and the Department of Medical Assistance Services (DMAS) and how it affects the time periods currently set forth in the existing informal and formal appeal regulations at 12 VAC 30-20-500 et. seq. The proposed amendments to 12 VAC 30-20-540 and 12 VAC 30-20-560 are necessary for these sections to be consistent with the proposed new regulation, 12 VAC 30-20-550. The amendments affect the timelines for issuing either the informal decision in an informal administrative appeal or recommended decision of the hearing officer in a formal administrative appeal when the proposed new regulation 12 VAC 30-20-550 pertaining to the settlement agreement process is used.
Chapters Affected Only affects this chapter.
Executive Branch Review This action will go through the normal Executive Branch Review process.
RIS Project Yes  [005615]
Associated Mandates Settlement Agreement Discussion Process
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
8435 Emergency/NOIRA Stage complete. Emergency regulation was set to expire on 05/13/2021 and was extended until 11/12/2021.
8811 Fast-Track Stage complete. This regulation became effective on 09/02/2021.
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.