Virginia Regulatory Town Hall
Department of Medical Assistance Services
Board of Medical Assistance Services
State Plan Under Title XIX of the Social Security Act Medical Assistance Program; General Provisions [12 VAC 30 ‑ 10]
Update to Drug Utilization Review Program
Action 5514
General Information
Action Summary DMAS has incorporated changes to the state plan text related to the Drug Utilization Review Program in accordance with the requirements of the Support Act (Public Law No. 115-271). The changes include Support Act provisions related to: claims review limitations; a program to monitor antipsychotic medications by children; fraud and abuse identification; and Medicaid managed care organizations requirements. This regulatory action incorporates the same changes into the Virginia Administrative Code.
Chapters Affected Only affects this chapter.
Executive Branch Review This action will go through the normal Executive Branch Review process.
RIS Project Yes  [006136]
Is Federal action a driving factor in this regulatory change? If so, please provide a specific reference to the law, regulation or court case.
Support Act (Public Law No. 115-271)
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
8942 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 East Broad St., 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.