LEGAL NOTICE

COMMONWEALTH OF VIRGINIA

DEPARTMENT OF MEDICAL ASSISTANCE SERVICES

NOTICE OF INTENT TO AMEND

(Pursuant to §1902(a)(13) of the Act (U.S.C. 1396a(a)(13))

THE VIRGINIA STATE PLAN FOR MEDICAL ASSISTANCE

This Notice was posted on November 17, 2025

The Virginia Department of Medical Assistance Services (DMAS) hereby affords the public notice of its intention to amend the Virginia State Plan for Medical Assistance to provide for changes to the Methods and Standards for Establishing Payment Rates — Other Types of Care (12 VAC 30-80). 

This notice is intended to satisfy the requirements of 42 C.F.R. § 447.205 and of § 1902(a)(13) of the Social Security Act, 42 U.S.C. § 1396a(a)(13).  A copy of this notice is available for public review from Jimeequa Williams, DMAS, 600 Broad Street, Suite 1300, Richmond, VA  23219, or via e-mail at:  Jimeequa.Williams@dmas.virginia.gov. 

This notice is available for public review on the Regulatory Town Hall (https://townhall.virginia.gov) on the General Notices page, found at:  https://townhall.virginia.gov/L/generalnotice.cfm

Methods & Standards for Establishing Payment Rates-Other Types of Care (12 VAC 30-80)

DMAS is revising the state plan to remove obsolete language that pertains to increased primary care service payments. The increased payments were temporary, pursuant to Section 1202 of the Affordable Care Act, which required Medicaid to reimburse certain primary care services at Medicare rates during calendar years 2013 and 2014.  Virginia did not submit a subsequent SPA to CMS to extend or make the increased payments permanent.  Therefore, the language in the state plan is outdated and no longer in effect, so it needs to be removed.

There are no expected increases or decreases in annual fee-for-service aggregate expenditures in federal fiscal year 2026 or federal fiscal year 2027.