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Guidance Documents in Effect

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Agency
Department of Medical Assistance Services
Board
Board of Medical Assistance Services
Chapter
Standards Established and Methods Used for Fee-for-Service Reimbursement [12 VAC 30 ‑ 95]
122 guidance documents relevant to this chapter for the criteria specified
 

ID Title Effective Date  
Agency level documents applying to all of this agency's boards
5754 Medicaid Memos 2015 6/22/2015 
5755 Medicaid Memos 2014 6/22/2015 
5756 Medicaid memos 2013 6/22/2015 
5757 Medicaid Memos 2012 6/22/2015 
5758 Medicaid Memos 2011 6/22/2015 
5759 Medicaid Memos 2010 6/22/2015 
5760 Medicaid memos 2009 6/22/2015 
5761 Medicaid Memos 2008 6/22/2015 
5762 Medicaid Memos 2007 6/22/2015 
5763 Medicaid Memos 2006 6/22/2015 
5764 Medicaid Memos 1999-2005 6/22/2015 
5765 Alzheimer's Assisted Living Waiver Manual 6/22/2015 
5766 Baby Care Manual 6/22/2015 
5767 Children's Mental Health Program Manual 6/22/2015 
5768 Community Mental Health-Rehab Services Manual 6/22/2015 
5769 Dental Manual 6/22/2015 
5770 Durable Medical Equipment and Supplies Manual 6/22/2015 
5771 Elderly or Disabled with Consumer Directed Services 6/22/2015 
5772 Early Intervention Services Manual 6/22/2015 
5773 EPSDT Manual 6/22/2015 
5774 GAP Manual 6/22/2015 
5775 Home Health Manual 6/22/2015 
5776 Hospice Manual 6/22/2015 
5777 Hospital Manual 6/22/2015 
5778 Individual and Family Developmental Disabilities Waiver Services Manual 6/22/2015 
5779 Independent Laboratory Manual 6/22/2015 
5780 Local Education Agency Manual 6/22/2015 
5781 Mental Health Clinic Manual 6/22/2015 
5782 Mental Retardation/ Intellectual Disability Community Services 6/22/2015 
5783 Nursing Facilities Manual 6/22/2015 
5784 Prosthetic Devices Manual 6/22/2015 
5785 Pre-Admission Screening Manual 6/22/2015 
5787 Pharmacy Manual 6/22/2015 
5788 Physician/Practitioner Manual 6/22/2015 
5789 Plan First Manual 6/22/2015 
5790 Podiatry Manual 6/22/2015 
5791 Psychiatric Services Manual 6/22/2015 
5792 Rehabilitation Manual 6/22/2015 
5793 Renal Dialysis Clinic Manual 6/22/2015 
5794 Technology Assisted Waiver and Private Duty Nursing Services Manual 6/22/2015 
5795 Transportation Manual 6/22/2015 
5796 Vision Services Manual 6/22/2015 
6067 Medicaid Memos 2016 12/1/2016 
6274 Medicaid Memos 2017 12/4/2017 
6468 Medicaid Memos 2018 12/21/2018 
6725 DMAS Recognition of Certified Substance Abuse Counselor Supervisees 8/1/2019 
6726 Authorization of Personal Assistance Services in the Developmental Disability Waiver 9/4/2019 
6729 VA Smiles for Children - ORM Updates Effective January 1, 2020 1/1/2020 
6861 Virginia Informed Choice Form 8/17/2023 
6862 Community Housing Guide: Housing Road Map 8/20/2020 
6863 Community Housing Guide: Tenant Screening Form 8/20/2020 
6865 Changes to the Service Delivery Hour Requirements for Addiction and Recovery Treatment Services (ARTS) Intensive Outpatient Services (IOPs): Effective March 5, 2020 7/23/2020 
6866 Availability of Physician Training for Medicaid Long Term Services and Supports Screening 5/14/2020 
6867 SUPPORT Act Established Medicare Part B Benefit for Opioid Use Disorder Treatment Services by Opioid Treatment Programs Effective January 1, 2020-REVISED 4/30/2020 
6868 SUPPORT Act Established Medicare Part B Benefit for Opioid Use Disorder Treatment Services by Opioid Treatment Programs, Effective January 1, 2020 3/5/2020 
6869 Revisions to CCC Plus Service Authorization Requirements 1/23/2020 
6870 DRAFT Memo: Transitioning from the Commonwealth Coordinated Care Plus (CCC Plus) Waiver to a Developmental Disabilities Waiver 12/12/2019 
6871 2019 Update Regarding DMAS Coverage of Telemedicine and Telehealth 10/3/2019 
6872 DMAS Recognition of Certified Substance Abuse Counselor Supervisees 9/18/2019 
6873 Authorization of Personal Assistance Services in the Developmental Disability Waiver 9/18/2019 
6877 Retroactive Billing for Addiction and Recovery Treatment Services (ARTS) Effective July 1, 2020. 9/3/2020 
6901 Patient Driven Payment Model (PDPM) Data Collection Effective 10/17/2020 11/12/2020 
6953 Information Regarding Contract Requirements for Medicaid Managed Care Organizations 1/21/2021 
6954 Information Regarding DMAS Client Appeals (State Fair Hearing) 1/21/2021 
6987 Allowance of Preferred Office-Based Opioid Treatment (OBOT) Services Delivery via Mobile Units 4/29/2021 
6988 Information Regarding Department of Medical Assistance Services (DMAS) Client Appeals (State Fair Hearing) 4/29/2021 
6989 ARTS Guidance for Hospitals 2/18/2021 
7003 Draft: Dental Coverage for Medicaid Enrolled Adults (21 years of age and older) Effective July 1, 2021 6/10/2021 
7010 Draft Memo: Durable Medical Equipment and Supplies Rate Floor 6/24/2021 
7011 Employment and Community Transportation (ECT) 4/29/2021 
7024 Practice Guidelines for Behavior Support Plans 6/24/2021 
7025 Draft: Funding for Psychiatric Residential Treatment Facilities (PRTF) Placements 7/8/2021 
7026 DMAS-600 Form 7/8/2021 
7027 Transfer of CSA Jurisdiction for Medicaid 7/8/2021 
7059 Allowance of licensed school psychologists as outpatient psychiatric services providers 8/19/2021 
7079 Draft: Addition of buprenorphine/naloxone tab SL to the Virginia Common Core Formulary/Preferred Drug List 9/16/2021 
7117 Draft: One-time COVID-19 Support Payment for Attendant/Aides 12/9/2021 
7118 Coverage of Additional COVID Vaccine Dose for Certain Immunocompromised Individuals 10/14/2021 
7124 Medicaid Memos/Bulettins & Provider Manuals 2021 12/23/2021 
7162 DD Waivers - Grid of Compatible and Incompatible Services 2/3/2022 
7163 DD Waiver - Customized Rate - Provider Guidelines 1/6/2022 
7165 Medicaid Memos/Bulletins & Provider Manuals 2021 3/2/2022 
7212 Draft: Virginia Medicaid Preferred Drug List / Common Core Formulary Changes, 90 Day Supply List Changes, and Drug Utilization Review Board Approved Drug Service Authorizations 6/23/2022 
7272 The HCBS Modifications Process 5/12/2022 
7294 Draft: Increased Reimbursement of Medications for the Treatment of Opioid Use Disorder 12/8/2022 
7378 Medicaid Memos/Bulletins & Provider Manuals 2022 12/27/2022 
7505 How EPSDT Is Operationalized in Virginia Medicaid 1/5/2023 
7515 Overview of Companion and Residential Services 1/19/2023 
7541 In Home Support Services Guidance Document 7/6/2023 
7587 Draft: Hospital Providers to Submit Requests for Non-Resident Alien Emergency Inpatient Admissions to Kepro for Service Authorization - effective February 20, 2023 3/30/2023 
7588 Face-To-Face Supervisory, Services Facilitation and Case Management Visits 1/1/2023 12/22/2022 
7627 Chapter 2 (Provider Requirements) 12/7/2023 
7628 Psychiatric Services Manual, Chapter 6 12/7/2023 
7629 Nursing Facility Manual, Chapter 12 12/7/2023 
7630 Nursing Facility Manual, Chapter 10 12/7/2023 
7631 Nursing Facility Manual, Chapter 9 12/7/2023 
7632 Nursing Facility Manual, Chapter 7 12/7/2023 
7636 Pharmacy Manual, Chapter 4 12/21/2023 
7637 Pharmacists as Providers Supplement 12/21/2023 
7639 Durable Medical Equipment Manual, Chapter 4 1/4/2024 
7640 DD Waiver Manual, Chapter 5 1/18/2024 
7645 Renal Dialysis Clinic Manual, Chapter 2 2/1/2024 
7646 Renal Dialysis Clinic Manual, Chapter 4 2/1/2024 
7647 Renal Dialysis Clinic Manual, Chapter 5 2/1/2024 
7648 Renal Dialysis Clinic Manual, Chapter 6 2/1/2024 
7649 Independent Lab Manual, Chapter 2 2/1/2024 
7650 Independent Lab Manual, Chapter 4 2/1/2024 
7651 Independent Lab Manual, Chapter 5 2/1/2024 
7652 Independent Lab Manual, Chapter 6 2/1/2024 
7653 Independent Lab Manual, Appendix C 2/1/2024 
7663 Pharmacy Manual, Appendix D 2/1/2024 
7664 Pharmacy Manual, Appendix E 2/1/2024 
7665 Virginia Medicaid Preferred Drug List / Common Core Formulary Changes, 90 Day Supply List Changes, and Drug Utilization Review Board Approved Drug Service Authorizations 2/1/2024 
7666 CCC+ Waiver Manual, Chapter 6 3/14/2024 
7667 Podiatry Manual Chapter 2 3/14/2024 
7668 Podiatry Manual Chapter 4 3/14/2024 
7669 Podiatry Manual Chapter 5 3/14/2024 
7670 Podiatry Manual Chapter 6 3/14/2024 
7671 Podiatry Manual Appendix B 3/14/2024 
New Virginia Medicaid Preferred Drug List / Common Core Formulary Changes, 90 Day Supply List Changes, FDA Approval of Over-the-Counter Naloxone, and Drug Utilization Review Board Approved Drug Service Authorizations 7/6/2023 
New Changes to Hospice Procedures Under Cardinal Care - Virginia’s Medicaid Program, Effective July 1, 2023 5/11/2023 
New Cardinal Care - Virginia’s Medicaid Program 5/11/2023 
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Documents listed are for the parent board or agency since they may be relevant to this chapter. No guidance documents apply to this chapter specifically.