Action:
CMHRS Changes Required by CMS
Action 4949
[Withdrawn 11/29/2018]
General Information
| Action Summary |
CMS required that DMAS clarify that community mental health rehabilitative services fit under the umbrella of “rehabilitative services” under 42 CFR 440.130(d): services that are recommended by a physician or licensed practitioner for maximum reduction of physical or mental disability and restoration of a beneficiary to his best possible functional level. More specifically, CMS required DMAS to more clearly define each service, list and define the subcomponents of each service, specify what type of professional could provide each subcomponent, specify what a unit of service is for each service, and the date that existing reimbursement rates were set. In addition, Virginia is considering other changes to help ensure that Virginia offers a range of services that are person-centered and meet the needs of Medicaid members, and that services utilize evidence-based practices and principles including those that are outcome-oriented, trauma-informed, recovery-oriented, and based upon clear medical necessity criteria. |
| Chapters Affected |
| |
VAC |
Chapter Name |
Action Type |
| Primary |
12 VAC 30-50 |
Amount, Duration, and Scope of Medical and Remedial Care and Services |
Amend Existing Regulation
|
| Other chapters |
| |
12 VAC 30 - 60 |
Standards Established and Methods Used to Assure High Quality Care |
Amend Existing Regulation
|
|
| Executive Branch Review |
This action will go through the normal Executive Branch Review process.
|
| RIS Project |
Yes [005686] |
| New Periodic Review |
This action will be used to conduct a new periodic review.
|
Stages
Stages associated with this regulatory action.
| Stage ID |
Stage Type |
Status |
|
8125
|
NOIRA
|
Stage withdrawn on 11/29/2018 after the comment period had ended. |
Contact Information
|
Name / Title:
|
Emily McClellan
/
Regulatory Supervisor
|
|
Address:
|
Policy Division, DMAS
600 E. Broad Street, Suite 1300
Richmond, VA 23219
|
|
Email Address:
|
Emily.McClellan@DMAS.Virginia.gov
|
|
Phone:
|
(804)371-4300
FAX: (804)786-1680
TDD: ()-
|
This person is the primary contact for this chapter.
