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memo

The purpose of this memorandum is to inform providers that DMAS will begin reimbursing pharmacies through the Pharmacy Point of Sale (POS) claims processing system for influenza vaccine, effective October 17, 2011, for recipients that are age 19 years and older enrolled in the fee-for-service Medicaid Program. Please note that vaccinations including influenza vaccines for Medicaid recipients through age 18 years are covered by the Vaccines for Children program.

memo

The purpose of this memorandum is to inform you of the entry of Managed Care Organizations (MCOs) for the Medicaid/FAMIS programs in the Roanoke and Alleghany Regions. The Department of Medical Assistance Services (DMAS) is pleased to announce that, effective January 1, 2012, Amerigroup Community Care, Anthem HealthKeepers Inc., MajestaCare-A Health Plan of Carilion Clinic, Southern Health CareNet, Optima Family Care, and Virginia Premier Health Plan will be administering health care services to Medicaid and FAMIS managed care eligible members in the following localities:

memo

This memorandum (which supersedes the memo entitled “Notice of Implementation of Personal Care Cap-Effective September 1, 2011” dated July 8, 2011) is a REVISION to the entire criteria in the previous notification of a change in personal care services authorizations for the Elderly or Disabled with Consumer Directed Services (EDCD) and HIV/AIDS Waiver Programs and supersedes all previously issued memorandum and provider policy manuals with respect to personal care services. These changes are effective September 1, 2011 and have been approved by the Centers for Medicare and Medicaid Services (CMS).

memo

This memorandum is notification of a change in personal care services authorizations for the Elderly or Disabled with Consumer Directed Services (EDCD) and HIV/AIDS Waiver Programs and supersedes all previously issued provider policy manuals with respect to personal care services. These changes are targeted to be effective September 1, 2011 and have been approved by the Centers for Medicare and Medicaid Services (CMS).

memo

The purpose of this memo is to notify providers of rate changes to home and community based care (HCBC) waiver service and mental health therapeutic day treatment rates for dates of service on or after July 1, 2011.

memo

The purpose of this memorandum is to advise you of changes to the Medicaid, FAMIS Plus, and FAMIS Managed Care programs, effective September 1, 2010. CareNet/Southern Health Services, Inc. notified the Department of Medical Assistance Services (DMAS) that they will be leaving eleven (11) localities, effective September 1, 2010. The localities include:

memo

The purpose of this Medicaid memorandum is to inform you of changes to the reimbursement rates for Intensive In-Home Services for Children and Adolescents, Community-Based Residential Treatment Services for Children and Adolescents Under 21 – Level A, and Therapeutic Behavioral Services – Level B.

memo

The purpose of this memorandum is to inform you of changes to the Medicaid/FAMIS Managed Care program, effective October 1, 2009. Virginia Premier Health Plan, Inc. notified DMAS that they will be leaving six (6) localities effective October 1, 2009. The localities include:

memo

The purpose of this memorandum is to delineate the federal regulations that are in effect related to the provision of case management services rendered through Medicaid and FAMIS. Please see the Medicaid Memo dated August 15, 2006 for previous information regarding case management.

memo

The purpose of this memo is to inform you of changes in the payment rates for congregate residential and personal care services effective for dates of service on or after July 1, 2009. As directed in the 2009 Appropriation Act: