2004 Memos and Bulletins
Important Notice: Provider Memos and Bulletins issued prior to 2020 will no longer be available for download from this website. These Memos and Bulletins are still available by request directly from DMAS. To request a memo or bulletin from 2020 or earlier, please email the MES document team here: dezari.alexander@dmas.virginia.gov
Listings of memos and bulletins for years prior to 2020 are still available. Please include the Title and Issue Date when making your email request.
| Issue Date | Title | To: |
| 13-Dec-04 | Enrollment of Licensed Marriage and Family Therapists | Managed Care Organizations (MCOs), Physicians, Professional Counselors, Psychologists, Clinical Psychologists, Mental Health/Mental Retardation Agencies, Substance Abuse Clinics (FAMIS), Clinical Social Workers, Psychiatric Residential Inpatient Facilities, and Psychiatric Clinical Nurse Specialists |
| 3-Dec-04 | Long-Acting Narcotics Step Therapy & the Preferred Drug List | Skilled Nursing Homes, Physicians, Nurse Practitioners, Podiatrists, Dentists, Hospices, Ambulatory Surgical Centers, Pharmacies and MCOs |
| 1-Dec-04 | Medicaid Eligibility for Infants Born to Non-Medicaid-Eligible Alien Women Whose Deliveries Were Covered By Medicaid as an Emergency Medical Service | All Providers and MCOs |
| 1-Dec-04 | Annual Review of Phase I of the Virginia Medicaid Preferred Drug List Program and PDL Quicklist | All Providers and MCOs |
| 5-Nov-04 | Clarification of Family Planning Waiver - Covered Services and Billing Procedures | Physicians, Nurse Practitioners, Nurse Midwives, Health Departments, Rural Health Clinics, Federally Qualified Health Centers, Laboratories, Pharmacies, and Outpatient Clinics |
| 5-Nov-04 | Waiver Billing and Maintenance Issues | All Home Health and Home-and-Community-Based Waiver Providers and all MCOs |
| 5-Nov-04 | Changes to the Review Process for Treatment Foster Care-Case Management Services - Effective December 15, 2004 | All Treatment Foster Care-Case Management Service providers, MCOs and holders of the Psychiatric Services Provider Manual |
| 15-Oct-04 | Maximum Allowable Cost (MAC) Program for Virginia Medicaid and Notification of COX-II Drug Class Changes to Preferred Drug List (PDL) | All Pharmacy Providers |
| 1-Oct-04 | Implementation of the New Provider Remittances for Professionals and Facilities - November 5, 2004 | All Providers, FAMIS, SLH, and MCOs |
| 3-Sep-04 | Changes to the Review Process for Residential Treatment Services | All Residential Treatment, MCOs, providing services to Virginia Medicaid Recipients, and holders of the Psychiatric Services manual |
| 1-Sep-04 | Threshold/Polypharmacy Program | All Providers, FAMIS, MCOs |
| 31-Aug-04 | Clarification of Day Treatment Services for Children and Adolescents | All Providers of Day Treatment Services for Children and Adolescents |
| 20-Aug-04 | Use of Electronic Signatures | All Providers, FAMIS, SLH, and MCOs |
| 20-Aug-04 | Notice of Sentara Family Care's Name Change to Optima Family Care | All Providers, and FAMIS |
| 16-Aug-04 | Rate Increase for Obstetrical and Gynecological Services | All Providers, FAMIS, SLH and MCOs |
| 15-Aug-04 | Billing Information Update for Submitting Paper UB-92 Medicare, Crossover Part A and B claims | Nursing Home Providers |
| 6-Aug-04 | Rate Increase for Specific Home and Community-Based Waiver Services | Providers providing services under the following waivers: AIDS, Consumer-Directed Personal Attendant Services, Mental Retardation Waiver and Individual & Family Developmental Disabilities Support |
| 1-Aug-04 | Mandatory Generic edits, ePocrates, Weight Loss Drugs-New Prior Approval Procedure and Over the Counter Drugs | All Providers and MCOs |
| 26-Jul-04 | Re-Implementation of the 180-Day Outstanding Check and Claim Void | All Providers, FAMIS, SLH and MCOs |
| 19-Jul-04 | Sending Attachments Related to 837 Electronic Claims Transactions (form DMAS-3, reformatted) | All Providers, FAMIS, SLH and MCOs |
| 25-May-04 | Billing Alert - Processing of Certain Community Mental Health Services covered under FAMIS | Mental Health Providers and MCOs participating in the FAMIS Program |
| 17-May-04 | Prospective Drug Review Program (ProDUR) Changes to Early Refill | All Pharmacy Providers |
| 15-Apr-04 | Durable Medical Equipment (DME) Appendix B Information | DME, Supplies Providers and MCOs |
| 13-Apr-04 | Claim Repayments Due To ClaimCheck | Hospitals and Physicians |
| 1-Apr-04 | Processing and Payment of Emergency Room Claims | Hospitals, Physicians and MCOs |
| 22-Mar-04 | Update of Medicaid, FAMIS, and FAMIS Plus ID Cards and Eligibility Verification Systems Information | All Providers, MCOs and FAMIS, |
| 18-Mar-04 | Billing Information Correction for Submitting Paper UB-92 Medicare Part A and B Claims -March 18, 2004 | Nursing Home Providers |
| 1-Mar-04 | Phase II of the Virginia Medicaid Preferred Drug List (PDL) Program for Pharmacy Services ? April 2004 (Revised) | All Providers and MCOs |
| 6-Feb-04 | Request Required by Providers Receiving ASC X12 835 Transactions | All Providers, FAMIS, SLH and MCOs |
| 23-Jan-04 | Prospective Drug Review Program Changes for Pharmacy Claims, and other pharmacy change programs | All Pharmacy providers |