2005 Memos and Bulletins
Important Notice: Provider Memos and Bulletins issued prior to 2021 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 2021 or earlier, please email the MES document team here: dezari.johnson@dmas.virginia.gov
Listings of memos and bulletins for years prior to 2021 are still available. Please include the Title and Issue Date when making your email request.
| Issue Date | Title | To: |
| 30-Dec-05 | Proper Procedure for Sending Checks for Claims Processing Errors | All Pharmacies and MCOs |
| 30-Dec-05 | Discontinuation of Default Medicaid Prescriber ID Numbers - Effective February 1, 2006 | All Pharmacies and MCOs |
| 30-Dec-05 | Upcoming Changes to the Processing of Medicare Crossover Claims | All Providers and all MCOs |
| 27-Dec-05 | New Federal Requirements Regarding the Compliance with Seclusion and Restraint Regulations - Effective Immediately | NO LONGER AVAILABLE Level C Residential Treatment Providers and MCOs |
| 20-Dec-05 | Termination of Erectile Dysfunction Drug Coverage for Medicaid Enrollees - Effective January 1, 2006 | All Providers and all MCOs |
| 20-Dec-05 | Virginia Medicaid Healthy Returns (SM) Disease Management Program Expands - Effective January 13, 2006 | All Providers and all MCOs |
| 20-Dec-05 | Monitoring Kidney Functions & the Classification Stages of Chronic Kidney Disease (CKD) | See Medicaid Memo |
| 20-Dec-05 | Managed Care Organization (MCO) Merger Between Anthem HealthKeepers Plus & UniCare Health Plan of Virginia - Effective January 1, 2006 | All Providers (except dentists) in Northern Virginia and the Greater Charlottesville area and the surrounding counties |
| 5-Dec-05 | Modifications to the Virginia Medicaid Preferred Drug List (PDL) Program and PDL Quicklist & Medicare Part D Implementation - Effective January 1, 2006 | All Providers and all MCOs |
| 5-Dec-05 | Pending Cancellation of DMAS Disaster Relief Health Care Coverage for Victims of Hurricane Katrina | All Providers and all MCOs |
| 2-Dec-05 | Implementation of ClaimCheck for all Physician and Laboratory Services - Effective January 9, 2006 | All Providers and all MCOs |
| 29-Nov-05 | Managed Care Organization (MCO) Program Expands Into the Winchester Region - Effective December 1, 2005 | All providers in Winchester, Virginia and surrounding counties |
| 7-Nov-05 | Medicaid Reimbursement Rate Changes for Culpeper and King George Counties - Effective January 1, 2006 | Community-Based Care Waiver Service Providers and Community Service Boards (CSBs) in Culpeper and King George Counties |
| 16-Sep-05 | Clarification of BabyCare Claims Process & FAMIS MOMS Eligibility for BabyCare Services | All BabyCare and MCOs |
| 6-Sep-05 | Changes to Orthotic Services Pre-authorization (PA) Process - Effective October 1, 2005 | Durable Medical Equipment/Supplies. Prosthetic Services Providers and Orthopedic Surgeons |
| 19-Aug-05 | FAMIS MOMS Enrollees - How to Apply for Newborn Coverage | Hospitals, Pediatricians and MCOs |
| 9-Aug-05 | Expansion of Managed Care Organization (MCO) Program in Northern Virginia | All Providers and all MCOs |
| 1-Aug-05 | Correction to the Billing Instructions for the UB-92 Claim Form | Inpatient Private Mental Hospitals, Inpatient Psychiatric Residential Treatment Facilities, State Mental Health Facilities, and (MCOs) |
| 1-Aug-05 | Rate Increases & New Patient Pay Payroll Procedure for Consumer-Directed (CD) Services - Effective July 1, 2005 | NO LONGER AVAILABLE Mental Health and Mental Retardation Agencies, Service Facilitators and Providers of Case under Medicaid Waivers, and Medicaid Recipients Receiving Consumer-Directed (CD) Services |
| 14-Jul-05 | Reimbursement for Dental Services under Smiles For Children - Effective July 1, 2005 | Federally Qualified Health Centers (FQHCs), Rural Health Centers (RHCs), and MCOs |
| 8-Jul-05 | Coverage Changes to the FAMIS Program (FAMIS MOMS & FAMIS Select) - Effective August 1, 2005 | All Providers and MCOs |
| 28-Jun-05 | Billing Changes to Date of Discharge for Hospice Services - Effective July 1, 2005 | Hospice and MCOs |
| 28-Jun-05 | Preferred Drug List (PDL) Changes Affecting Nursing Home Providers - Effective August 1, 2005 | Nursing Homes |
| 14-Jun-05 | Coverage of Orthodontics Billing Procedures for Medicaid FAMIS, and FAMIS Plus Children - Effective July 1, 2005 | Orthodontists and MCOs |
| 14-Jun-05 | Dental Program Coverage of Medical/Surgical Procedures for Medicaid, FAMIS and FAMIS Plus Children - Effective July 1, 2005 | Oral Surgeons and MCOs |
| 10-Jun-05 | Smiles For Children, Virginia's Dental Program for Medicaid, FAMIS, and FAMIS Plus Children - Effective July 1, 2005 | Dental Services and MCOs |
| 10-Jun-05 | Annual Review of Phases II and III of the Virginia Medicaid Preferred Drug List (PDL) Program, Review of New Drugs, Dispensing Fee for Generic Drugs, and PDL Quicklist - Effective July 1, 2005 | All Providers and all MCOs |
| 3-Jun-05 | Termination of Erectile Dysfunction (ED) Drug Coverage for Individuals Convicted of a Sex Offense | Pharmacies, Out-of-State Pharmacies, Physicians and (MCOs) |
| 19-May-05 | Change in Reimbursement Policy for School-Based Health Screenings of Children Enrolled in Medicaid Managed Care Organizations | School Divisions |
| 28-Mar-05 | New Billing Requirements for Non-emergency, Outpatient MRI/CAT/PET Scans | NO LONGER AVAILABLE Providers of Non-emergency, Outpatient MRI/CAT/PET Scans |
| 28-Mar-05 | Patient Pay Recorded on Paper Claim Submissions for Waiver Services | Long Term Care and Community-Based Care Waiver Service Providers |
| 10-Jan-05 | Services Requiring Claims Submission Through the VaMMIS | NO LONGER AVAILABLE Community Service Boards/Behavioral Health Executive Directors, Consumer-Directed Service Facilitators, MR Waiver Pre-vocational Service Providers and Agency-Directed Companion Services Providers |
| 5-Jan-05 | Clarification of Day Treatment Services for Children and Adolescents -January 5, 2005 | NO LONGER AVAILABLE Day Treatment Services for Children and Adolescents |