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2005 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:

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 DateTitleTo:
30-Dec-05Proper Procedure for Sending Checks for Claims Processing ErrorsAll Pharmacies and MCOs
30-Dec-05Discontinuation of Default Medicaid Prescriber ID Numbers - Effective February 1, 2006All Pharmacies and MCOs
30-Dec-05Upcoming Changes to the Processing of Medicare Crossover ClaimsAll Providers and all MCOs
27-Dec-05New Federal Requirements Regarding the Compliance with Seclusion and Restraint Regulations - Effective Immediately


Level C Residential Treatment Providers and MCOs

20-Dec-05Termination of Erectile Dysfunction Drug Coverage for Medicaid Enrollees - Effective January 1, 2006All Providers and all MCOs
20-Dec-05Virginia Medicaid Healthy Returns (SM) Disease Management Program Expands - Effective January 13, 2006All Providers and all MCOs
20-Dec-05Monitoring Kidney Functions & the Classification Stages of Chronic Kidney Disease (CKD)See Medicaid Memo
20-Dec-05Managed Care Organization (MCO) Merger Between Anthem HealthKeepers Plus & UniCare Health Plan of Virginia - Effective January 1, 2006All Providers (except dentists) in Northern Virginia and the Greater Charlottesville area and the surrounding counties
5-Dec-05Modifications to the Virginia Medicaid Preferred Drug List (PDL) Program and PDL Quicklist & Medicare Part D Implementation - Effective January 1, 2006All Providers and all MCOs
5-Dec-05Pending Cancellation of DMAS Disaster Relief Health Care Coverage for Victims of Hurricane KatrinaAll Providers and all MCOs
2-Dec-05Implementation of ClaimCheck for all Physician and Laboratory Services - Effective January 9, 2006All Providers and all MCOs
29-Nov-05Managed Care Organization (MCO) Program Expands Into the Winchester Region - Effective December 1, 2005All providers in Winchester, Virginia and surrounding counties
7-Nov-05Medicaid Reimbursement Rate Changes for Culpeper and King George Counties - Effective January 1, 2006Community-Based Care Waiver Service Providers and Community Service Boards (CSBs) in Culpeper and King George Counties
16-Sep-05Clarification of BabyCare Claims Process & FAMIS MOMS Eligibility for BabyCare ServicesAll BabyCare and MCOs
6-Sep-05Changes to Orthotic Services Pre-authorization (PA) Process - Effective October 1, 2005Durable Medical Equipment/Supplies. Prosthetic Services Providers and Orthopedic Surgeons
19-Aug-05FAMIS MOMS Enrollees - How to Apply for Newborn CoverageHospitals, Pediatricians and MCOs
9-Aug-05Expansion of Managed Care Organization (MCO) Program in Northern VirginiaAll Providers and all MCOs
1-Aug-05Correction to the Billing Instructions for the UB-92 Claim FormInpatient Private Mental Hospitals, Inpatient Psychiatric Residential Treatment Facilities, State Mental Health Facilities, and (MCOs)
1-Aug-05Rate Increases & New Patient Pay Payroll Procedure for Consumer-Directed (CD) Services - Effective July 1, 2005


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-05Reimbursement for Dental Services under Smiles For Children - Effective July 1, 2005Federally Qualified Health Centers (FQHCs), Rural Health Centers (RHCs), and MCOs
8-Jul-05Coverage Changes to the FAMIS Program (FAMIS MOMS & FAMIS Select) - Effective August 1, 2005All Providers and MCOs
28-Jun-05Billing Changes to Date of Discharge for Hospice Services - Effective July 1, 2005Hospice and MCOs
28-Jun-05Preferred Drug List (PDL) Changes Affecting Nursing Home Providers - Effective August 1, 2005Nursing Homes
14-Jun-05Coverage of Orthodontics Billing Procedures for Medicaid FAMIS, and FAMIS Plus Children - Effective July 1, 2005Orthodontists and MCOs
14-Jun-05Dental Program Coverage of Medical/Surgical Procedures for Medicaid, FAMIS and FAMIS Plus Children - Effective July 1, 2005Oral Surgeons and MCOs
10-Jun-05Smiles For Children, Virginia's Dental Program for Medicaid, FAMIS, and FAMIS Plus Children - Effective July 1, 2005Dental Services and MCOs
10-Jun-05Annual 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, 2005All Providers and all MCOs
3-Jun-05Termination of Erectile Dysfunction (ED) Drug Coverage for Individuals Convicted of a Sex OffensePharmacies, Out-of-State Pharmacies, Physicians and (MCOs)
19-May-05Change in Reimbursement Policy for School-Based Health Screenings of Children Enrolled in Medicaid Managed Care OrganizationsSchool Divisions
28-Mar-05New Billing Requirements for Non-emergency, Outpatient MRI/CAT/PET Scans


Providers of Non-emergency, Outpatient MRI/CAT/PET Scans

28-Mar-05Patient Pay Recorded on Paper Claim Submissions for Waiver ServicesLong Term Care and Community-Based Care Waiver Service Providers
10-Jan-05Services Requiring Claims Submission Through the VaMMIS


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-05Clarification of Day Treatment Services for Children and Adolescents -January 5, 2005


Day Treatment Services for Children and Adolescents