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2008 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 DateTitleTo:
4-Dec-08Implementation of Correct Coding Initiative (CCI) and Revision of ClaimCheck Edits - Effective January 1, 2009All Professional and Laboratory Providers Participating in the Virginia Medical Assistance Program
1-Dec-08Modifications to the Virginia Medicaid Preferred Drug List (PDL) Program Effective January 1, 2009; the US Food and Drug Administration's (FDA) Requirement to Phase-Out Chlorofluorocarbon-Containing (CFC) Propelled Albuterol Inhalers from the Market; and, Changes to the Enhanced Prospective Drug Utilization Review Program (Dose Optimization)All Pharmacy and Medical Providers Participating in the Virginia Medical Assistance Programs
25-Nov-08Removal of Requirement for Secondary Screenings for Waiver Recipients - Effective January 1, 2009All Community Services Boards, Pre-Admission Screening providers Participating in the Virginia Medical Assistance Program, Managed Care Organizations, and holders of the Pre-Admission Screening Medicaid Provider Manual.
12-Nov-08Update to the Changes to the Prior Authorization Process for Psychiatric Residential Treatment- Level Children-s Group Home-Level A, Therapeutic Group Home-Level B and Treatment Foster Care management servicesAll Psychiatric Residential Treatment Providers (Level C), all Children?s Group Home (Level A) Providers, All Therapeutic Group Home (Level B) Providers, all Treatment Foster Care Case Management Providers,all Managed Care Organizations Participating in the Virginia Medical Assistance Programs,and all Community Policy and Management Team (CPMT) Chairpersons .
20-Oct-08Changes to the Billing Process for Multiple Outpatient CAT, MRI, PET Scans Performed on the Same Day and the Associated Prior Authorization - Effective October 27, 2008All In-State and Out-of-State Acute General Hospitals and all Independent Labs Participating in the Virginia Medical Assistance Program
15-Oct-08Changes to the Prior Authorization Process for Psychiatric Residential Treatment- Level C, Children's Group Home-Level A, Therapeutic Group Home-Level B, and Treatment Foster Care Case Management Services.All Psychiatric Residential Treatment Providers (Level C), all Children?s Group Home (Level A) Providers, all Therapeutic Group Home (Level B) Providers, all Treatment Foster Care Case Management Providers, all Managed Care Organizations Participating in the Virginia Medical Assistance Programs, and all Community Policy and Management Team (CPMT) Chairpersons ).
6-Oct-08Requirement for Present on Admission (POA) Indicator for Inpatient Hospital Claims Submitted by Paper - November 1, 2008All Fee-for-Service In-State and Out-of-State Hospitals and Managed Care Organizations Participating in the Virginia Medical Assistance Program
6-Oct-08Maternal and Infant Care Coordination (MICC) Prior Authorization Changes - Effective November 1, 2008All Providers of Maternal Infant Care Coordination (MICC) services participating in the Virginia Medical Assistance Programs, including Health Department Clinics, Federally Qualified Health Centers, Rural Health Clinics, Department of Social Service, Case Management Providers, Private Home Health Agencies and Community Service Boards. High risk maternity and infant program managers of the Medicaid Managed Care Organizations (MCOs).
17-Sep-08Moratorium on Federal Case Management RegulationsAll Providers of Case Management Services and MCOs Participating in the Virginia Medical Assistance Programs
3-Sep-08Phase II of Tamper-Resistant Prescription Pad (TRPP) Requirements ? Effective October 1, 2008All Pharmacies, Medical Providers, Dental Providers, and Managed Care Organizations Participating in the Virginia Medical Assistance Programs.
15-Aug-08Screening for Technology Assisted Waiver for Community Based AssessmentsAll Technology Assisted Waiver Providers and Local Community Based Pre-Admission Screening Teams which include local Hospitals, local Health Departments, and local Departments of Social Services.
13-Aug-08Physician Rate Changes Update ? Effective July 1, 2008All Physicians and other providers billing CPT codes participating in the Virginia Medical Assistance Program, FAMIS, and Managed Care Organizations providing services to Virginia Medicaid and FAMIS recipients.
4-Jul-08Reimbursement for New Ambulatory Surgery Center Procedure CodesAmbulatory Surgery Centers participating in the Virginia Medical Assistance Program, FAMIS, and Managed Care Organizations providing services to Virginia Medicaid and FAMIS recipients
1-Jul-08Expansion of Medallion II and FAMIS Programs in the Charlottesville Area: Albemarle, Augusta, Buckingham, Charlottesville, Fluvanna, Greene, Louisa, Nelson, Orange, Staunton, and Waynesboro - November 1, 2008All Providers and Managed Care Organizations Participating in the Virginia Medical Assistance Programs
20-Jul-08Rate Corrections for Outpatient Substance Abuse Services - Effective July 1, 2008All Managed Care Organizations (MCOs), Mental Health/Mental Retardation Agencies, Substance Abuse Clinics (FAMIS), Licensed Clinical Social Workers, Psychiatric Residential Inpatient Facilities, Psychiatric Clinical Nurse Specialists, Licensed Marriage and Family Therapists, and Licensed Substance Abuse Treatment Practitioners.
18-Jun-08Rate Increases for Congregate Residential and Agency-Directed Individual Supported Employment Services - Effective July 1, 2008Intellectual Disabilities/Mental Retardation (ID/MR); Individual and Family Developmental Disabilities Support (DD); and Day Support (DS) Waiver Providers.
11-Jun-08Introduction of Money Follows the Person (MFP) - Effective Date July 1, 2008 New Services Added to Existing Waivers - Effective Date July 1, 2008All Home and Community Based Waiver Providers, and Managed Care Organizations (MCOs) participating in the Virginia Medical Assistance Program, Area Agencies on Aging (AAA), Community Service Boards (CSBs), Local Departments of Social Services, and Community Independent Living Centers
30-May-08Changes to the Prior Authorization Process for Intensive In-Home Services - Effective July 1,All Intensive In Home Providers, and Managed Care Organizations Participating in the Virginia Medical Assistance Programs
30-May-08New Prior Authorization Process for Level A (Children's Group Home) and Level B ( Therapeutic Group Home) Psychiatric Residential Treatment Facility Providers - Effective July 1, 2008All Psychiatric Residential Treatment Providers, and Managed Care Organizations Participating in the Virginia Medical Assistance Programs, and all CPMT Chairpersons
29-May-08Modifications to the Virginia Medicaid Preferred Drug List (PDL) Program, Effective July 1, 2008; Changes to the Enhanced Prospective Drug Utilization Review Program (Dose Optimization); and, Implementation of the Specialty Maximum Allowable Cost ProgramAll Pharmacy and Medical Providers Participating in the Virginia Medical Assistance Programs.
28-May-08New Remittance Advice (RA) Format ? June 21, 2008 and NPI Reminder - May 23, 2008Department of Medical Assistance Services (DMAS) Participating Providers
28-May-08Physician Rate Changes - Effective July 1, 2008All Physicians participating in the Virginia Medical Assistance Program, FAMIS, and Managed Care Organizations providing services to Virginia Medicaid and FAMIS recipients.
23-May-08Medicaid Coverage of Substance Abuse Services Screening CodesAll Managed Care Organizations (MCOs), Physicians, Licensed Professional Counselors, Licensed Clinical Psychologists, Mental Health/Mental Retardation Agencies, Licensed Clinical Social Workers, Psychiatric Clinical Nurse Specialists, Nurse Practitioners, Licensed Marriage and Family Therapists, and Licensed Substance Abuse Treatment Practitioners.
1-May-08Changes to the Prior Authorization Process performed by KePRO for Outpatient Substance Abuse ServicesAll Managed Care Organizations (MCOs), Physicians, Licensed Professional Counselors, Licensed Clinical Psychologists, Psychiatric Nurse Practitioners, Mental Health/Mental Retardation Agencies, Substance Abuse Clinics (FAMIS), Licensed Clinical Social Workers, Psychiatric Clinical Nurse Specialists, Licensed Marriage and Family Therapists, and Licensed Substance Abuse Treatment Practitioners.
9-Apr-08Summary of New Federal Targeted Case Management Final Regulations - Effective March 3, 2008All Providers of Case Management Services and MCOs Participating in the Virginia Medical Assistance Programs
2-Apr-08Prior Authorization - Children's Mental Health Program will Transition to KePRO for Fee-for-Service Enrollees - Effective May 1, 2008All Waiver Providers, Psychiatric Residential Treatment Facilities, and Managed Care Organizations (MCOs) participating in the Virginia Medical Assistance Program
2-Apr-08New National Drug Code (NDC) Billing Requirement for Pharmacy Claims Submissions (UB04/837I) - Effective July 1, 2008All Acute/General and Rehabilitation Hospital Providers and MCOs Participating in the Virginia Medical Assistance Programs
1-Apr-08Using Your National Provider Identification/Atypical Provider Identification (NPI/API) through iEXCHANGE for Requests Submitted to KePRO - Effective 5/23/2008All Outpatient Psychiatric, Outpatient Rehabilitation [including Comprehensive Outpatient Rehabilitation (CORF)], Durable Medical Equipment (DME), Orthotic, Home Health, Physicians, and Non-Emergency MRI, PET, and CAT Scan, Service Providers; All Inpatient Acute, Inpatient Psychiatric, and Inpatient Rehabilitation Service Providers; All Treatment Foster Care Case Management, Residential Treatment Service Providers, Intensive In-Home Services; All Home and Community Based Care Waiver Service Providers, and Managed Care Organizations Participating in the Virginia Medical Assistance Programs
5-Mar-08National Provider Identifier (NPI) Compliance Begins May 23, 2008All Providers
1-Mar-08Billing for Emergency and Non-Emergency Transportation Services - Effective 04/01/2008All Ground, Air and Neonatal Ambulance, All Managed Care Organizations (MCOs) and Providers participating in the Virginia Medical Assistance Program
29-Feb-08Update on Tamper-Resistant Prescription Pad Requirements Effective April 1, 2008 and National Provider Identifier (NPI) Compliance for Pharmacy Claims Processing Effective May 23, 2008All Pharmacy, Medical Providers, Dental Providers, and Managed Care Organizations Participating in the Virginia Medical Assistance Programs
20-Feb-08Physician Assistant Supervision RequirementsAll Medical Doctors, Nurse Practitioners, Nurse Midwives, Hospitals, Outpatient Health Facilities, Nursing Homes, Mental Health Providers, Health Departments, Rural Health Clinics, Federally Qualified Health Centers, and Managed Care Organizations (MCOs) Participating in the Virginia Medical Assistance Program
4-Feb-08Introduction of New Fax Form to Request Prior Authorization for Acute Inpatient Psychiatric Care Services and Freestanding Inpatient Psychiatric Care Services -- Concurrent Review OnlyAll Inpatient Acute and Inpatient Freestanding Psychiatric Service Providers, and Managed Care Organizations Participating in the Virginia Medical Assistance Program