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2010 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 DateTitleTo:
8-Dec-10Modifications to the Virginia Medicaid Preferred Drug List (PDL) Program-Effective January 1, 2011 and the addition of the over the counter drugs (OTC) to the Virginia Maximum Allowable Cost Program (MAC)-Effective January 5, 2011All Prescribing Providers and Pharmacists Participating in the Virginia Medical Assistance Programs
24-Nov-10Coverage of Tobacco Cessation Counseling for Pregnant Women-Effective October 1, 2010Medicaid Providers Including Managed Care Organizations providing Services to Virginia Medicaid and FAMIS Members
25-Oct-10Changes to the Process for Obtaining Service Authorization for Services Available Under the Childrens Mental Health Program-Effective November 1, 2010-This Memo replaces the Medicaid Memo of the same name, which was originally dated October 13, 2010All Childrens Mental Health Program Providers Participating in the Virginia Medical Assistance Program.
1-Oct-10Changes to Required Documentation Submitted to KePRO for IFDDS Waiver Services-Effective November 1, 2010Case Management Providers for Individual and Family Developmental Disabilities Support (IFDDS) Waiver
15-Sep-10Service Authorization Request Process Through KePro Electronic Submission of SA Requests through iEXCHANGEAll Home and Community Based Care Case Managers, Waiver Service Providers, and Managed Care Organizations Participating in the Virginia Medical Assistance Programs
9-Sep-10Changes to Licensing Requirements for Hospice, Personal Care, and Respite Care Providers --This memo replaces the Changes to the Licensing Requirements for Hospice, Personal Care, and Respite Care Providers Memo, dated August 4, 2010.All Hospice Providers participating in the Viriginia Medical Assistance Program and all Personal Care and Respite Care Providers participating in the Home and Community Based Waiver Program with the Viriginia Medical Assistance Program.
2-Sep-10Rate Changes Effective October 1, 2010 as a Result of Additional Medicaid Funding and Other Program ChangesMedicaid Providers Including Managed Care Organizations Providing Services to Virginia Medicaid and FAMIS Members and PACE Organizations
18-Aug-10Revisions to Newborn Eligibility Notification Form (DMAS-213 and DMAS-213 MCO) for Hospitals and Managed Care OrganizationsAll Hospitals and Managed Care Organizations Participating in the Virginia Medical Assistance Program
17-Aug-10CareNet/Southern Health Services, Inc. MCO Plan Exits From Eleven (11) Localities-Effective September 1, 2010All Providers and Managed Care Organizations (MCOs) participating in the impacted localities/surrounding areas in the Virginia Medical Assistance Programs
23-Jul-10Changes to Children Community Mental Health Rehabilitative Services, Childrens Services, July 1, 2010, September 1, 2010Providers of Community Mental Health Rehabilitative Services and Managed Care Organizations
23-Jul-10Changes to Community Mental Health Rehabilitative Services, Adult Oriented Services, July 1, 2010, September 1, 2010Providers of Community Mental Health Rehabilitative Services and Managed Care Organizations
23-Jul-10Day Support Services Billing Changes September 1, 2010All Day Support Providers
23-Jul-10Billing Guidance for DMAS Fee-For-Service Coverage of Physician/Practitioner Administered Contraception and Rate Changes for Mirena IUD Effective March 1, 2010All Medical Doctors, Nurse Practitioners, Health Departments, Rural Health Clinics, Federally Qualified Health Centers, Outpatient Clinics and Managed Care Organizations Participating in the Virginia Medical Assistance Program
14-Jul-10MEDALLION Option for Warren County Effective August 1, 2010All Providers and Managed Care Organizations (MCOs) participating in the impacted localities/surrounding areas in the Virginia Medical Assistance Programs
9-Jul-10Rate Changes for EPSDT Personal Care and Nursing ServicesProviders of EPSDT Personal Care and Nursing Services
29-Jun-10Notice of Service Authorization Requirements for Outpatient Rehabilitation Services Provided by Physicians and Professionals Effective August 1, 2010All Medicaid Enrolled Providers of Outpatient Rehabilitation Services and Managed Care Organizations Participating in the Virginia Medical Assistance Programs
9-Jun-10Changes to Community Mental Health Rehabilitation Services-July 1, 2010 & September 1, 2010Providers of Community Mental Health Rehabilitative Serviceds and Managed Care Organizations
9-Jun-10Modifications to the Virginia Medicaid Preferred Drug List (PDL) Program Effective July 1, 2010All Providers (including pharmacies), MCO
27-May-10Physician Rate Changes and Medicaid Coverage of the Current Procedural Terminology (CPT) Consultation Codes and Adult Vision ServicesAll 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
27-May-10No Inflation Adjustment for Home Health Providers Effective July 1, 2010All Home Health Providers and Managed Care Organizations (MCOs)
27-May-10Rate Changes for Home and Community Based Care Waiver Services and Mental Health Therapeutic Day TreatmentAll Home and Community Based Care Waiver Providers and Mental Health Day Treatment Providers
26-May-10No Inflation Adjustment for Outpatient Rehabilitation Agencies Effective July 1, 2010All Medicaid Outpatient Rehabilitation providers participating in the Virginia Medical Assistance Program, Managed Care Organizations, and holders of the Rehabilitation Medicaid Provider Manual
26-May-10Transition of Virginia Medicaid Fiscal Agent and Provider Enrollment Services to ACS State Healthcare (ACS) - UPDATEDAll Providers and Managed Care Organizations Participating in the Virginia Medical Assistance Programl
14-May-10Delayed Remittance Scheduled for June 25, 2010Medicaid and FAMIS Providers
10-May-10New Codes Approved, Billing Guidance for Plan First Family Planning Services Program as well as the Essure Sterilization Procedure. Effective April 1, 2010All Medical Doctors, Nurse Practitioners, Professional Midwives, Health Departments, Rural Health Clinics, Federally Qualified Health Centers, Laboratories, Pharmacies, Outpatient Clinics and Managed Care Organizations Participating in the Virginia Medical Assistance Program
14-Apr-10Clarification of Cost Sharing for Dually Eligible Medicaid/Medicare RecipientsMedicaid Enrolled Providers
6-Apr-10Elimination of Medicare Part B Point of Sale Drug Claims Submissions for Coinsurance and Deductibles for Dually Eligible Medicare and Medicaid Recipients ? Effective June 1, 2010All Medicaid Enrolled Pharmacists
5-Mar-10Modifications to the Virginia Medicaid Preferred Drug List (PDL) Program & Changes to the Enhanced Prospective Drug Utilization Review Program (Maximum Quantity Limits and Dose Optimization)All Providers Participating in the Virginia Medical Assistance Program
5-Mar-10Update to the Community Mental Health Rehabilitative Services (CMHRS) ManualAll Providers of Community Mental Health Rehabilitative Services Participating in the Virginia Medical Assistance Program and Managed Care Organizations
4-Mar-10Enhanced Ambulatory Patient Group (EAPG) for Ambulatory Surgery CentersAll Ambulatory Surgery Centers and Managed Care Organizations Participating in the Virginia Medical Assistance Programs
24-Feb-10Clarification on 17 Alpha Hydroxyprogesterone Caproate (17P) Coverage ? Effective ImmediatelyAll Obstetric/Gynecological and Prenatal Care Providers, Pharmacists, and Managed Care Organizations Participating in the Virginia Medical Assistance Programs
13-Jan-10Rate Change for Intensive In-Home Assessment ? Effective February 1, 2010All Providers of Intensive In-Home, Community-Based Residential Services (Level A) and Therapeutic Behavioral Services (Level B) for Children and Adolescents Services, and Managed Care Organizations Participating in the Virginia Medical Assistance Programs Assistance Programs
5-Jan-10Transition of Virginia Medicaid Fiscal Agent and Provider Enrollment Services to ACS State Healthcare (ACS)All Providers Participating in the Virginia Medical Assistance Program