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2013 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.johnson@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:
20-Dec-13Implementation of Hospital Presumptive Eligibility and Online Deemed Newborn Enrollment - Effective January 1, 2014All Medicaid Enrolled Hospitals
4-Dec-13Update to the Incontinence Durable Medical Equipment and Supplies Program (2nd Memo) - Effective 01/01/14All Durable Medical Equipment and Supplies Providers Participating in the Virginia Medical Assistance Program, Managed Care Organizations, and Holders of the Durable Medical Equipment and Supplies Provider Manual
26-Nov-13Modifications to the Virginia Medicaid Preferred Drug List (PDL) ProgramAll Prescribing Providers, Pharmacists, and Managed Care Organizations (MCOs) Participating in the Virginia Medical Assistance Programs
11-Nov-13Update to the Durable Medical Equipment and Supplies Program - Effective 1/01/2014All Durable Medical Equipment and Supplies Providers Participating in the Virginia Medical Assistance Program, Managed Care Organizations, and Holders of the Durable Medical Equipment and Supplies Provider Manual
8-Nov-13Enhanced Ambulatory Patient Group (EAPG) for Outpatient Hospital ServicesAll Hospitals and Managed Care Organizations Participating in the Virginia Medical Assistance Programs
6-Nov-13Entry of MajestaCare for Medicaid/FAMIS Programs into the Following Localities: Albemarle, Augusta, Buckingham, Fluvanna, Greene, Louisa, Madison*, Nelson, Orange*, Rockingham, Charlottesville, Harrisonburg, Staunton, and Waynesboro — Effective January 1, 2014All Medicaid Enrolled Providers and Managed Care Organizations Participating in the Western Region of the Virginia Medical Assistance Programs
31-Oct-13Changes to Community Mental Health Rehabilitative Services -Emergency Regulations Pertaining to Mental Health Support Services, Crisis Stabilization, and Crisis InterventionProviders of Community Mental Health Rehabilitative Services, Managed Care Organizations
31-Oct-13Update on Administrative Processes with the Implementation of the Behavioral Health Services Administrator (BHSA) - Magellan of Virginia effective Dec. 1 2013 - REVISEDAll Medicaid Behavioral Health Services Providers Including Managed Care Organizations in the Virginia Medical Assistance Program
25-Oct-13Pre-Admission Screening GuidanceAll Providers of Pre-Admission Screening Services Participating in the Virginia Medical Assistance Program and Managed Care Organizations
11-Oct-13Transfer of the IFDDS Waiver Daily Operations to the Department of Behavioral Health and Developmental Services (DBHDS) - Effective November 12, 2013All DD (also referred to as Individual and Family Developmental Disabilities Supports) Home and Community Based Waiver Providers
20-Sep-13EDCD Service Authorizations - Processing Backlog in September 2013Medicaid Enrolled Providers of Elderly or Disabled (EDCD) With Consumer Direction Waiver Services
28-Aug-13Clarification Regarding the Behavioral Health Services Administrator (BHSA) and Magellan Correspondence to ProvidersAll Providers and Managed Care Organizations Participating in the Virginia Medical Assistance Programs
23-Aug-13Respite Care Service Authorizations Extended to 8/31/13 — Provider QuestionsMedicaid Enrolled Providers of Respite Services and Services Facilitators through the Elderly or Disabled with Consumer Direction, Individual and Family Developmental Disabilities Support and Intellectual Disabilities Waivers
13-Aug-13Respite Care Service Authorizations Extended to 8/31/13Medicaid Enrolled Providers of Respite Services and Services Facilitators through the Elderly or Disabled with Consumer Direction, Individual and Family Developmental Disabilities Support and Intellectual Disability Waivers
31-Jul-13Implementation of the CMS - Affordable Care Act Provider Enrollment and Screening RequirementsAll Providers and Managed Care Organizations (MCOs) Participating in the Virginia
2-Jul-13Notification of Behavioral Health Services Administrator Contract AwardAll Providers and Managed Care Organizations Participating in the Virginia Medical Assistance Programs
12-Jun-13Changes in IFDDS Waiver Screening Locations - Effective July 1, 2013All Individual and Family Developmental Disabilities Supports (Also Referred to as IFDDS) Home, Community Based Waiver Providers, and Managed Care Organizations
10-Jun-13Billable Activities for Individual Supported Employment - July 1, 2013All Medicaid Enrolled Providers of Supported Employment Services
7-Jun-13Virginia Medicaid Preferred Drug List (PDL) Program ChangesAll Prescribing Providers, Pharmacists, and Managed Care Organizations (MCOs) Participating in the Virginia Medical Assistance Program
7-Jun-13Vaccine Administration Billing ChangesAll Physicians, Nurse Practitioners, and Health Department Clinics Furnishing Primary Care Services and Participating in the Virginia Medical Assistance Program and Managed Care Organizations Providing Services to Virginia Medicaid Members
31-May-13SFY 2014 Rate Changes for Adult Day Health Care - Effective July 1, 2013All Providers of Adult Day Health Care
29-May-13SFY 2014 Rate and Service Unit Changes for Private Duty Nursing Services - Effective July 1, 2013All Providers of Nursing Services in Home and Community Based Care Waivers and Managed Care Organizations Providing Services to Virginia Medicaid Members
1-May-13Implementation of the Medicaid National Correct Coding Initiative (NCCI), Procedure to Procedure (PTP), and Medically Unlikely Edits (MUE) - Effective June 3, 2013All Physicians and Professional Practitioners, Laboratory, Durable Medical Equipment and Supplies, and Ambulatory Surgical Centers Participating in the Virginia Medical Assistance Program
19-Apr-13Conversion of Specialized Care and Long Stay Hospital Service Types in the Keystone Peer Review Organization (KePRO) Web Portal from Inpatient to Outpatient and the Service Authorization Information ChecklistSpecialized Care/Long Stay Hospital Providers
3-Apr-13Transition of Children in Foster Care or Receiving Adoption Assistance to Managed Care - Effective July 1, 2013 for Central and Tidewater Managed Care RegionsAll Medicaid Providers Including Managed Care Organizations
22-Mar-13Higher Payments for Medicaid Primary Care Services - Effective January 1, 2013 thru December 31, 2014 - Second MemoAll Physicians, Nurse Practitioners, and Health Department Clinics Furnishing Primary Care Services and Participating in the Virginia Medical Assistance Program and Managed Care Organizations Providing services to Virginia Medicaid Members
6-Feb-13Notification of a Procedural Change for Out of State Providers Submitting Requests for Service Authorization Through KePRO - Effective March 1, 2013Out of State Psychiatric Residential Treatment Facility (RTC) Level C, Out of State Durable Medical Equipment (DME), Out of State Orthotics, Out of State Podiatrists, Out of State Prosthetics, Out of State Home Health, Out of State Physicians, Out of State Hospitals, Out of State Independent Laboratories, Out of State Laboratories, Out of State Dental, Out of State Rehab Hospitals, Out of State Rehab Agencies Participating in the Virginia Medical Assistance Program and Managed Care Organizations
14-Jan-13Medicare-Medicaid Alignment DemonstrationAll Providers in the Virginia Medical Assistance Program