Top Mobile Menu Bottom Mobile Menu

Search For:

2013 Memos and Bulletins

Note: Memos and Bulletins for 2013 are only available in PDF format


Issue Date Title To:
20-Dec-13 Implementation of Hospital Presumptive Eligibility and Online Deemed Newborn Enrollment - Effective January 1, 2014 All Medicaid Enrolled Hospitals
4-Dec-13 Update to the Incontinence Durable Medical Equipment and Supplies Program (2nd Memo) - Effective 01/01/14 All 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-13 Modifications to the Virginia Medicaid Preferred Drug List (PDL) Program All Prescribing Providers, Pharmacists, and Managed Care Organizations (MCOs) Participating in the Virginia Medical Assistance Programs
11-Nov-13 Update to the Durable Medical Equipment and Supplies Program - Effective 1/01/2014 All 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-13 Enhanced Ambulatory Patient Group (EAPG) for Outpatient Hospital Services All Hospitals and Managed Care Organizations Participating in the Virginia Medical Assistance Programs
6-Nov-13 Entry 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, 2014 All Medicaid Enrolled Providers and Managed Care Organizations Participating in the Western Region of the Virginia Medical Assistance Programs
31-Oct-13 Changes to Community Mental Health Rehabilitative Services -Emergency Regulations Pertaining to Mental Health Support Services, Crisis Stabilization, and Crisis Intervention Providers of Community Mental Health Rehabilitative Services, Managed Care Organizations
31-Oct-13 Update on Administrative Processes with the Implementation of the Behavioral Health Services Administrator (BHSA) - Magellan of Virginia effective Dec. 1 2013 - REVISED All Medicaid Behavioral Health Services Providers Including Managed Care Organizations in the Virginia Medical Assistance Program
25-Oct-13 Pre-Admission Screening Guidance All Providers of Pre-Admission Screening Services Participating in the Virginia Medical Assistance Program and Managed Care Organizations
11-Oct-13 Transfer of the IFDDS Waiver Daily Operations to the Department of Behavioral Health and Developmental Services (DBHDS) - Effective November 12, 2013 All DD (also referred to as Individual and Family Developmental Disabilities Supports) Home and Community Based Waiver Providers
20-Sep-13 EDCD Service Authorizations - Processing Backlog in September 2013 Medicaid Enrolled Providers of Elderly or Disabled (EDCD) With Consumer Direction Waiver Services
28-Aug-13 Clarification Regarding the Behavioral Health Services Administrator (BHSA) and Magellan Correspondence to Providers All Providers and Managed Care Organizations Participating in the Virginia Medical Assistance Programs
23-Aug-13 Respite Care Service Authorizations Extended to 8/31/13 — Provider Questions Medicaid 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-13 Respite Care Service Authorizations Extended to 8/31/13 Medicaid 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-13 Implementation of the CMS - Affordable Care Act Provider Enrollment and Screening Requirements All Providers and Managed Care Organizations (MCOs) Participating in the Virginia
2-Jul-13 Notification of Behavioral Health Services Administrator Contract Award All Providers and Managed Care Organizations Participating in the Virginia Medical Assistance Programs
12-Jun-13 Changes in IFDDS Waiver Screening Locations - Effective July 1, 2013 All Individual and Family Developmental Disabilities Supports (Also Referred to as IFDDS) Home, Community Based Waiver Providers, and Managed Care Organizations
10-Jun-13 Billable Activities for Individual Supported Employment - July 1, 2013 All Medicaid Enrolled Providers of Supported Employment Services
7-Jun-13 Virginia Medicaid Preferred Drug List (PDL) Program Changes All Prescribing Providers, Pharmacists, and Managed Care Organizations (MCOs) Participating in the Virginia Medical Assistance Program
7-Jun-13 Vaccine Administration Billing Changes All 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-13 SFY 2014 Rate Changes for Adult Day Health Care - Effective July 1, 2013 All Providers of Adult Day Health Care
29-May-13 SFY 2014 Rate and Service Unit Changes for Private Duty Nursing Services - Effective July 1, 2013 All Providers of Nursing Services in Home and Community Based Care Waivers and Managed Care Organizations Providing Services to Virginia Medicaid Members
1-May-13 Implementation of the Medicaid National Correct Coding Initiative (NCCI), Procedure to Procedure (PTP), and Medically Unlikely Edits (MUE) - Effective June 3, 2013 All Physicians and Professional Practitioners, Laboratory, Durable Medical Equipment and Supplies, and Ambulatory Surgical Centers Participating in the Virginia Medical Assistance Program
19-Apr-13 Conversion 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 Checklist Specialized Care/Long Stay Hospital Providers
3-Apr-13 Transition of Children in Foster Care or Receiving Adoption Assistance to Managed Care - Effective July 1, 2013 for Central and Tidewater Managed Care Regions All Medicaid Providers Including Managed Care Organizations
22-Mar-13 Higher Payments for Medicaid Primary Care Services - Effective January 1, 2013 thru December 31, 2014 - Second Memo All 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-13 Notification of a Procedural Change for Out of State Providers Submitting Requests for Service Authorization Through KePRO - Effective March 1, 2013 Out 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-13 Medicare-Medicaid Alignment Demonstration All Providers in the Virginia Medical Assistance Program