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2019 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:
30-Dec-19Transitioning from the Commonwealth Coordinated Care Plus (CCC Plus) Waiver to a Developmental Disabilities WaiverAll Providers of Developmental Disabilities (DD) Waivers Services
13-Dec-19Provider Reimbursement for Licensed Mental Health ProfessionalsAll Medallion 4.0 and Commonwealth Coordinated Care Plus (CCC Plus) MCOs and Providers
18-Nov-19Mandatory Use of Electronic Portal for Submission of Long-Term Services and Supports (LTSS)Hospitals Screening for Medicaid Long Term Services and Supports
6-Nov-19Enhanced Process for Hospice Providers to Enter Fee-For-Service (FFS) Hospice Admissions and Disenrollments into the Long Term Care (LTC) PortalAll Providers of Hospice Services, Nursing and Intermediate Care Facilities; Commonwealth Coordinated Care (CCC) Plus Managed Care Plans
23-Oct-19Clarification of DMAS Requirements Related to the Use of Telemedicine in Providing Medication Assisted Treatment for Opioid Use DisorderAll Addiction and Recovery Treatment Services (ARTS) Providers, Prescribers, Managed Care Organizations (MCOs) and Magellan of Virginia Participating in the Virginia Medical Assistance Program
7-Oct-19Medicaid Nursing Facility Reimbursement Policy in Response to Medicare's Patient Driven Payment Model (PDPM), Effective October 1, 2019All Nursing Facility Providers; Commonwealth Coordinated Care (CCC) Plus Health Plans
25-Sep-19Electronic Visit Verification (EVV) UPDATEAll Personal Care, Respite Care, Companion Services, Home Health Providers, Services Facilitation Providers, and Managed Care Organizations Participating in the Virginia Medical Assistance Program
4-Sep-19Authorization of Personal Assistance Services in the Developmental Disability WaiverDevelopmental Disability Waiver Services Providers
4-Sep-19CCC Plus Claims ProcessingCommonwealth Coordinated Care (CCC) Plus MCOs and Providers
21-Aug-19Electronic Visit Verification (EVV) Provider and Vendor TestingAll Personal Care, Respite Care, Companion Services, Home Health Providers, Services Facilitation Providers, and Managed Care Organizations Participating in the Virginia Medical Assistance Program
20-Aug-19Prohibition to Charge Medicaid Members Out-of-Pocket for Covered Substance Use Disorder ServicesAll Substance Use Disorder Providers, Prescribers, Managed Care Organizations (MCOs) and Magellan of Virginia Participating in the Virginia Medical Assistance Program
14-Aug-19Revisions to Medicaid Payments for Medicare Coinsurance, Copays, and Deductibles (Crossover Claims)-Effective July 5, 2019All Providers with Crossover Claims; Medallion 4.0 and Commonwealth Coordinated Care (CCC) Plus Managed Care Plans
1-Aug-19DMAS Recognition of Certified Substance Abuse Counselor SuperviseesAll Substance Use Disorder Providers, Prescribers, Managed Care Organizations (MCOs) and Magellan of Virginia Participating in the Virginia Medical Assistance Program
2-Jul-19Inflation for Outpatient Rehabilitation Rates, Effective July 1, 2019All Providers of Outpatient Rehabilitation Services Participating in the Virginia Medical Assistance Programs and Medicaid Managed Care Organizations (MCOs)
2-Jul-19New Reimbursement for Hospice Services Provided in Nursing Facilities and Intermediate Care Facilities-Effective July 1, 2019All Providers of Hospice Services, Nursing and Intermediate Care Facilities; Commonwealth Coordinated Care (CCC) Plus Managed Care Plans
27-Jun-19Hospital Inpatient and Outpatient Rates and Hospital Lump Sum Reimbursement for Disproportionate Share Hospitals and Graduate Medical Education, Effective July 1, 2019All Hospitals and Managed Care Organizations (MCOs) Participating in the Virginia Medical Assistance Program
21-Jun-19Professional and Telehealth Services Rate Increases, Effective July 1, 2019Professional Services Providers and Medicaid Managed Care Organizations (MCOs)
21-Jun-19Inflation for Home Health Rates, Effective July 1, 2019All Providers of Home Health Services participating in the Virginia Medical Assistance Programs and Medicaid Managed Care Organizations (MCOs)
21-Jun-19Personal, Respite and Companion Care Rate Increases, Effective July 1, 2019Providers of Home and Community Based Services Waivers (HCBS) and Early Periodic Screening, and Diagnosis and Treatment (EPSDT) services participating in Virginia Medical Assistance Programs and Medicaid Managed Care Organizations (MCOs)
21-Jun-19Nursing Facility and Specialized Care Rate Updates; Fair Rental Value (FRV) Rates for New and Renovated Facilities; Institutional Hospice Reimbursement Changes Effective July 1, 2019Nursing Commonwealth Coordinated Care (CCC) Plus Managed Care Plans Facility, Specialized Care, and Hospice Service Providers;
20-Jun-19Update to Reimbursement for Ambulatory Surgical Centers; Implementation of a New Enhanced Ambulatory Patient Group Grouper Version, New Weights and Base Rate, for Claims Payment, Effective July 1, 2019Ambulatory Surgical Centers and Managed Care Organizations
11-Jun-19Clarification to Mandatory Training for Screeners for Long-Term Services and Supports (LTSS) ScreeningMedicaid LTSS Screening Agencies (Community-Based Teams); Hospitals involved in LTSS Screening Process; other Local and State Agencies Involved in the Screening Process [DBHDS, DSS Eligibility]; Nursing Centers, Home Health Agencies that Serve LTSS, and PACE Sites; Medicaid Health Plans Providing Care Coordination for LTSS; and other Public Partners Affected by Medicaid LTSS Screening Process
10-Jun-19Virginia Medicaid Preferred Drug List / Common Core Formulary Changes, and Drug Utilization Review Board-Approved Drug Service AuthorizationsAll Prescribing Providers, Pharmacists, and Managed Care Organizations (MCOs) Participating in the Virginia Medical Assistance Program
8-May-19All Assessors for Public Pay Individuals: Community Services Boards (CSB)/Behavioral Health Authorities (BHA), Local Departments of Social Services, Local Departments of Health, Centers for Independent Living (CIL), and Area Agencies on Aging (AAA)Claims for Assisted Living Facility Initial Assessments and Annual Reassessments Entities (Community-Based and Hospital Teams)
22-Apr-19Electronic Visit Verification (EVV) Update-REVISEDAll Personal Care, Respite Care, Companion Services, Home Health Providers, Services Facilitation Providers, and Managed Care Organizations Participating in the Virginia Medical Assistance Program
12-Apr-19Mandatory Training for Screeners for Long-Term Services and Supports (LTSS) ScreeningMedicaid LTSS Screening Agencies (Community Based Teams); other Local and State Agencies Involved in the Screening Process [DBHDS, DSS Eligibility]; Nursing Centers, Home Health Agencies that Serve LTSS, and PACE Sites; Medicaid Health Plans Providing Care Coordination for LTSS; and other Public Partners Affected by Medicaid LTSS Screening Process
12-Apr-19Screening Prior to Nursing Facility Admission or No Medicaid Reimbursement and Implementation of Verification of Screening- Effective July 1, 2019Medicaid Long-Term Services and Supports (LTSS) Providers –Commonwealth Coordinated Care (CCC Plus) Waiver Providers and Nursing Facilities and LTSS Screening Entities (Community-Based and Hospital Teams)
4-Mar-19Federally Qualified Health Centers Coverage of TelemedicineAll Federally Qualified Health Centers and Managed Care Organizations (MCOs) Participating in the Virginia Medical Assistance Program
11-Feb-19Evidence-Based Practices and Medication Assisted Treatment for Opioid Use DisorderAll Addiction and Recovery Treatment Services (ARTS) Providers, Prescribers, Managed Care Organizations (MCOs) and Magellan of Virginia Participating in the Virginia Medical Assistance Program