Top Mobile Menu Bottom Mobile Menu

Search For:

2020 Memos and Bulletins


Issue Date Title To:
20-Dec-21 Hospital COVID-19 Vaccine Administration Reimbursement – Effective December 23, 2020 All Hospitals and Managed Care Organizations (MCO) Participating in the Virginia Medical Assistance Program
11-Dec-20 Coverage of COVID-19 Vaccine Administration All Medicaid Providers and Managed Care Organizations Participating in th All Medicaid Providers and Managed Care Organizations Participating in the Virginia Medical Assistance Program
24-Nov-20 Virginia Medicaid Preferred Drug List / Common Core Formulary Changes, and Drug Utilization Review Board Approved Drug Service Authorizations. All Prescribing Providers, Pharmacists, and Managed Care Organizations (MCOs) Participating in the Virginia Medical Assistance Program
19-Nov-20 Civil Monetary Penalty (CMP) Reinvestment Program Funding Opportunity All Long-Term Care Providers Participating in the Virginia Medical Assistance Program and Managed Care Organizations (Health Plans)
16-Nov-20 Patient Driven Payment Model (PDPM) Data Collection Nursing Facility, Specialized Care, and Hospice Service Providers; Commonwealth Coordinated Care (CCC) Plus Managed Care Plans and PACE Organizations
5-Nov-20 Coverage of COVID-19 Laboratory Tests All Medicaid Providers and Managed Care Organizations Participating in the Virginia Medical Assistance Program
22-Oct-20 COVID-19 Flexibility Continuations Until 1/20/2021 All Providers Participating in the Virginia Medicaid and FAMIS Programs
20-Oct-20 Update Regarding Mandatory Training for Screeners for Long-term Services and Supports (LTSS) Screening Medicaid LTSS Screening Entities (Community Based Teams); other State Agencies involved in the Screening Process (DARS); Nursing Facilities , 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
2-Oct-20 Updates on COVID-19 Continuation and Timelines for Behavioral Health and Addiction and Recovery Treatment Services All Providers Participating in the Virginia Medicaid and FAMIS Programs
16-Sep-20 New Regulatory Requirement for the Quantity Prescribed Field on Schedule II Pharmacy Drugs Claims Treatment All Providers in the Virginia Medical Assistance Program, MCOs
4-Sep-20 Guidance for the use of Urine Drug Testing in Substance Use Disorder (SUD) Treatment Addiction and Recovery Treatment Service Providers, Managed Care Organizations (MCOs), and Magellan of Virginia Participating in the Virginia Medical Assistance Program
4-Sep-20 Retroactive Billing for Addiction and Recovery Treatment Services (ARTS) Effective July 1, 2020. Addiction and Recovery Treatment Service Providers, Managed Care Organizations (MCOs), and Magellan of Virginia Participating in the Virginia Medical Assistance Program
14-Aug-20 Electronic Visit Verification Required September 1, 2020 Personal Care, Respite Care, Companion Services, Home Health Providers, Services Facilitation Providers, and MCOs
7-Aug-20 Coverage of COVID-19 Antibody Lab Tests All Medicaid Providers and Managed Care Organizations Participating in the Virginia Medical Assistance Program
5-Aug-20 COVID-19 Continuations Until 8/31/20 and 10/22/20 All Providers Participating in the Virginia Medicaid and FAMIS Programs
22-Jul-20 Changes to the Service Delivery Hour Requirements for Addiction and Recovery Treatment Services (ARTS) Intensive Outpatient Services (IOPs) Effective August 1, 2020 and Clarification for Partial Hospitalization Services (PHS) Requirements Addiction and Recovery Treatment Service Providers, Managed Care Organizations (MCOs), and Magellan of Virginia Participating in the Virginia Medical Assistance Program
2-Jul-20 COVID-19 Payment Increase for Medallion 4 Providers of Certain Evaluation and Management Codes All DMAS providers; All MCO Contracted Physicians and Medical Professionals, All Managed Care Organizations (MCOs)
1-Jul-20 Clarifications and Changes: Group-Based Service Delivery in Behavioral Health and Addiction and Recovery Treatment Services (ARTS) during the COVID-19 State of Emergency All Providers Participating in the Virginia Medicaid and FAMIS Programs, and MCOs
26-Jun-20 Home and Community Based Services Waivers (HCBS) COVID-19 Policy Continuation and Timeline All Providers 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)
24-Jun-20 Per Diem COVID-19 Add-On Payment for Nursing Facility and Specialized Care Rates Effective July 1, 2020 Nursing Facility, Specialized Care, and Hospice Service Providers; Commonwealth Coordinated Care (CCC) Plus Managed Care Plans and PACE Organizations
11-Jun-20 Behavior Therapy Provider Flexibility Update All Community Mental Health (CMHRS) providers and MCOs
11-Jun-20 COVID 19 - Electronic Visit Verification Transition Period Extended to September 1, 2020 for Agency-Directed Services Personal Care, Respite Care, Companion Services, Home Health Providers, Services Facilitation Providers, and MCOs
1-Jun-20 Inflation for Outpatient Rehabilitation Rates, Effective July 1, 2020 All Providers of Outpatient Rehabilitation Services Participating in the Virginia Medical Assistance Programs and Medicaid Managed Care Organizations (MCOs)
1-Jun-20 Inflation for Home Health Rates Effective July 1, 2020 and Medicare Patient-Driven Groupings Model (PDGM) All Providers of Home Health Services participating in the Virginia Medical Assistance Programs and Medicaid Managed Care Organizations (MCOs)
1-Jun-20 Hospital Reimbursement – Effective July 1, 2020 All Hospitals and Managed Care Organizations (MCO) Participating in the Virginia Medical Assistance Program
1-Jun-20 Nursing Facility and Specialized Care Rate Updates Effective July 1, 2020 Nursing Facility, Specialized Care, and Hospice Service Providers; Commonwealth Coordinated Care (CCC) Plus Managed Care Plans
1-Jun-20 Personal Care Rate Update Effective July 1, 2020 Providers 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)
26-May-20 New 1135 Waiver and Administrative Provider Flexibilities Related to COVID-19. All Providers Participating in the Virginia Medicaid and FAMIS Programs
19-May-20 Availability of Physician Training for Medicaid Long Term Services and Supports Screening Medicaid Long-Term Services and Supports (LTSS) Screening Entities (Community-Based and Hospital Teams); and other State Agencies involved in the Screening Process [DBHDS, DSS Eligibility]
19-May-20 Postponement of the 2020 Civil Monetary Penalty (CMP) Funds Procurement All Nursing Facility Providers Participating in the Virginia Medical Assistance Program and Managed Care Organizations (Health Plans)
15-May-20 New Administrative Provider Flexibilities Related to COVID-19 All Providers Participating in the Virginia Medicaid and FAMIS Programs
15-May-20 Developmental Disabilities (DD) and Commonwealth Coordinated Care (CCC) Plus Waivers: Additional Provider Flexibilities and Retainer Payments Related to COVID-19 All Providers Participating in the Virginia Medicaid and FAMIS Programs
22-Apr-20 Developmental Disabilities (DD) and Commonwealth Coordinated Care (CCC) Plus Waivers: Provider Flexibilities Related to COVID-19 All Providers Participating in the Virginia Medicaid and FAMIS Programs
27-Mar-20 Changes to the Provider Portal-Electronic Funds Transfer, Primary Account Holder, and Inactive Accounts All Providers Participating in the Virginia Medicaid and FAMIS Programs
27-Mar-20 Clarifications and Changes: Behavioral Health and ARTS Provider Flexibilities Related to COVID-19 All Providers Participating in the Virginia Medicaid and FAMIS Programs
18-Mar-20 Provider Flexibilities Related to COVID-19 All Providers Participating in the Virginia Medicaid and FAMIS Programs
10-Mar-20 SUPPORT Act Established Medicare Part B Benefit for Opioid Use Disorder Treatment Services by Opioid Treatment Programs, Effective January 1, 2020 Opioid Treatment Programs (OTPs), Managed Care Organizations (MCOs), and Magellan of Virginia Participating in the Virginia Medical Assistance Program
5-Mar-20 Annual Provider Staff Training Requirement for Agency-Directed Personal Care and Respite in the Commonwealth Coordinated Care Plus (CCC Plus) Waiver Agency-Directed Personal/Respite Care Providers and Managed Care Organizations
21-Feb-20 Revisions to CCC Plus Service Authorization Requirements-REVISED All Providers Participating in the Virginia Medicaid and FAMIS Programs
14-Jan-20 Overview of the Use of Civil Monetary Penalty (CMP) Funds All Long Term Care Providers Participating in the Virginia Medical Assistance Program and Managed Care Organizations (Health Plans)
9-Jan-20 Final Exempt Action Pertaining to Medicaid Long-Term Services and Supports Screening Removal of Three-Day Allowance After Hospital Discharge- Effective February 1, 2020 Medicaid Long-Term Services and Supports (LTSS) Screening Entities (Community-Based and Hospital Teams) and LTSS Providers [Commonwealth Coordinated Care Plus (CCC Plus) Waiver Providers, Nursing Facilities (NF), CCC Plus Health Plans], Fee-For-Services (FFS) Providers, Hospitals; and Medicaid Managed Care Organizations
8-Jan-20 Clarification of the Correction Process for Medicaid Long-Term Services and Supports Screenings Medicaid Long-Term Services and Supports (LTSS) Screening Entities: Community-Based Teams (Virginia Department of Health and Department of Social Services) and Hospital Teams (Acute Care Hospitals, Rehabilitation Units in Acute Care Hospitals, and Rehabilitation Hospitals)
3-Jan-20 Electronic Visit Verification - UPDATE 2 All Personal Care, Respite Care, Companion Services, Home Health Providers, Services Facilitation Providers, and Managed Care Organizations Participating in the Virginia Medical Assistance Program