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2020 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-21Hospital COVID-19 Vaccine Administration Reimbursement – Effective December 23, 2020All Hospitals and Managed Care Organizations (MCO) Participating in the Virginia Medical Assistance Program
11-Dec-20Coverage of COVID-19 Vaccine AdministrationAll 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-20Virginia 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-20Civil Monetary Penalty (CMP) Reinvestment Program Funding OpportunityAll Long-Term Care Providers Participating in the Virginia Medical Assistance Program and Managed Care Organizations (Health Plans)
16-Nov-20Patient Driven Payment Model (PDPM) Data CollectionNursing Facility, Specialized Care, and Hospice Service Providers; Commonwealth Coordinated Care (CCC) Plus Managed Care Plans and PACE Organizations
5-Nov-20Coverage of COVID-19 Laboratory TestsAll Medicaid Providers and Managed Care Organizations Participating in the Virginia Medical Assistance Program
22-Oct-20COVID-19 Flexibility Continuations Until 1/20/2021All Providers Participating in the Virginia Medicaid and FAMIS Programs
20-Oct-20Update Regarding Mandatory Training for Screeners for Long-term Services and Supports (LTSS) ScreeningMedicaid 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-20Updates on COVID-19 Continuation and Timelines for Behavioral Health and Addiction and Recovery Treatment ServicesAll Providers Participating in the Virginia Medicaid and FAMIS Programs
16-Sep-20New Regulatory Requirement for the Quantity Prescribed Field on Schedule II Pharmacy Drugs Claims TreatmentAll Providers in the Virginia Medical Assistance Program, MCOs
4-Sep-20Guidance for the use of Urine Drug Testing in Substance Use Disorder (SUD) TreatmentAddiction and Recovery Treatment Service Providers, Managed Care Organizations (MCOs), and Magellan of Virginia Participating in the Virginia Medical Assistance Program
4-Sep-20Retroactive 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-20Electronic Visit Verification Required September 1, 2020Personal Care, Respite Care, Companion Services, Home Health Providers, Services Facilitation Providers, and MCOs
7-Aug-20Coverage of COVID-19 Antibody Lab TestsAll Medicaid Providers and Managed Care Organizations Participating in the Virginia Medical Assistance Program
5-Aug-20COVID-19 Continuations Until 8/31/20 and 10/22/20All Providers Participating in the Virginia Medicaid and FAMIS Programs
22-Jul-20Changes 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) RequirementsAddiction and Recovery Treatment Service Providers, Managed Care Organizations (MCOs), and Magellan of Virginia Participating in the Virginia Medical Assistance Program
2-Jul-20COVID-19 Payment Increase for Medallion 4 Providers of Certain Evaluation and Management CodesAll DMAS providers; All MCO Contracted Physicians and Medical Professionals, All Managed Care Organizations (MCOs)
1-Jul-20Clarifications and Changes: Group-Based Service Delivery in Behavioral Health and Addiction and Recovery Treatment Services (ARTS) during the COVID-19 State of EmergencyAll Providers Participating in the Virginia Medicaid and FAMIS Programs, and MCOs
26-Jun-20Home and Community Based Services Waivers (HCBS) COVID-19 Policy Continuation and TimelineAll 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-20Per Diem COVID-19 Add-On Payment for Nursing Facility and Specialized Care Rates Effective July 1, 2020Nursing Facility, Specialized Care, and Hospice Service Providers; Commonwealth Coordinated Care (CCC) Plus Managed Care Plans and PACE Organizations
11-Jun-20Behavior Therapy Provider Flexibility UpdateAll Community Mental Health (CMHRS) providers and MCOs
11-Jun-20COVID 19 - Electronic Visit Verification Transition Period Extended to September 1, 2020 for Agency-Directed ServicesPersonal Care, Respite Care, Companion Services, Home Health Providers, Services Facilitation Providers, and MCOs
1-Jun-20Inflation for Outpatient Rehabilitation Rates, Effective July 1, 2020All Providers of Outpatient Rehabilitation Services Participating in the Virginia Medical Assistance Programs and Medicaid Managed Care Organizations (MCOs)
1-Jun-20Inflation 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-20Hospital Reimbursement – Effective July 1, 2020All Hospitals and Managed Care Organizations (MCO) Participating in the Virginia Medical Assistance Program
1-Jun-20Nursing Facility and Specialized Care Rate Updates Effective July 1, 2020Nursing Facility, Specialized Care, and Hospice Service Providers; Commonwealth Coordinated Care (CCC) Plus Managed Care Plans
1-Jun-20Personal Care Rate Update Effective July 1, 2020Providers 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-20New 1135 Waiver and Administrative Provider Flexibilities Related to COVID-19.All Providers Participating in the Virginia Medicaid and FAMIS Programs
19-May-20Availability of Physician Training for Medicaid Long Term Services and Supports ScreeningMedicaid 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-20Postponement of the 2020 Civil Monetary Penalty (CMP) Funds ProcurementAll Nursing Facility Providers Participating in the Virginia Medical Assistance Program and Managed Care Organizations (Health Plans)
15-May-20New Administrative Provider Flexibilities Related to COVID-19All Providers Participating in the Virginia Medicaid and FAMIS Programs
15-May-20Developmental Disabilities (DD) and Commonwealth Coordinated Care (CCC) Plus Waivers: Additional Provider Flexibilities and Retainer Payments Related to COVID-19All Providers Participating in the Virginia Medicaid and FAMIS Programs
22-Apr-20Developmental Disabilities (DD) and Commonwealth Coordinated Care (CCC) Plus Waivers: Provider Flexibilities Related to COVID-19All Providers Participating in the Virginia Medicaid and FAMIS Programs
27-Mar-20Changes to the Provider Portal-Electronic Funds Transfer, Primary Account Holder, and Inactive AccountsAll Providers Participating in the Virginia Medicaid and FAMIS Programs
27-Mar-20Clarifications and Changes: Behavioral Health and ARTS Provider Flexibilities Related to COVID-19All Providers Participating in the Virginia Medicaid and FAMIS Programs
19-Mar-20Provider Flexibilities Related to COVID-19All Providers Participating in the Virginia Medicaid and FAMIS Programs
10-Mar-20SUPPORT Act Established Medicare Part B Benefit for Opioid Use Disorder Treatment Services by Opioid Treatment Programs, Effective January 1, 2020Opioid Treatment Programs (OTPs), Managed Care Organizations (MCOs), and Magellan of Virginia Participating in the Virginia Medical Assistance Program
5-Mar-20Annual Provider Staff Training Requirement for Agency-Directed Personal Care and Respite in the Commonwealth Coordinated Care Plus (CCC Plus) WaiverAgency-Directed Personal/Respite Care Providers and Managed Care Organizations
21-Feb-20Revisions to CCC Plus Service Authorization Requirements-REVISEDAll Providers Participating in the Virginia Medicaid and FAMIS Programs
14-Jan-20Overview of the Use of Civil Monetary Penalty (CMP) FundsAll Long Term Care Providers Participating in the Virginia Medical Assistance Program and Managed Care Organizations (Health Plans)
9-Jan-20Final Exempt Action Pertaining to Medicaid Long-Term Services and Supports Screening Removal of Three-Day Allowance After Hospital Discharge- Effective February 1, 2020Medicaid 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-20Clarification of the Correction Process for Medicaid Long-Term Services and Supports ScreeningsMedicaid 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-20Electronic Visit Verification - UPDATE 2All Personal Care, Respite Care, Companion Services, Home Health Providers, Services Facilitation Providers, and Managed Care Organizations Participating in the Virginia Medical Assistance Program