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2024 Memos and Bulletins

Issue DateTitleTo:
24-Oct-24Extended Deadlines for 23-Hour Crisis Stabilization Providers to Obtain MH Center-Based Crisis Receiving Center License and Provider Enrollment Requirements for Comprehensive Crisis and Transition ServicesBehavioral Health Providers, Medicaid Managed Care Organizations (MCOs), Acentra Health and Gainwell Technologies
16-Oct-24Continuous Glucose Monitoring (CGM) Criteria Update - Effective July 1, 2024All Providers and Managed Care Organizations (MCOs) Participating in the Virginia Medicaid Program
11-Oct-24Updates to Chapter 6 of the Rehabilitation ManualAll Providers and Managed Care Organizations (MCOs) Participating in the Virginia Medical Assistance Program
10-Oct-24Updates to the DD Provider Manual Chapter 4 and Appendix DDevelopmental Disabilities (DD) Waiver Providers
10-Oct-24Vaccinations Available for Respiratory Syncytial Virus SeasonAll Providers and Managed Care Organizations (MCOs) Participating in the Virginia Medical Assistance Program
3-Oct-24Change In Enrollment Policy for Certain Dual Eligible Medicare-Medicaid EnrolleesAll Providers and Managed Care Organizations (MCOs) Participating in the Virginia Medical Assistance Program
1-Oct-24Children’s Vision Exams, Including Refraction – Effective July 1, 2024All Providers and Managed Care Organizations (MCOs) Participating in the Virginia Medical Assistance Program
17-Sep-24Updates to Chapter 5 of the Local Education Agency Provider ManualDepartment of Education, Virginia Local Education Agencies
16-Sep-24Updates to Early Intervention Manual, Chapters 4, 5, and 6All Providers and Managed Care Organizations (MCOs) Participating in the Virginia Medicaid and FAMIS Programs
12-Sep-24End of COVID-19 Flexibilities: Vaccines and Testing Effective October 1, 2024All Providers and Managed Care Organizations (MCOs) Participating in the Virginia Medical Assistance Program
12-Sep-24Updates to the Procedures for Service Authorization Appendix (Appendix C) of the Mental Health Services ManualBehavioral Health Providers, Acentra Health, Cardinal Care Managed Care Managed Care Organizations (MCOs)
Sep-9-24Virginia Medicaid Preferred Drug List / Common Core Formulary and New Drug Utilization Review Board Approved Drug Service Authorizations Effective July 1, 2024All Providers and Managed Care Organizations (MCOs) Participating in the Virginia Medical Assistance Program
Sep-9-24Hospital & Ambulatory Surgical Centers (ASCs) Solventum Fee-for-Service Grouper Updates– Effective July 1, 2024All Providers and Managed Care Organizations (MCOs) Participating in the Virginia Medical Assistance Program
5-Sep-24Clarification for Adults Enrolled in Dental MedicaidVirginia Cardinal Care Smiles Participating Providers
21-Aug-24Updates to Brain Injury Services (BIS) Targeted Case Management (TCM)Case Management Services Providers, Cardinal Care Managed Care (MCOs)
13-Aug-24Department of Behavioral Health and Developmental Services (DBHDS) Crisis Services Regulatory Updates and Related Provider Enrollment Requirements for Comprehensive Crisis and Transition ServicesBehavioral Health Providers, Medicaid Managed Care Organizations (MCOs), Acentra Health and Gainwell Technologies
25-July-24Revised Psychiatric Residential Treatment Facility (PRTFs), Addiction and Recovery Treatment Services (ARTS) Residential Services Rates - Effective July 1, 2024All Providers and Managed Care Organizations (MCOs) Participating in the Virginia Medical Assistance Program
8-July-24Updates to the DD Waiver Provider Manual Chapter 2Developmental Disabilities Waiver Providers
8-July-24Inpatient and Outpatient Hospital Rates Effective July 1, 2024All Providers and Managed Care Organizations (MCOs) Participating in the Virginia Medical Assistance Program
8-July-24Psychiatric Residential Treatment Facility (PRTFs), Addiction and Recovery Treatment Services (ARTS) Residential Services Rate Changes Effective July 1, 2024All Providers and Managed Care Organizations (MCOs) Participating in the Virginia Medical Assistance Program
3-July-24Pharmacy Manual Pharmacists as Providers Supplement UpdateAll prescribing Providers, Pharmacists and Managed Care Organizations Participating in the Virginia Medical Assistance Program
28-June-24Inflation for Home Health Rates Effective July 1, 2024All Providers and Managed Care Organizations (MCOs) Participating in the Virginia Medical Assistance Program
28-June-24Durable Medical Equipment Enteral Products and Supplies Rate Changes Effective July 1, 2024All Providers and Managed Care Organizations (MCOs) Participating in the Virginia Medical Assistance Program
28-June-24Waiver Rate Updates Effective July 1, 2024All Providers and Managed Care Organizations (MCOs) Participating in the Virginia Medical Assistance Program
28-June-24Nursing Facility and Specialized Care Rates Effective July 1, 2024All Providers and Managed Care Organizations (MCOs) Participating in the Virginia Medical Assistance Program
25-June-24Expansion of Virginia Board of Pharmacy Statewide Protocol coverage by DMAS when services are provided by a Pharmacist, Pharmacy Intern, or Pharmacy TechnicianAll Providers and Managed Care Organizations Participating in the Virginia Medicaid Program
24-June-24DMAS Pharmacy and Therapeutics (P&T) Committee Meeting FrequencyAll Providers and Managed Care Organizations Participating in the Virginia Medicaid Program
24-June-24Ambulatory Surgical Center Reimbursement Effective July 1, 2024All Providers and Managed Care Organizations (MCO) Participating in the Virginia Medical Assistance Program
24-June-24Personal Care Rate Update Effective July 1, 2024All Providers and Managed Care Organizations (MCO) Participating in the Virginia Medical Assistance Program
20-June-24Changes to LTSS Screenings: PACE Sites Performing Screenings Effective 6/1/2024Program of All-Inclusive Care for the Elderly (PACE) providers, Medicaid LTSS Screening Entities (Community-Based Teams); State Agencies involved in the Screening Process; Nursing Facilities, Acute Care Hospitals, and Medicaid Health Plans
11-June-24Updates to the Procedures for Service Authorization Appendix (Appendix C) of the Residential Treatment Services ManualBehavioral Health Providers, Acentra Health, Cardinal Care Managed Care Managed Care Organizations (MCOs)
11-June-24Deletion of the Vision ManualAll Providers and MCOs Participating in the Virginia Medicaid and FAMIS Programs
3-June-24Changes to LTSS Screenings: Nursing Facilities and Acute Care HospitalsAll Medicaid LTSS Screening Entities (Community-Based Teams); other State Agencies involved in the Screening Process (DARS); Nursing Facilities, Acute Care Hospitals, and Medicaid Health Plans providing Care Coordination for LTSS
24-May-24Update to Chapter 1 of all Provider ManualsAll Providers and Managed Care Organizations (MCOs) Participating in the Virginia Medicaid and FAMIS Programs
15-May-24Updates to the Mental Health Services ManualAll Providers of Behavioral Health Services, Commonwealth Coordinated Care (CCC) Plus Managed Care Plans and Medallion 4 Managed Care Plans
13-May-24Updates to the Telehealth Services SupplementAll Providers and Managed Care Organizations Participating in the Virginia Medicaid and FAMIS Programs
13-May-2412-Month Continuous Eligibility (CE) for Children – Provider Manual UpdatesAll Providers and Managed Care Organizations Participating in the Virginia Medicaid and FAMIS Programs
9-May-24Fee For Service Claims and AppealsAll Providers and Managed Care Organizations Participating in the Virginia Medicaid and FAMIS Programs
9-May-24Update to the Early Intervention ManualAll Providers and Managed Care Organizations (MCOs) Participating in the Virginia Medicaid and FAMIS Programs
8-May-24Updates to Chapter 5 of the Practitioner ManualAll Providers and MCOs Participating in the Virginia Medicaid and FAMIS Programs
2-May-24Updates to the Temporary Detention Orders (TDOs) SupplementBehavioral Health Providers, Acentra and Cardinal Care Managed Care (CCMC) Contracted Managed Care Organizations, Conduet
22-Mar-24Updates and Information on Fee-For-Service Behavioral Health Services Post Transition of Behavioral Health Services AdministrationAll Behavioral Health Providers
14-Mar-14Updates to Chapter 6 of the CCC+ Waiver ManualAll Providers and MCOs Participating in the Virginia Medicaid and FAMIS Programs
14-Mar-14Deletion of Podiatry ManualAll Providers and MCOs Participating in the Virginia Medicaid and FAMIS Programs
4-Mar-24New Medicare coverage of outpatient counseling and ASAM 1.0 services provided by individuals licensed as professional counselors (LPCs) and licensed marriage and family therapists (LMFTs) and agencies providing (mental health or ASAM 2.1) intensive outpatProviders of Outpatient Psychiatric and ASAM 1.0 Services and Intensive Outpatient Services (Mental Health and ASAM 2.1)
29-Feb-24Implementation Update for March 1, 2024: Legally Responsible IndividualsAll Providers of Personal Care, Attendant Care, Respite Care, and Companion Care Services for the Early Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit, Developmental Disability Waivers, Commonwealth Coordinated Care Plus Waiver programs
2-Feb-24Updates to the Pharmacy Provider Manual Appendix D and EAll prescribing Providers, Pharmacists and Managed Care Organizations Participating in the Virginia Medical Assistance Program
2-Feb-24Virginia Medicaid Preferred Drug List / Common Core Formulary Changes, 90 Day Supply List Changes, and Drug Utilization Review Board Approved Drug Service AuthorizationsAll prescribing Providers, Pharmacists, and Managed Care Organizations Participating in the Virginia Medical Assistance Program
1-Feb-24Deletion of Renal Dialysis Clinic ManualAll Providers and MCOs Participating in the Virginia Medicaid and FAMIS Programs
1-Feb-24Deletion of Independent Lab ManualAll Providers and MCOs Participating in the Virginia Medicaid and FAMIS Programs
29-Jan-24Civil Money Penalty (CMP) Reinvestment Program Funding OpportunityAll Long-Term Care Providers Participating in the Virginia Medical Assistance Program and Managed Care Organizations (Health Plans)
18-Jan-24Update to Developmental Disabilities Waiver Manual – Chapter 5All Providers Participating in the Virginia Medicaid and FAMIS Programs and Managed Care Programs
4-Jan-24Update to the Durable Medical Equipment and Supplies Provider Manual, Chapter IVAll 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