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2026 Memos and Bulletins

Issue DateTitleTo:
5-May-26Virginia Medicaid Drug Utilization Review Board Approved Updates and Preferred Drug List Effective July 1, 2026All Providers and Managed Care Organizations Participating in the Virginia Medical Assistance Program
4-May-26Behavioral Health Services Redesign Implementation Date ChangeProviders of Behavioral Health Services, Acentra Healthcare and Cardinal Care Managed Care Organizations
4-May-26Taxonomy Updates for ARTS Residential ServicesAll ARTS Residential Treatment Services Providers
4-May-26Changes to Member Demographic Updates RequestsAll Medicaid LTSS Screening Entities (Community-Based Teams, Nursing Facilities and Acute Care Hospitals)
22-Apr-26New Single Sign-On Requirement for FFS Service Authorization Requests with Acentra ANG Platform Through DMAS MES Effective April 27, 2026All Providers and Managed Care Organizations Participating in the Virginia Medicaid and FAMIS Programs
31-Mar-26Updates on Continuity of Care from the Commonwealth Coordinated Care Plus (CCC Plus) Waiver to a Developmental Disabilities WaiverProviders of Developmental Disabilities Waiver Services, Community Services Boards
23-Mar-26Virginia Medicaid Preferred Drug List / Common Core Formulary and New Drug Utilization Board Approved Drug Service Authorizations Effective April 1, 2026All Providers and Managed Care Organizations Participating in the Virginia Medical Assistance Program
11-Mar-26Updates to Department of Behavioral Health and Developmental Services (DBHDS) licensing of Multisystemic Therapy (MST) providers and DMAS EnrollmentMultisystemic Therapy Providers, Acentra Health, Cardinal Care Managed Care Organizations (MCOs)
4-Mar-26Updates to Chapter 4 of the Pharmacy Provider ManualAll Providers and Managed Care Organizations (MCOs) Participating in the Virginia Medical Assistance Program
2-Feb-26Home and Community-Based Settings (HCBS) Rule Compliance Post December 31, 2025Developmental Disability Providers
30-Jan-26Clarification on Intellectual and Developmental Disability Targeted Case Management and FAMISCommunity Services Board Providers of Intellectual and Developmental Disability Support Coordination
28-Jan-26Civil Money Penalty (CMP) Reinvestment Program Funding Opportunity and New Standardized Application RequirementsAll Long-Term Care Providers Participating in the Virginia Medical Assistance Program and Managed Care Organizations (Health Plans)
26-Jan-26Update to Emergency Medicaid SupplementAll Emergency Medicaid Providers
6-Jan-26Hospital Manual Update for Certain Long-Acting Injectables by any Hospital Emergency Department or Hospital Inpatient Setting Effective July 1, 2025All Providers and Managed Care Organizations (MCOs) Participating in the Virginia Medical Assistance Program
6-Jan-26Update to Pharmacists as Providers (PAP) Supplement in Pharmacy ManualAll Providers and Managed Care Organizations Participating in the Virginia Medical Assistance Program
6-Jan-26Update to Chapter II of the Hospice and Nursing Facilities Provider ManualAll Hospice Providers, All Skilled Nursing Facility Providers Participating in the Virginia Medical Assistance Program, Managed Care Organizations, and Holders of the Hospice Provider Manual
5-Jan-26Telehealth Services Supplement UpdateAll Providers and Managed Care Organizations (MCOs) Participating in the Virginia Medical Assistance Program