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2026 Memos and Bulletins

Issue DateTitleTo:
9-Sep-26Electronic Visit Verification—Live-In Requirement Effective 10/1/2026Services Facilitators (SF), Personal Care Agencies, Managed Care Organizations (MCO)
4-Sep-26H.R. 1 Federal Work Requirement, Six-Month Renewals, and Medicaid Eligibility Changes for Non-Citizen, Non-Pregnant AdultsAll Providers and Managed Care Organizations (MCOs) Participating in the Virginia Medical Assistance Program
2-Sep-26CCC Plus Waiver Provider Manual Update, Chapters II and IV; New Appendix E, Extraordinary Care Guide; and DMAS-97A/B and DMAS-99 Forms UpdateAll Providers of CCC Plus Waiver services: Adult Day Health Care, Assistive Technology, Environmental Modifications, Personal Care, Personal Emergency Response System, Private Duty Nursing, Respite Care, Services Facilitation, Transition Services; All MCO
27-Aug-26Updates to the Temporary Detention Orders SupplementProviders of Mental Health and ARTS Services, Acentra Health, and Cardinal Care Managed Care Organizations
27-Aug-26Updates to Pharmacy Manual Chapter 7All Prescribing Providers, Pharmacists, and Managed Care Organizations Participating in Virginia Medical Assistance Program
24-Aug-26Submitting Retrospective Service Authorization Requests for Retroactive EligibilityAll Providers and Managed Care Organizations (MCOs)
20-Aug-26Behavioral Health Services Redesign Implementation DatesBehavioral Health Providers, Cardinal Care Managed Care Organizations, and Acentra Health
18-Aug-26Outpatient Rehabilitation Rates Effective July 1, 2026All Providers and Managed Care Organizations (MCOs) Participating in the Virginia Medical Assistance Program
14-Aug-26Clinical Laboratory Services Procedure Code Rates Effective July 1, 2026All Providers and Managed Care Organizations (MCOs) Participating in the Virginia Medical Assistance Program
13-Aug-26Waiver Rate Updates Effective July 1, 2026All Providers and Managed Care Organizations (MCOs) Participating in the Virginia Medical Assistance Program
13-Aug-26Private Duty and Skilled Nursing Update Effective July 1, 2026All Providers and Managed Care Organizations (MCOs) Participating in the Virginia Medical Assistance Program
13-Aug-26Resource Based Relative Value Scale (RBRVS) Rates Effective July 1, 2026All Providers and Managed Care Organizations (MCOs) Participating in the Virginia Medical Assistance Program
13-Aug-26Physician Administered Drug Procedure Code Rates Effective July 1, 2026All Providers and Managed Care Organizations (MCOs) Participating in the Virginia Medical Assistance Program
11-Aug-26Physician Administered Drug Program Updates, Virginia Medicaid Drug Utilization Review Board Approved Updates and Preferred Drug List Effective October 1, 2026All Providers and Managed Care Organizations Participating in the Virginia Medical Assistance Program
28-Jul-26Applied Behavior Analysis (ABA) Policy ChangesBehavioral Health Providers, Cardinal Care Managed Care Organizations, and Acentra Health
20-Jul-26DD Waiver DSP Orientation Test EquivalencyAll providers of DD Waiver Services and Community Services Boards
20-Jul-26Updates for DD Waiver Autism Advanced CompetenciesDevelopmental Disability Waiver Service Providers, Case Management Providers
14-Jul-26Direct Access to Atrezzo Next Generation (ANG/Atrezzo) Ending Effective 7/31/2026All Fee for Service Providers and Managed Care Organizations (MCOs
7-Jul-26Community Stabilization Coverage Change and Mobile Crisis Response Policy ChangeBehavioral Health Providers, Cardinal Care Managed Care Organizations, and Acentra Health
25-Jun-26Youth Re-entry Targeted Case Management (RTCM) ImplementationAll Community Services Boards and Managed Care Organizations in the Virginia Medical Assistance Program
10-Jun-26Home and Community-Based Services (HCBS) Grievance SystemDevelopmental Disability Waiver Service Providers, Case Management Providers and Commonwealth Coordinated Care Plus Waiver Providers and DMAS Contracted Managed Care Organizations
5-Jun-26Updated Private Duty Nursing Regulations and FormsEPSDT Private Duty Nursing Services Providers, Physicians, Case Management Providers, Hospitals and Managed Care Organizations/span>
18-May-26DMAS-80 and DMAS 421A Fax RetirementAll Providers and Managed Care Organizations Participating in the Virginia Medical Assistance Program
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