Section 10. [Repealed]

Section 15. [Repealed]

Section 20. [Repealed]

Section 30. [Repealed]

Section 40. [Repealed]

Section 42. [Repealed]

Section 50. [Repealed]

Section 60. [Repealed]

Section 70. [Repealed]

Section 80. Scope

Section 90. Authorization for services

Section 100. Criteria for long-stay acute care hospital stays

Section 110. Documentation requirements

Section 120. Long-stay acute care hospital services

Section 130. Long-stay acute care hospital requirements

Section 140. Definitions

Section 150. Persons subject to nursing home preadmission screening and identification of conditions of mental illness and mental retardation (Level I)

Section 160. Level II determination

Section 170. Categorical determinations

Section 180. Annual resident review

Section 190. Determinations and placement of individuals with MI or MR/RC

Section 200. PASARR evaluation criteria

Section 210. Specialized services

Section 220. Placement options

Section 230. Evaluating the need for NF services and NF level of care (PASARR/NF)

Section 240. Evaluating whether an individual with MI requires specialized services (PASARR/MI)

Section 250. Evaluating whether an individual with MR/RC requires specialized services (PASARR/MR)

Section 260. Appeals

Section 270. Definitions

Section 280. Authority

Section 290. Scope and purpose

Section 300. Retrospective DUR

Section 310. Prospective DUR

Section 320. Criteria and standards for DUR

Section 330. Educational program

Section 335. Other interventions

Section 340. DUR Board

Section 350. DUR Committee

Section 360. Exemption of organized health care settings

Section 370. [Repealed]

Section 380. Definitions

Section 390. Scope

Section 400. Utilization review process

Section 410. [Repealed]

Section 420. Medical quality assurance

Section 430. Introduction

Section 440. Definitions

Section 450. Patient assessment criteria

Section 460. Directions for applying the criteria

Section 470. [Repealed]

Section 540. Definitions

Section 550. [Repealed]

Section 560. [Repealed]

Section 565. Substance abuse treatment services

Section 570. [Repealed]

Section 580. Free choice of providers

Section 590. Nonduplication of payment

Section 600. Definitions

Section 610. Purpose and scope

Section 620. Limitations

Section 630. [Repealed]

Section 730. [Repealed]

Section 740. General

Section 750. Time frames for determining cost effectiveness

Section 760. Notices

Section 770. [Reserved]

Section 780. [Repealed]

Section 790. Information required of applicants and recipients

Section 800. Definitions

Section 810. Client Medical Management Program for individuals

Section 820. Client Medical Management Program for providers

Section 850. Definitions

Section 860. Service coverage; eligible individuals; service certification

Section 870. Preauthorization

Section 880. Provider qualifications

Section 890. Plans of care; review of plans of care

Section 900. Definitions

Section 910. Targeted case management for foster care children in treatment foster care (TFC) covered services

Section 920. Provider qualifications

Section 930. Organization and administration requirements

Section 940. Discharge from care

Section 950. Entries in case records

Section 1000. Pharmacy services prior authorization

Section 2000. Marketing requirements and restrictions

Section 3000. Behavioral health services

Section 3010. Definitions

Section 3020. Independent clinical assessment requirements; behavioral health level of care determinations and service eligibility

Section 3030. Application to services

Appendix 9998. FORMS (12VAC30-130)

Appendix 9999. DOCUMENTS INCORPORATED BY REFERENCE (12VAC30-130)