Virginia Administrative Code (Last Updated: January 10, 2017) |
Title 12. Health |
Agency 30. Department of Medical Assistance Services |
Chapter 120. Waivered Services |
Section 10. [Repealed] |
Section 61. [Repealed] |
Section 62. [Repealed] |
Section 63. [Repealed] |
Section 64. [Repealed] |
Section 65. [Repealed] |
Section 66. [Repealed] |
Section 67. [Repealed] |
Section 68. [Repealed] |
Section 70. [Repealed] |
Section 80. [Repealed] |
Section 90. [Repealed] |
Section 100. [Repealed] |
Section 110. [Repealed] |
Section 115. [Repealed] |
Section 120. [Repealed] |
Section 130. [Repealed] |
Section 140. [Repealed] |
Section 150. [Repealed] |
Section 160. [Repealed] |
Section 165. [Repealed] |
Section 170. [Repealed] |
Section 180. [Repealed] |
Section 190. [Repealed] |
Section 195. [Repealed] |
Section 200. [Repealed] |
Section 201. [Repealed] |
Section 210. [Repealed] |
Section 211. [Repealed] |
Section 213. [Repealed] |
Section 215. [Repealed] |
Section 217. [Repealed] |
Section 219. [Repealed] |
Section 220. [Repealed] |
Section 221. [Repealed] |
Section 223. [Repealed] |
Section 225. [Repealed] |
Section 227. [Repealed] |
Section 229. [Repealed] |
Section 230. [Repealed] |
Section 231. [Repealed] |
Section 233. [Repealed] |
Section 235. [Repealed] |
Section 237. [Repealed] |
Section 240. [Repealed] |
Section 241. [Repealed] |
Section 243. [Repealed] |
Section 245. [Repealed] |
Section 247. [Repealed] |
Section 249. [Repealed] |
Section 250. [Repealed] |
Section 260. [Repealed] |
Section 270. [Repealed] |
Section 280. [Repealed] |
Section 290. [Repealed] |
Section 300. [Repealed] |
Section 310. [Repealed] |
Section 320. [Repealed] |
Section 330. [Repealed] |
Section 340. [Repealed] |
Section 350. [Repealed] |
Section 360. Definitions |
Section 370. Mandatory managed care members |
Section 380. MCO responsibilities |
Section 385. [Repealed] |
Section 390. Payment rate for MCOs |
Section 395. Payment rate for preauthorized or emergency care provided by out-of-network providers |
Section 400. Quality control and utilization review |
Section 410. Sanctions |
Section 420. Member grievances and appeals |
Section 430. [Reserved] |
Section 450. [Repealed] |
Section 460. [Repealed] |
Section 470. [Repealed] |
Section 480. [Repealed] |
Section 490. [Repealed] |
Section 700. Definitions |
Section 710. General coverage and requirements for all home and community-based waiver services |
Section 720. Qualification and eligibility requirements; intake process |
Section 730. General requirements for home and community-based participating providers |
Section 740. Participation standards for home and community-based waiver services participating providers |
Section 750. In-home residential support services |
Section 751. [Reserved] |
Section 752. Day support services |
Section 753. Prevocational services |
Section 754. Supported employment services |
Section 755. [Reserved] |
Section 756. Therapeutic consultation |
Section 757. [Reserved] |
Section 758. Environmental modifications |
Section 759. [Reserved] |
Section 760. Skilled nursing services |
Section 761. [Reserved] |
Section 762. Assistive technology |
Section 763. [Reserved] |
Section 764. Crisis stabilization services |
Section 765. [Reserved] |
Section 766. Personal care and respite care services |
Section 767. [Reserved] |
Section 768. [Repealed] |
Section 769. [Reserved] |
Section 770. Consumer-directed model of service delivery |
Section 771. [Reserved] |
Section 772. Family/caregiver training |
Section 773. [Reserved] |
Section 774. Personal emergency response system (PERS) |
Section 775. [Reserved] |
Section 776. Companion services |
Section 777. [Reserved] |
Section 780. [Repealed] |
Section 790. [Repealed] |
Section 900. Definitions |
Section 905. Waiver description and legal authority |
Section 910. [Repealed] |
Section 920. Individual eligibility requirements |
Section 924. Covered services; limits on covered services |
Section 925. Respite coverage in children's residential facilities |
Section 927. Exception criteria for personal care services |
Section 930. General requirements for home and community-based participating providers |
Section 935. Participation standards for specific covered services. |
Section 940. [Repealed] |
Section 945. Payment for covered services |
Section 950. [Repealed] |
Section 960. [Repealed] |
Section 970. [Repealed] |
Section 980. [Repealed] |
Section 990. Quality management review; utilization review; level of care (LOC) reviews. |
Section 995. Appeals |
Section 1000. Definitions |
Section 1005. Waiver description and legal authority |
Section 1010. Individual eligibility requirements |
Section 1012. Individuals enrolled in the ID waiver who are receiving congregate residential support services and require exceptional levels of supports |
Section 1020. Covered services; limits on covered services |
Section 1030. [Reserved] |
Section 1040. General requirements for participating providers |
Section 1060. Participation standards for provision of services; providers' requirements |
Section 1062. Exceptional rate congregate residential supports provider requirements |
Section 1070. Payment for services |
Section 1072. Exceptional CRS rate reimbursement for certain congregate residential support services |
Section 1080. Utilization review; level of care reviews |
Section 1082. Exceptional rate utilization review |
Section 1088. Waiver waiting list |
Section 1090. Appeals |
Section 1500. Definitions |
Section 1510. General coverage and requirements for Day Support Waiver services. |
Section 1520. Individual eligibility requirements |
Section 1530. General requirements for home and community-based participating providers |
Section 1540. Participation standards for home and community-based waiver services participating providers |
Section 1550. Services: day support services, prevocational services and supported employment services. |
Section 1600. Definitions |
Section 1605. Waiver description and legal authority |
Section 1610. Individual eligibility requirements |
Section 1620. Covered services |
Section 1630. General requirements for enrolled providers |
Section 1640. Participation standards for provision of services |
Section 1650. Payment for services |
Section 1660. Utilization review |
Section 1670. Waiver waiting list |
Section 1680. Appeals |
Section 1700. Definitions |
Section 1705. Waiver description and legal authority |
Section 1710. Individual eligibility requirements; preadmission screening |
Section 1720. Covered services; limits; changes to or termination of services |
Section 1730. General requirements for participating providers |
Section 1740. Participation standards for provision of services |
Section 1750. Payment for services |
Section 1760. Quality management review; utilization reviews; level of care (LOC) reviews |
Section 1770. Appeals; provider and recipient |
Section 2000. Transition coordinator |
Section 2010. Transition services |
Appendix 9998. FORMS (12VAC30-120) |
Appendix 9999. DOCUMENTS INCORPORATED BY REFERENCE (12VAC30-120) |