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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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)