Section 600. Definitions

Part IX. DMAS-122 Adjustment Process

The following words and terms, when used in this part, shall have the following meanings, unless the context indicates otherwise:

"DMAS" or "the department" means the Virginia Department of Medical Assistance Services.

"DMAS-122" means the Medicaid form used to determine patient pay amounts and to request adjustments to the patient pay.

"DSS" means the Virginia Department of Social Services.

"Facility" means a nursing facility, intermediate care facility for the mentally retarded, or a long-stay acute care hospital enrolled in the Medicaid program.

"Medical necessity" means an item or service provided for the diagnosis or treatment of a patient's condition consistent with community standards of medical practice and in accordance with Medicaid policy.

"Preauthorization" means obtaining the approval necessary for receipt of a specified service from a specified provider for a specified recipient before the requested service is performed.

Historical Notes

Derived from VR460-04-8.16 § 1, eff. January 1, 1995.

Statutory Authority

§ 32.1-325 of the Code of Virginia.