Administrative Code

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Virginia Administrative Code
Title 12. Health
Agency 30. Department of Medical Assistance Services
12/10/2019

Chapter 120. Waivered ServicesRead Chapter

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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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
Medallion mandatory managed care members
Section 380
Medallion MCO responsibilities
Section 385
[Repealed]
Section 390
Payment rate for MCOs
Section 395
Preauthorized, emergency, and post-stabilization services and payment rate for 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
Provider grievances, reconsiderations, and appeals
Section 440
[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[Repealed]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[Repealed]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[Repealed]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[Repealed]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[Repealed]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
FORMS
FORMS (12VAC30-120)
DIBR
DOCUMENTS INCORPORATED BY REFERENCE (12VAC30-120)

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