What happened: The member petition to the Virginia Supreme Court asking for the court to require DMAS to implement the increase in Medicaid nursing facility...
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This week VHCA-VCAL filed an opening brief with the Virginia Supreme Court in our member petition asking the court to require DMAS to increase Medicaid...
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Tomorrow, March 13, is the deadline for the annual DMAS nursing facility wage survey. Participation is mandatory for all non-hospital-based nursing facilities participating in Virginia...
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The deadline to respond to the annual DMAS nursing facility wage survey is March 13, 2026. Participation is mandatory for all non-hospital-based nursing facilities participating...
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Reminder: Responses to the annual nursing facility wage survey conducted by DMAS are due March 13, 2026. Participation is mandatory for all non-hospital-based nursing facilities...
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Action needed: Review this memo from DMAS on completing the annual nursing facility wage survey. Responses are due March 13, 2026. Participation is mandatory for...
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What’s happening: The Department of Medical Assistance Services (DMAS) filed its response to the VHCA-VCAL member petition to the Supreme Court of Virginia. In September,...
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What’s happening: On October 1, 2025, Virginia Medicaid shifted from a RUGs-based system to the Patient Driven Payment Model (PDPM). This change affects how nursing...
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What’s new: This week DMAS published the SFY 2027 Nursing Facility Value-Based Purchasing (VBP) Methodology. The updated methodology reflects several changes to the program metrics...
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What’s happening: This week, 181 VHCA-VCAL members will file a petition with the Supreme Court of Virginia against DMAS for failing to implement Medicaid nursing...
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Last chance for input: DMAS has asked VHCA-VCAL to share a short survey so the agency can better understand how nursing facilities provide access to dental care...
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Take this quick survey: DMAS has asked VHCA-VCAL to share a short survey so the agency can better understand how nursing facilities provide access to dental care...
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What to know: July 1 marks the start of the state fiscal year and the effective date of most legislation enacted in the General Assembly...
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Take this quick survey: DMAS is conducting a survey so the agency can better understand how nursing facilities provide access to dental care for Medicaid...
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Feedback needed: DMAS is committed to ensuring that all Medicaid beneficiaries have access to high-quality, comprehensive health services. As part of that mission, the agency...
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On June 11, DMAS announced all Medicaid fee-for-service (FFS) rates effective for dates of service beginning July 1, 2025, including nursing facility (NF) and specialized...
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What’s happening: DMAS has announced that effective July 1, 2025, it is implementing a new Cardinal Care Managed Care (CCMC) Contract. This May 29 Medicaid...
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What’s happening: DMAS has competed its analysis of the first three metrics for this year’s first round of Medicaid nursing facility value-based payments (VBP). While...
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Reminder: Responses to the annual nursing facility wage survey conducted by DMAS are due March 14, 2025. Participation is mandatory for all non-hospital based nursing...
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Action needed: The annual nursing facility wage survey conducted by DMAS is now live. Responses are due March 14, 2025. Participation is mandatory for all...
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What’s happening: DMAS has instructed its contracted managed care organizations (MCOs) to start pre-payment verification of information related to the payment transactions for the Year...
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What’s new: DMAS released a Medicaid Bulletin on October 3, 2024 outlining an enrollment change related to full benefit dual eligible Medicaid enrollees who participate...
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What’s happening: DMAS has officially posted the nursing facility Medicaid rates for each provider effective July 1, 2024. In the aggregate, the new operating rates...
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What’s happening: VHCA-VCAL was informed today that the payment process for the Medicaid Value-Based Payment (VBP) Year 2 Round 2 payments has been delayed relative...
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In follow up to last week’s news that DMAS published the Medicaid Bulletin with implementation guidance for the changes to the LTSS screening process to remove all...
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What’s new: On June 3, DMAS published the Medicaid Bulletin with implementation guidance on the VHCA-VCAL legislation modifying the LTSS screening process to remove all...
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What’s happening: DMAS is in the final phase of a full reprocurement of the merged Cardinal Care managed care program. The agency has announced a...
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All Medicaid providers, including managed care organization (MCO) network providers, are required to revalidate their provider enrollment in the DMAS provider services solutions (PRSS) at...
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What’s happening: DMAS will hold separate meetings with specific managed care organizations (MCOs) to discuss lingering claims issues related to the initial roll-out of the...
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The deadline to respond to the DMAS wage survey is tomorrow, February 16, 2024. Participation in the survey is mandatory for all free-standing nursing facilities participating...
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Action needed: Responses for the annual DMAS nursing facility wage survey are due February 16, 2024. Participation is mandatory for all non-hospital based nursing facilities...
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What’s happening: DMAS is finalizing the annual wage survey that will be the primary driver of the inflation calculation for rates effective on July 1,...
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What’s happening: A few weeks ago, VHCA-VCAL became aware of some issues with readiness to process Optional State Assessment (OSA)-based claims for both software vendors...
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What’s new: DMAS has posted the Year 3 (2025) methodology document for the Medicaid Nursing Facility Value Based Purchasing (VBP) Program. This document is relevant...
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What’s happening: CMS recently approved DMAS's application to combine its managed care waivers and operate a single managed care program through Cardinal Care Managed Care,...
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In follow-up to the DMAS bulletin Minimum Data Set (MDS) changes effective October 1, 2023, we are sharing a brief Q&A document to help you...
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What’s new: DMAS has posted a bulletin explaining its implementation of the legislation HB 1681 and SB 1457). The bulletin describes the steps a nursing...
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Take this short survey to provide DMAS feedback on the first year of the Medicaid Value-Based Purchasing (VBP) Program. DMAS will accept responses until August...
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What’s new: DMAS posted a new bulletin with information about using the Optional State Assessment (OSA) to generate a Virginia Medicaid RUG-IV billing code for...
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What’s happening: VHCA-VCAL is working to identify whether any members have outstanding VBP Year One payments remaining. If you have any expected amounts still unpaid,...
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Feedback wanted: DMAS is seeking feedback from Value-Based Purchasing (VBP) Program stakeholders, including nursing facility staff, on the first year of the program via a...
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What’s new: VHCA-VCAL previously reported that the Medicaid rates DMAS posted for the state fiscal year 2024, which began on July 1, included an error...
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As Virginia works to redetermine eligibility for Medicaid recipients over the next several months for the first time since the beginning of the COVID emergency,...
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For your radar: DMAS intends to publish fiscal year 2024 Medicaid rates no later than July 1, 2023. DMAS made the announcement at a June...
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What’s happening: DMAS has informed VHCA-VCAL that the payment process for the second round of the Medicaid Value-Based Purchasing (VBP) program payments has begun. How...
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What’s new: DMAS has posted performance data for three metrics (days without eight RN hours, pressure ulcers, and urinary tract infections) used in the Medicaid...
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What’s new: DMAS posted two memos with details about the Medicaid redetermination process. The first memo, Information on the Eligibility Renewal Process - REVISED, includes...
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Good news: Following VHCA-VCAL’s discussions with the agency, DMAS will restart the payment process for the Medicaid Value Based Purchasing (VBP) Program for three of...
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What’s happening: We have identified a substantial error in the DMAS/Mercer calculation of the total nurse staffing metric results/payments under the new Value-Based Purchasing (VBP)...
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What’s happening: DMAS received notice from CMS that the consolidation of the two managed care contracts into one Cardinal Care Managed Care contract is still...
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On March 13 from 12:00 – 1:00 pm, DMAS will hold a nursing facility-specific session to discuss the start of the Medicaid eligibility re-determination process,...
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Effective April 1, 2023, Virginia Medicaid managedcare organizations (MCOs) will be prohibited from paying network providers until the provider is enrolled with the DMAS through the...
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What’s happening: DMAS informed VHCA-VCAL this week that the first round of payments in the new Medicaid Nursing Facility Value-Based Purchasing (VBP) program will be...
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Send your questions about Medicaid eligibility unwinding to Steve Ford by February 24. VHCA-VCAL will forward member questions to DMAS to help the agency prepare...
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Mark your calendar: On March 13 from 12:00 - 1:00 pm, DMAS will hold a nursing facility-specific session to discuss the start of the Medicaid...
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The deadline to respond to the DMAS wage survey is tomorrow, February 17. Participation in the survey is mandatory for all free-standing nursing facilities participating...
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February 17 is the deadline to respond to the DMAS wage survey. Participation in the survey is mandatory for all free-standing nursing facilities participating in...
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What’s happening: Beginning April 1, DMAS will return to its normal Medicaid enrollment processes, including redeterminations. Beginning in March, DMAS and DSS will begin reviewing...
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What we’re watching: The first round of payments in the new Medicaid Nursing Facility Value-Based Purchasing (VBP) program are expected in the next month or...
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Coming up: On Sunday, February 5, the House and Senate budget-writing committees will release their proposals to amend the budget for the state fiscal years...
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DMAS issued a new fact sheet for providers and stakeholders about Cardinal Care. Cardinal Care is the new brand for the unified managed care program...
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DMAS has announced the lineup for its monthly LTSS Screening Connections Webinar Series designed to facilitate better communication around the state on LTSS Screening laws,...
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Nursing facilities can still apply for Civil Monetary Penalty (CMP) Reinvestment Program funds to improve indoor air quality. A facility may request the use of...
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What’s new: Cheryl Roberts has been appointed director of the Department of Medical Assistance Services (DMAS) after serving as interim director since May. Roberts served...
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What’s new: DMAS released the first version of the SFY 2024 Nursing Facility Value-Based Purchasing (VBP) Program Methodology covering Year 2 of the program. While...
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Thursday, September 8, 2022 is the last day of the Long Term Services and Supports (LTSS) Screening catch-up period. Remember, if a nursing facility admits...
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Time is running out: The Long Term Services and Supports (LTSS) Screening catch-up period ends next week. If an individual is admitted to a nursing...
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The LTSS catch-up period set by DMAS ends September 8. Use this time to make sure all NF residents have the Long Term Services and...
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Time is running out in the catch-up period DMAS established to make sure all NF residents have the Long Term Services and Supports (LTSS) Screenings...
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Less than one month remains in the catch-up period to conduct LTSS Screenings for any individual residing in a nursing facility without one. Nursing facilities...
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DMAS posted the state fiscal year (SFY) 2023 Medicaid rates on July 1 (scroll down to “Reimbursement Rates”). The rates reflect the 14.74 percent inflation adjustment....
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With the approval of the 2023-2024 state biennial budget, DMAS has completed the final update to the Value-Based Payment (VBP) program methodology for 2023. The...
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You have two more opportunities to join us for a Lunch & Learn on the Medicaid LTSS Screening process for nursing facilities. Join us on...
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Sign up for one of the Lunch & Learn webinars VHCA-VCAL is hosting in July to review the LTSS Screening process for nursing facilities and...
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DMAS has posted a Medicaid Bulletin notifying providers that since the state budget was only signed by Gov. Glenn Youngkin on June 22, the 2023...
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Remember to use the catch-up period between now and September 8, 2022 to conduct LTSS Screenings for any individual residing in a nursing facility without...
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July 1 marks the formal start of the new Medicaid Value-Based Purchasing (VBP) Program. The program is replacing the value of the $15 per day...
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DMAS has asked VHCA-VCAL to assist in gathering some information on the use of complex rehabilitation technology (CRT) manual and power wheelchair bases and related...
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On June 10, 2022, DMAS posted two new Medicaid Bulletins related to the Medicaid Long Term Services and Supports (LTSS) Screening process. The first bulletin...
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Screening teams should plan to attend the next LTSS Screening Connections Webinar, Tuesday, May 10, 2022, from 3:30 to 5:00 pm. This month’s webinar will...
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Mark your calendars for Tuesday, April 12, 2022, from 3:30 to 4:30 pm for the next LTSS Screening Connection Webinar. This month’s webinar will feature...
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DMAS has posted Medicaid Bulletins on the agency’s transition from its Virginia Medicaid Management Information System (MMIS) to the new Medicaid Enterprise System (MES) and...
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Effective April 4, 2022, DMAS is transitioning the current Medicaid Management Information System (MMIS) to a more robust Medicaid Enterprise System (MES). Please make note...
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DMAS recently issued an update to the Nursing Facility Value-Based Purchasing (VBP) Methodology. The update is dated February 11, 2022. The methodology outlines the program...
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February 25 is the deadline for nursing facilities to complete and submit their Fair Rental Value (FRV) form and supporting documentation. The information is used...
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February 18 is the deadline to respond to the DMAS wage survey. Participation in the survey is mandatory for all free-standing nursing facilities participating in...
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DMAS training courses are now available for fee-for-service Medicaid providers to help you get ready for the launch of the Medicaid Enterprise System (MES) on...
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February 18 is the deadline to respond to the DMAS wage survey. Participation in the survey is mandatory for all free-standing nursing facilities participating in...
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February 18 is the deadline to respond to the DMAS wage survey. Participation in the survey is mandatory for all free-standing nursing facilities participating in...
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DMAS has published Fair Rental Value (FRV) Reporting Form for Calendar Year (CY) 2021, which will be used to establish FRV rates for State Fiscal...
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DMAS issued a Medicaid Bulletin on January 13 on the temporary Virginia public health emergency due to COVID-19. The memo addresses the Medicaid flexibilities related...
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Responses for the annual DMAS nursing facility wage survey are due February 18, 2022. Participation in the Wage Survey is mandatory for all free-standing nursing...
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The first monthly LTSS Screening Connection Webinar of the year will be held January 11, 2022, from 3:30 to 4:30 pm. This month’s webinar will...
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DMAS has published the methodology for the nursing facility value-based purchasing program, which is designed to improve the quality of care furnished to Medicaid members....
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DMAS will hold its monthly LTSS Screening Connection Webinar Tuesday, December 14, 2021 at 3:30 pm. This webinar will focus what screening teams need to...
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The 2021 General Assembly directed DMAS to develop a Medicaid Nursing Facility Value-Based Payment (VBP) program to replace the current $15 per day add-on when...
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DMAS posted the updated Screening Manual for Medicaid-Funded Long-Term Services and Supports (LTSS) on October 29 to the Provider Manuals Portal. The updated manual reflects...
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DMAS has issued a notice to nursing facilities asking them to make entries in the Level of Care Medicaid Portal for admissions, discharges and level...
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The recurring calls with CCC Plus managed care organizations (MCOs) to identify and troubleshoot claims processing issues will cease after this week. At this juncture,...
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DMAS sent a letter in error to some Medicaid members regarding “Premium Payment for Managed Care Organization and Estate Recovery.” The agency has mailed beneficiaries...
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DMAS has provided an updated list of DMAS-80 contacts and fax numbers. (Note this list is separate from the CCC Plus claims processing escalation contacts.)...
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DMAS will host a Nursing Facility Value Based Purchasing (VBP) Listening Session on September 22, 2021 from 3:30 – 5:00 pm. According to the agenda, DMAS...
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DMAS will host a Nursing Facility Value Based Purchasing (VBP) Listening Session on September 22, 2021 from 3:30 – 5:00 pm. According to the agenda,...
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Waivers related to admission screenings are affected by the June 30, 2021 expiration of Virginia’s public health emergency (PHE). The end of Virginia’s PHE means...
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As we previously reported, DMAS posted the Medicaid rates for the state fiscal year (SFY) that begins July 1, 2021. The agency has now posted...
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A Medicaid Memo dated June 11 outlines how DMAS will implement dental coverage for adults who are receiving full Medicaid benefits. The coverage includes comprehensive...
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Starting July 1, 2021, adults receiving full Medicaid benefits will be eligible for comprehensive dental care through DentaQuest. DMAS is encouraging Medicaid members to visit...
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DMAS has posted the Medicaid rates for the state fiscal year that begins July 1, 2021. Inflation from the 2021 rates to the 2022 rates...
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On May 21, DMAS issued a notice to long term care providers about CARES Act funding and its review of eligible invoices. The message from...
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For several months now, DMAS, representatives of the CCC Plus managed care organizations (MCOs), VHCA-VCAL staff, and other industry stakeholders have been discussing the best...
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DMAS is hosting its monthly LTSS Screening Connector call on April 13 at 3:30 pm. The calls are intended to facilitate better communication around the...
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Medicaid providers are being asked to complete a DMAS survey to help the agency estimate the full fiscal impact of the scheduled minimum wage increases....
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DMAS has published a Medicaid Memo on COVID-19 flexibilities in effect through April 20, 2021. It includes information the specific flexibilities for nursing facilities that...
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DMAS is hosting its monthly LTSS Screening Connector call on March 9 at 3:30 pm. The calls are intended to facilitate better communication around the...
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In 2020 Virginia passed legislation implementing a phased increase to Virginia’s minimum wage. When the legislation was being discussed, DMAS, while acknowledging the impact across...
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February 26 is the deadline for nursing facilities to complete and submit their Fair Rental Value (FRV) form and supporting documentation. The information is used...
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DMAS is accepting letters of intent for organizations interested in applying for the current cycle of Civil Monetary Penalty (CMP) Reinvestment Program funds. Applicants must...
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February 21 is the deadline to respond to the DMAS wage survey. Participation in the survey is mandatory for all free-standing nursing facilities participating in...
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DMAS has published the calendar year (CY) 2020 Fair Rental Value (FRV) reporting form and instructions. Nursing facilities must complete and submit the form and...
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Responses for the annual DMAS nursing facility wage survey are due February 21, 2021. Participation in the Wage Survey is mandatory for all free-standing nursing...
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Nursing facilities have until Monday, February 15 to submit this spreadsheet to DMAS to reconcile the $20 per day nursing facility supplemental payments for utilization between...
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DMAS is accepting letters of intent for organizations interested in applying for the current cycle of Civil Monetary Penalty (CMP) Reinvestment Program funds. Letters are...
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DMAS is hosting its monthly LTSS Screening Connector call on February 9 at 3:30 pm. The calls are intended to facilitate better communication around the...
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February 15 is the deadline for nursing facilities to submit this spreadsheet to DMAS to reconcile the $20 per day nursing facility supplemental payments for utilization...
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DMAS is set to distribute the annual Wage Survey. Responding to this survey is mandatory for nursing facilities and is vital for the calculation of...
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DMAS has shared the presentation slides from the December 15 LTSS Screening webinar. The slides review the process skilled nursing facilities can use to establish...
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Beginning January 1, 2021, skilled nursing facilities (SNFs) will be responsible for conducting LTSS Screenings for non-Medicaid members admitted to SNFs who have a change in...
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DMAS has announced that Jonathan Mattingly, whose experience includes work at other state Medicaid agencies and as a rate-setting consultant, has been hired to replace...
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DMAS has asked VHCA-VCAL to distribute the Fax Numbers & Escalation Contacts for the DMAS-80 Form (Updated October 2020) with updated contact information for the...
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For several weeks, DMAS has been engaged with three CCC Plus managed care organizations (MCOs), VHCA-VCAL, and LeadingAge Virginia to discuss how best to reconcile...
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Nursing facilities have until November 13 to apply for civil monetary penalty (CMP) funds to help facilitate in-person visitation between residents and their loved ones....
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With the extension of the COVID-19 public health emergency (PHE), DMAS applied for the extension of the state-based waivers allowing regulatory flexibility to providers. Per...
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DMAS issued a Medicaid Bulletin on October 20 announcing the release of the updated on-line modular Medicaid Long Term Services and Supports (LTSS) Screening Training...
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In new Medicaid Memo, DMAS issued formal notification about changes to the item set fields required to be completed for the minimum data set (MDS)...
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DMAS and the managed care organizations (MCOs), with VHCA-VCAL input, are working through the reconciliation process for the $20 per day Medicaid rate add-on invoicing...
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Virginia’s MDS/OASIS Coordinator has issued an instructional memo on the new requirement for nursing facilities to complete and submit specific MDS item set field associated...
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CMS has granted states the ability to use Civil Monetary Penalty (CMP) Reinvestment funds to help facilitate in-person visitation between residents and their loved ones....
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Beginning October 1, 2020, DMAS will require providers to complete and submit specific MDS item set fields associated with the Patient Drive Payment Model (PDPM)...
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DMAS has notified VHCA-VCAL that beginning October 1, the agency will require the completion and submission of specific item set fields associated with all OBRA...
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DMAS has issued instructions on how nursing facilities (NFs) and assisted living facilities (ALFs) can access the $33 million and $20 million, respectively, in CARES...
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DMAS issued a memo on July 21 extended regulatory flexibilities during the COVID-19 public health emergency. The memo specifies that the additional $20 per day...
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VHCA-VCAL has learned that some members have begun to receive civil monetary penalty (CMP) grant funds for adaptive communicative technologies to promote virtual visits and...
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DMAS has informed VHCA-VCAL that the agency will be changing the way the Medicaid $20 per day add-on is distributed. The now published 2021 operating...
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As a reminder, the fee-for-service (FFS) billing rosters for the May dates of service are due to DMAS tomorrow, June 5. While missing this deadline...
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DMAS has released the Medicaid rate memo for state fiscal year 2021, which begins July 1, 2020. The memo states that the rates are available...
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DMAS has asked VHCA-VCAL to relay a series of updates on the Medicaid $20 per day add-on. The updates address the May Fee-for-Service (FFS) rosters,...
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DMAS has issued a Medicaid Memo on New 1135 Waiver and Administrative Provider Flexibilities Related to COVID-19. It includes key information for nursing facilities (NFs)...
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For PACE participants residing in a nursing facility, the Medicaid $20 per day add-on for COVID-19 will follow the fee-for-service (FFS) hospice model. DMAS will...
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To receive the Medicaid $20 per day add-on, nursing facilities should submit their roster bills for April tomorrow, May 8, for payments expected by May...
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Gov. Ralph Northam’s Executive Order 58 suspended the Long Term Services and Supports (LTSS) screening requirements for all hospital discharges directly to a nursing facility...
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Earlier this week we communicated that DMAS finalized the guidance and templates and that the roster billing process for the per diem add-on had gone...
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This week, the General Assembly approved Gov. Ralph Northam’s $20 per day add-on to Medicaid nursing facility reimbursement during the COVID-19 emergency. DMAS has informed...
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DMAS published a Medicaid Memo on provider flexibilities related to COVID-19 on April 22, 2020. The memo includes CCC Plus-specific items related to consent and...
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DMAS has provided preliminary guidance regarding how stimulus checks will be treated for Medicaid purposes. DMAS expects this to be formalized in a set of...
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DMAS has advised that it has extended the Medicaid cost report filing deadlines to mirror the Medicare cost report filing extensions. We previously provided information...
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DMAS has requested all health plans suspend timely filing requirements for nursing facility crossover claims back to the beginning of the CCC Plus program until...
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In a message to stakeholder associations, DMAS Director Karen Kimsey has asked associations to inform their members that any requests of DMAS be sent to...
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VHCA-VCAL has been in close communication with DMAS and DSS to answer member questions about Medicaid eligibility, renewals, how documents are to be signed, and...
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DMAS has re-surveyed the six CCC Plus managed care organizations (MCOs) for updated DMAS-80 submission contacts, including designated fax numbers and escalation staff should additional...
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DMAS has shared additional clarification to nursing facilities to complete the Medicaid Managed Nursing Facility Managed Care Days Survey. The survey deadline is January 3,...
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DMAS notified nursing facilities on December 10 that the agency is extending the deadline for providers to complete the DMAS Medicaid Nursing Facility Managed Care...
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VHCA-VCAL was copied on an email from DMAS that requests providers fill out a “Survey Monkey” designating the number of Virginia Medicaid Nursing Facility Managed...
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On November 25, 2019, DMAS will publish an Exempt Action Final Regulation to eliminate the hospital’s three-day exception post-discharge for providing the Medicaid long-term services...
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On November 25, 2019, DMAS will publish an Exempt Action Final Regulation to elminate the hospital’s three-day exception post-discharge for providing the Medicaid long-term services...
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DMAS has announced a schedule change for the January LTC Portal and LTSS Screening call. The January call will be held on January 23, not...
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Medicare’s change to PDPM effective October 1, 2019 has necessitated a change in how the Medicaid program calculates its liability, if any, for dual eligibles’...
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Due to unexpected scheduling conflicts DMAS has canceled the scheduled November 14 conference call related to the LTC Portal and LTSS Screening. The calls will...
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Since we shared the methodology for handling Part A claims under PDPM last week, DMAS has modified its guidance related to whether coinsurance days are...
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For some time now, VHCA members, DMAS, and the six CCC Plus managed care organizations (MCOs) have been conducting periodic calls to identify and resolve...
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In a press release issued today, the Northam Administration announced that DMAS Director Dr. Jennifer Lee will resign from her post effective October 9. Karen...
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On August 27, DMAS provided an update that the DMAS-80 will be revised by September 1 to include a check box for individuals admitted prior...
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DMAS has indicated it will be providing its decision on the approach to Part A crossover claims under the Medicare PDPM. Under PDPM, effective for...
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As we shared last week, DMAS is hosting a series of Q&A sessions on the new LTC Portal through August. DMAS has also shared two...
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DMAS has compiled a document listing the CCC Plus managed care organizations (MCO) fax numbers. Nursing facilities should use these numbers to submit a copy...
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As a reminder, DMAS has implemented procedural changes about how new admissions and level of care changes on and after July 1, 2019 are to...
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DMAS will be hosting weekly calls every Tuesday from 1:00 - 2:00 pm through August 27 to discuss questions related to the LTC Portal and...
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DMAS is hosting a second training session for nursing facilities on how to use the new Automated Enrollment and Disenrollment (AE&D) Portal (aka, “LTC Portal”)...
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An updated version of the guidance for implementation of the no UAI/no payment policy is available. The revision is dated July 1. The guidance was...
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Following extensive communication with DMAS over the last month, VHCA-VCAL has prepared additional guidance for members on how to prepare for the enforcement of the...
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DMAS is hosting a training session for nursing facilities on how to use the new Automated Enrollment and Disenrollment (AE&D) Portal (aka, “LTC Portal”) on...
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DMAS will soon enforce the “no UAI / no payment” policy for nursing facility residents admitted on and after July 1, 2019. This will be...
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The Department of Medical Assistance Services (DMAS) is hosting a webinar on June 20 to review the April 12 Medicaid bulletin Screening Prior to Nursing...
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Join April Payne on June 14 at 11:00 am for a webinar to answer your questions about the changes to the process for Long Term...
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As we have previously communicated, the Department of Medical Assistance Services (DMAS) will begin enforcing the “no UAI / no payment” policy for nursing facility...
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Virginia Premier and Anthem, two of the managed care organizations which participated in the predecessor program to CCC Plus, known as Commonwealth Coordinated Care (CCC)...
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[caption id="attachment_105874" align="alignright" width="407"] Payment for Services Committee[/caption] VHCA-VCAL members and staff will again present their concerns about CCC Plus implementation to Department of Medical...
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Work on CCC Plus logic for Part A crossover claims processing has unveiled an issue that the Department of Medical Assistance Services (DMAS) now believes...
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Earlier this week VHCA-VCAL Vice President of Quality Improvement April Payne shared advice to help members complete their PASRR/Level 1 screenings for residents who don’t...
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Nursing facilities have until February 22, 2019 to complete the annual Nursing Facility Wage Survey. Your responses to this survey are critical as the data...
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Are you making progress completing your Level 1 PASRR screening for all your residents? As a reminder, nursing facilities have until July 1 to ensure...
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The Department of Medical Assistance Services (DMAS) is hosting a Medicaid Expansion and Long Term Services and Supports (LTSS) webinar on January 23 from 11:00...
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The Department of Medical Assistance Services (DMAS) is hosting a Medicaid Expansion and Long Term Services and Supports (LTSS) webinar on January 23, 2019 from...
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To assist with the CCC Plus Managed Care Organizations' (MCO) efforts to clean up the Medicare Part A bad debt, members should provide Steve Ford...
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With the end of the 2018 provider fiscal year and the deadline for cost reports, the Department of Medical Assistance Services (DMAS) has issued guidance...
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Each year the Department of Medical Assistance Services (DMAS) collects wage data from nursing centers. This data is used in the calculation of the annual...
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Nursing facilities should be taking steps between now and July 1 to ensure Level I screenings have been completed for all individuals. In a Medicaid...
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In a Medicaid Memo on the Preadmission Screening and Resident Review (PASRR) Process issued November 19, the Department of Medical Assistance Services (DMAS) has established...
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Now that CCC Plus is fully implemented statewide across all eligible populations, enrollees can choose their plan annually during open enrollment. The open enrollment period...
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With the latest round of conference calls on the CCC Plus program, it became evident that claims processing issues persist. VHCA-VCAL is disappointed at the...
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DMAS will hold its final provider conference call on care coordination under CCC Plus on September 25 from 1:00 – 1:45 pm. Call-in number: 1-866-842-5779...
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On September 19, VHCA-VCAL provided comments to the Department of Medical Assistance Services (DMAS) recommending changes for the January 1, 2019 CCC Plus contract revision....
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The Department of Medical Assistance Services (DMAS) has issued its Guidance Document to MDS Section S. The updates are effective October 1, 2018. VHCA-VCAL is...
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We have heard from many of you that you are receiving contracts or addendums to your CCC Plus contracts pertaining to the Medallion 4.0 program...
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The Department of Medical Assistance Services (DMAS) has released the 2019 Medicaid nursing and specialized care rates, which take effect on July 1, 2018. The...
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Although the managed care organizations (MCOs) in the CCC Plus program paid over $120 million in April to catch-up on the backlog of unpaid claims...
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Gov. Ralph Northam has named Karen Kimsey as the new Chief Deputy of the Virginia Department of Medical Assistance Services (DMAS). Prior to her appointment,...
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Friday, March 16 is the deadline for nursing centers to submit their outstanding receivables to the managed care organizations (MCOs) participating in CCC Plus to...
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“Please don’t go it alone if you are having difficulty with CCC Plus,” Tammy Whitlock, DMAS Division Director for Integrated Care advised VHCA-VCAL members at...
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Each year the Department of Medical Assistance Services (DMAS) collects wage data from nursing centers, which is used in the calculation of annual inflation factors...
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The Department of Medical Assistance Services has asked VHCA-VCAL to share the following message regarding emergency procedures related to screening requirements and transportation. Emergency procedures...
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Lynchburg cardiologist Dan Carey, MD has been appointed by Gov.-elect Ralph Northam to serve as his Secretary of Health and Human Resources. VHCA-VCAL President and...
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On November 1, the Department of Medical Assistance Services released the Official Consensus Medicaid Forecast. Of immediate concern, DMAS has identified a funding shortfall of...
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The Department of Medical Assistance Services (DMAS) has asked VHCA-VCAL to share two updates with providers. First, beginning next week the agency will be substituting...
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We have reactivated the Issue Log first set up in 2015 to help track and resolve member problems with the Commonwealth Coordinated Care (CCC) Plus...
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In our continuing effort to keep you up-to-date on the developments related to the Commonwealth Coordinated Care (CCC) Program and the launch of CCC Plus,...
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In our continuing effort to keep you up-to-date on the developments related to the launch of the Commonwealth Coordinated Care (CCC) Plus program, we have...
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[caption id="attachment_80223" align="alignright" width="300"] Click picture for a larger view.[/caption] As August 1 approaches, we are inching closer to the beginning of the Commonwealth Coordinated...
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The Department of Medical Assistance Services (DMAS) has announced that all six health plans participating in CCC Plus, the mandatory Medicaid managed care delivery system,...
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On June 6, the Department of Medical Assistance Services (DMAS) posted an updated Medicaid rate file for fiscal year 2018. As we have reported in...
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DMAS has informed VHCA-VCAL that the promised RUGs history/comparison reports are now available through their eDoc Management system for each nursing center. To access your...
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The Department of Medical Assistance Services (DMAS) has scheduled a series of town halls and webinars in preparation for the launch of the Commonwealth Coordinated...
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Coming out of the 2017 General Assembly Session, VHCA-VCAL estimated that SFY 2018 nursing center Medicaid reimbursement would increase, relative to SFY 2017, by approximately...
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On May 8 the Department of Medical Assistance Services (DMAS) issued a provider memo on the new direct and indirect operating base rates and an...
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On March 28 the Commonwealth Coordinated Care (CCC) Advisory Committee met to be briefed on the latest developments related to the shift to managed care...
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The Department of Medical Assistance Services (DMAS) is moving forward with the switch from the current RUG-III 34 grouper to the RUG-IV 48 grouper for...
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The Department of Medical Assistance Services (DMAS) is urging nursing centers to complete the required annual Medicaid wage survey as soon as possible. Don’t forget,...
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In mid-January, you should have received notice from the Department of Medical Assistance Services (DMAS) about the annual Medicaid wage survey participating nursing centers are...
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The Department of Medical Assistance Services (DMAS) released a Medicaid Memo on July 19, 2016 alerting nursing centers that beginning August 1, 2016, enrollment reports...
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Last September the Department of Medical Assistance Services (DMAS) issued guidance indicating that Occurrence Code 50 is required on custodial Medicaid nursing facility claims. While...
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As many as 21 health plans formally expressed interest in Managed Long Term Services and Supports (MLTSS), the new statewide managed care delivery system, which...
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Earlier this month, we reported that the Department of Medical Assistance Services (DMAS) had fixed the eligibility system’s patient pay calculation/communication issue that had caused...
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According to the Department of Medical Assistance Services (DMAS), the fix to the patient pay calculation/communication issue in the new eligibility system was implemented over...
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On April 29 the Department of Medical Assistance Services (DMAS) issued its request for proposals (RFP) for the Medicaid Managed Long Term Services and Supports...
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The Virginia Departments of Medical Assistance Services (DMAS) and Behavioral Health and Developmental Services (DBHDS) welcome public comments regarding the submission to the Centers for...
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