Code of Virginia - Title 32.1 Health - Chapter 10 Department Of Medical Assistance Services

  • 32.1-323 Department of Medical Assistance Services
    There is hereby established a Department of Medical Assistance Services, hereinafter referred to in this chapter as the Department. The Department shall be under the ...
  • 32.1-323.1 Department to submit forecast of expenditures
    By November 15 of each year, the Department of Planning and Budget, in cooperation with the Department of Medical Assistance Services, shall prepare and submit ...
  • 32.1-324 Board of Medical Assistance Services
    A. Notwithstanding the provisions of Chapter 1 (§ 32.1-1 et seq.) of this title, there shall be a State Board of Medical Assistance Services hereinafter ...
  • 32.1-324.1 Authority to administer oaths, conduct hearings; obtaining relevant documents and other informatio...
    A. The Director of the Department of Medical Assistance Services or his designee is authorized in the exercise and performance of official functions, duties, and ...
  • 32.1-324.2 Director to facilitate communication
    In carrying out his duties under this chapter, the Director shall report to the Governor and members of the General Assembly the activities of facilitating ...
  • 32.1-324.3 Uninsured Medical Catastrophe Fund established
    A. There is hereby created in the state treasury a special nonreverting fund to be known as the Uninsured Medical Catastrophe Fund, hereafter referred to ...
  • 32.1-325 Board to submit plan for medical assistance services to Secretary of Health and Human Services purs...
    A. The Board, subject to the approval of the Governor, is authorized to prepare, amend from time to time and submit to the Secretary of ...
  • 32.1-325.01 Certain term life insurance considered resources
    When making eligibility determinations for institutional or community-based care to be paid for by the Department, the Department shall consider as an uncompensated transfer all ...
  • 32.1-325.02 Determinations of assets; disclaimers of interests to be considered uncompensated transfers of asse...
    A. When determining eligibility for medical assistance services, "assets" means, in regard to an individual, all income and resources of the individual and the individual's ...
  • 32.1-325.03 Legal presence required for certain state and local public benefits; exceptions; definitions; proo...
    A. In addition to meeting the existing eligibility requirements of the benefits applied for, no person who is not a United States Citizen or legally ...
  • 32.1-325.1 Adverse initial determination of overpayment; appeals of agency determinations
    A. The Director shall make an initial determination as to whether an overpayment has been made to a provider in accordance with the state plan ...
  • 32.1-325.1:1 Definitions; recovery of overpayment for medical assistance services
    A. For the purposes of this section, the following definitions shall apply: "Agreement" means any contract executed for the delivery of services to recipients of ...
  • 32.1-325.2 Department is payor of last resort
    A. Insurers, including group health plans as defined in § 607(1) of the Employee Retirement Income Security Act of 1974, self-insured plans, health services plans, ...
  • 32.1-325.3 Disclosure or use of information for purpose not connected with medical assistance program; Departm...
    The Board of Medical Assistance Services shall promulgate regulations consistent with federal law to provide safeguards against the use or disclosure of information concerning applicants ...
  • 32.1-325.4 Penalty for violation
    Any person who willfully violates or refuses, fails, or neglects to comply with any regulation or order of the Board or the Director promulgated pursuant ...
  • 32.1-326 Director may make payments to or for eligible persons in state-owned medical facilities
    The Director of Medical Assistance Services is authorized, subject to the state plan provided for in § 32.1-325 and any other regulations of the Board, ...
  • 32.1-326.1 Department to operate program of estate recovery
    In accordance with applicable federal law and regulations, including those under Title XIX of the Social Security Act, the Department shall operate a program of ...
  • 32.1-326.2 Pilot school/community health centers
    The Department of Medical Assistance Services, in cooperation with the Department of Education, shall, consistent with the biennium budget cycle, examine and may revise the ...
  • 32.1-326.3 Special education health services; memorandum of agreement between the Department of Education and ...
    A. The Department of Medical Assistance Services, in cooperation with the Department of Education, shall, consistent with the biennium budget cycle, examine and revise, as ...
  • 32.1-327 Claim against indigent's estate for payments made
    In accordance with applicable federal law and regulations, including those under Title XIX of the Social Security amendments of 1965, the Department may make claim ...
  • 32.1-328 Description unavailable
    Repealed by Acts 2003, c. 428, cl. 2. ...
  • 32.1-329 Description unavailable
    Repealed by Acts 1999, c. 728, effective July 1, 2000. ...
  • 32.1-330 Preadmission screening required
    All individuals who will be eligible for community or institutional long-term care services as defined in the state plan for medical assistance shall be evaluated ...
  • 32.1-330.1 Department to implement premium assistance program for HIV-positive individuals
    The Board of Medical Assistance Services shall from funds eligible for this purpose from Title II of the Ryan White Comprehensive AIDS Resources Emergency CARE ...
  • 32.1-330.2 Medicaid managed care programs; program information documents; plain language required
    A. Whenever medical assistance services pursuant to this chapter are furnished through managed care programs, the Board of Medical Assistance Services shall require that all ...
  • 32.1-330.3 Operation of a pre-PACE plan or PACE plan; oversight by Department of Medical Assistance Service...
    A. Operation of a pre-PACE plan or PACE plan that participates in the medical assistance services program must be in accordance with a prepaid health ...
  • 32.1-331 Description unavailable
    Repealed by Acts 1989, c. 618. ...
  • 32.1-331.1 through 32.1-331.5
    Repealed by Acts 1992, c. 200. ...
  • 32.1-331.6 through 32.1-331.11
    Repealed by Acts 1992, c. 200. ...
  • 32.1-331.12 Definitions
    As used in this article: "Board" means the Board of Medical Assistance Services. "Committee" means the Medicaid Prior Authorization Advisory Committee established pursuant to this ...
  • 32.1-331.13 Medicaid Prior Authorization Advisory Committee; membership
    The Board shall amend the state plan and promulgate regulations to establish the Medicaid Prior Authorization Advisory Committee, composed of eleven members to be appointed ...
  • 32.1-331.14 Duties of the Committee
    A. The Committee shall make recommendations to the Board regarding drugs or categories of drugs to be subject to prior authorization and prior authorization requirements ...
  • 32.1-331.15 Prior authorization of prescription drug products; coverage under state plan
    A. The Committee shall review prescription drug products to recommend prior authorization under the state plan in accordance with this article and regulations promulgated by ...
  • 32.1-331.16 Immunity
    The members of the Committee and of the Board, as well as the staff of the Department, shall be immune, individually and jointly, from civil ...
  • 32.1-331.17 Annual report to Joint Commission
    The Committee shall report annually to the Joint Commission on Health Care regarding its recommendations for prior authorization of drug products. (1993, c. 537.) ...

Last modified: April 3, 2009