Virginia Administrative Code › Title 12 - HEALTH › Agency 30 - DEPARTMENT OF MEDICAL ASSISTANCE SERVICES › Chapter 10 - STATE PLAN UNDER TITLE XIX OF THE SOCIAL SECURITY ACT MEDICAL ASSISTANCE PROGRAM; GENERAL PROVISIONS › Part I - Single State Agency Organization › Section 12VAC30-10-40 - State Medical Care Advisory Committee

Current through Register Vol. 40, No. 24, July 15, 2024
A. There is an advisory committee to the
				  Medicaid agency director on health and medical care services established in
				  accordance with and meeting all the requirements of
				  42 CFR
				  431.12.
B. Tribal consultation. Section 1902(a)(73)
				  of the Social Security Act requires a state in which one or more Indian health
				  programs or Urban Indian organizations furnish health care services to
				  establish a process for the state Medicaid agency to seek advice on a regular,
				  ongoing basis from designees of Indian health programs, whether operated by the
				  Indian Health Service, a Tribe, or Tribal organizations under the Indian
				  Self-Determination and Education Assistance Act (P.L. 93-638) or Urban Indian
				  Organizations under the Indian Health Care Improvement Act (25 USC
				  §
											1601 et seq.), concerning Medicaid
				  matters having a direct impact on Indian health programs.
C. The Department of Medical Assistance
				  Services (DMAS) seeks advice on an ongoing basis from federally recognized
				  tribes, Indian health programs, and Urban Indian organizations on matters
				  related to Medicaid and Children's Health Insurance Program programs. DMAS has
				  identified a program designee as an advisory contact, through which, the
				  dissemination of information will occur. Designees from each Tribe, Indian
				  health program, and Urban Indian organization receive written communication
				  from DMAS about State Plan amendments, waiver proposals, waiver extensions,
				  waiver amendments, and waiver renewals before any of these documents are
				  submitted to the Centers for Medicare and Medicaid Services. Tribes, Indian
				  health programs, and Urban Indian organizations may request additional
				  information and may request meetings to discuss the proposed changes. DMAS
				  invites these groups to request additional information or offer comments on
				  proposed changes within 30 days of the notification of State Plan amendments,
				  waiver proposals, waiver extensions, waiver amendments, or waiver renewals. For
				  emergency-related submissions, such as a natural disaster or a legislative
				  mandate, DMAS seeks information requests, comments, or proposed changes within
				  15 days of notification. The coordination of this consultation process
				  wasestablished through an email communication with designees from each Tribe
				  and Indian health program on January 29, 2021. To maintain a cooperative
				  channel of communication and informative dialogue between DMAS and the Tribal
				  organizations, the agency sought out and will continue to seek advice on a
				  regular, ongoing basis via email, teleconference, or meetings.
Statutory Authority: §
												32.1-325
						of the Code of Virginia;
						42 USC §
													1396 et
						seq.