18 Va. Admin. Code § 85-21-23 – Prohibition on payment from DMAS members. | Midpage

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Virginia Administrative Code

§ 23

18 Va. Admin. Code § 85-21-23

Prohibition on payment from DMAS members.

Effective Jan 2, 2025Virginia Register Volume 41, Issue 7§§ 54.1-2400 and 54.1-2928.2 of the Code of Virginia.Board of Medicine

A. No practitioner shall request payment from a DMAS member for services involving the prescription of an opioid for pain management of opioid use disorder. The prohibition on payment shall not apply to the member's cost-sharing amounts set by DMAS.
B. All practitioners shall provide written notice to DMAS members that the services described in subsection A of this section will be covered by DMAS if medical necessity criteria are met.

Statutory Authority

§§ 54.1-2400 and 54.1-2928.2 of the Code of Virginia.

Historical Notes

Derived from Virginia Register Volume 41, Issue 7, eff. January 2, 2025.