18 Va. Admin. Code § 85-21-23

Current through Register Vol. 41, No. 8, December 2, 2024
Section 18VAC85-21-23 - [Effective 1/2/2025] Prohibition on payment from DMAS members
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.

18 Va. Admin. Code § 85-21-23

Derived from Virginia Register Volume 41, Issue 7, eff. 1/2/2025.

Statutory Authority: §§ 54.1-2400 and 54.1-2928.2 of the Code of Virginia.