TITLE 12. HEALTH
REGISTRAR'S NOTICE: Forms used in administering the regulation have been filed by the agency. The forms are not being published; however, online users of this issue of the Virginia Register of Regulations may click on the name of a form with a hyperlink to access it. The forms are also available from the agency contact or may be viewed at the Office of the Registrar of Regulations, 900 East Main Street, 11th Floor, Richmond, Virginia 23219.
Title of Regulation: 12VAC30-122. Community Waiver Services for Individuals with Developmental Disabilities.
Agency Contact: Emily McClellan, Regulatory Supervisor, Policy Division, Department of Medical Assistance Services, 600 East Broad Street, Richmond, VA 23219, telephone (804) 371-4300, FAX (804) 786-1680, or email emily.mcclellan@dmas.virginia.gov.
FORMS (12VAC30-122)
Supports Intensity Scale - Adult VersionTM (ages 16 and up), SIS-A, copyright 2015, American Association on Intellectual and Developmental Disabilities
Supports Intensity Scale - Children's VersionTM (ages 5-16), SIS-C, copyright 2016, American Association on Intellectual and Developmental Disabilities
Virginia Supplemental Questions (eff. 10/2014)
Virginia Developmental Disabilities Autism Competencies, DMAS P-201 (rev. 9/2017)
Medicaid Long-Term Care Communication Form, DMAS-225 (rev. 12/2015)
Virginia Individual Developmental Disabilities Eligibility Survey - Infants' Version, DMAS-P235 (eff. 3/2016)
Virginia Individual Developmental Disabilities Eligibility Survey - Children's Version, DMAS-P236 (eff. 4/2016)
Virginia Individual Developmental Disabilities Eligibility Survey - Adult Version, DMAS-P237 (eff. 3/2016)
Virginia Developmental Disabilities Behavioral Competencies, DMAS P241a (rev. 9/2017)
Developmental Disabilities DSP and Supervisor Competencies Checklist, DMAS 241a (eff. 7/2021)
Direct Support Professional Assurance to Confirm Successful Completion of Training and Testing Requirements for the DD Waivers, DMAS P242a (eff. 5/2021)
Department of Behavioral Health and Developmental Services Health Competencies Checklist, DMAS P244a (rev. 1/2017)
Supervisor Assurance, DMAS P245a (eff. 7/2021)
Community Housing Guide: Housing Road Map (eff. 10/2019)
Community Housing Guide: Tenant Screening (eff. 10/2019)
Family and Individual Supports Request for Supervision Hours in Personal Assistance, DMAS-P257 (eff. 5/2021)
Community Learning Request for Supervision Hours in Personal Assistance, DMAS-P257 (eff. 5/2021)
VA.R. Doc. No. R22-7186; Filed May 02, 2022