Title of Regulation: 12VAC30-10. State Plan Under Title XIX of the Social Security Act Medical Assistance Program; General Provisions (adding 12VAC30-10-815).

Statutory Authority: §§ 32.1-324 and 32.1-325 of the Code of Virginia.

Effective Date: November 26, 2008.

Agency Contact: Brian McCormick, Regulatory Supervisor, Department of Medical Assistance Services, 600 E. Broad Street, Suite 1300, Richmond, VA 23219, telephone (804) 371-8856, FAX (804) 786-1680, or email brian.mccormick@dmas.virginia.gov.

Summary:

This regulatory action is intended to implement § 6034 of the Deficit Reduction Act (DRA) of 2005. This section of the DRA is based upon § 1902(a)(69) of the Social Security Act (the Act), and relates to "Cooperation with Medicaid Integrity Program Efforts." This regulatory change will enhance federal and state oversight of and increase enforcement actions against fraud and abuse in the Medicaid program. The amendment merely assures the Centers for Medicare and Medicaid Services (CMS) of the Commonwealth comply with federal statutory and regulatory requirements.

Section 1902(a)(69) of the Social Security Act requires that the Medicaid State Plan "provide that the States must comply with any requirements determined by the Secretary to be necessary for carrying out the Medicaid Integrity Program established under § 1936." The Centers for Medicare and Medicaid Services provided the Department of Medical Assistance Services with the specific document language to implement this requirement. This document was a preprinted form containing the exact and specific language that CMS required.

12VAC30-10-815. Cooperation with Medicaid Integrity Program efforts.

The Medicaid agency assures it complies with such requirements determined by the Secretary to be necessary for carrying out the Medicaid Integrity Program established under § 1936 of the Act.