The Virginia Register OF  REGULATIONS is an official state publication issued every other week  throughout the year. Indexes are published quarterly, and are cumulative for  the year. The Virginia Register has several functions. The new and  amended sections of regulations, both as proposed and as finally adopted, are  required by law to be published in the Virginia Register. In addition,  the Virginia Register is a source of other information about state  government, including petitions for rulemaking, emergency regulations,  executive orders issued by the Governor, the Virginia Tax Bulletin issued  periodically by the Department of Taxation, and notices of public hearings and  open meetings of state agencies.
    ADOPTION,  AMENDMENT, AND REPEAL OF REGULATIONS
    An  agency wishing to adopt, amend, or repeal regulations must first publish in the  Virginia Register a notice of intended regulatory action; a basis,  purpose, substance and issues statement; an economic impact analysis prepared  by the Department of Planning and Budget; the agency's response to the economic  impact analysis; a summary; a notice giving the public an opportunity to  comment on the proposal; and the text of the proposed regulation.
    Following  publication of the proposal in the Virginia Register, the promulgating agency  receives public comments for a minimum of 60 days. The Governor reviews the proposed  regulation to determine if it is necessary to protect the public health, safety  and welfare, and if it is clearly written and easily understandable. If the  Governor chooses to comment on the proposed regulation, his comments must be  transmitted to the agency and the Registrar no later than 15 days following the  completion of the 60-day public comment period. The Governor's comments, if  any, will be published in the Virginia Register. Not less than 15 days  following the completion of the 60-day public comment period, the agency may  adopt the proposed regulation.
    The  Joint Commission on Administrative Rules (JCAR) or the appropriate standing  committee of each house of the General Assembly may meet during the  promulgation or final adoption process and file an objection with the Registrar  and the promulgating agency. The objection will be published in the Virginia  Register. Within 21 days after receipt by the agency of a legislative  objection, the agency shall file a response with the Registrar, the objecting  legislative body, and the Governor.
    When  final action is taken, the agency again publishes the text of the regulation as  adopted, highlighting all changes made to the proposed regulation and  explaining any substantial changes made since publication of the proposal. A  30-day final adoption period begins upon final publication in the Virginia  Register.
    The  Governor may review the final regulation during this time and, if he objects,  forward his objection to the Registrar and the agency. In addition to or in  lieu of filing a formal objection, the Governor may suspend the effective date  of a portion or all of a regulation until the end of the next regular General  Assembly session by issuing a directive signed by a majority of the members of  the appropriate legislative body and the Governor. The Governor's objection or  suspension of the regulation, or both, will be published in the Virginia  Register. If the Governor finds that changes made to the proposed  regulation have substantial impact, he may require the agency to provide an  additional 30-day public comment period on the changes. Notice of the  additional public comment period required by the Governor will be published in  the Virginia Register.
    The  agency shall suspend the regulatory process for 30 days when it receives  requests from 25 or more individuals to solicit additional public comment,  unless the agency determines that the changes have minor or inconsequential  impact.
    A  regulation becomes effective at the conclusion of the 30-day final adoption  period, or at any other later date specified by the promulgating agency, unless  (i) a legislative objection has been filed, in which event the regulation,  unless withdrawn, becomes effective on the date specified, which shall be after  the expiration of the 21-day objection period; (ii) the Governor exercises his  authority to require the agency to provide for additional public comment, in  which event the regulation, unless withdrawn, becomes effective on the date  specified, which shall be after the expiration of the period for which the  Governor has provided for additional public comment; (iii) the Governor and the  General Assembly exercise their authority to suspend the effective date of a  regulation until the end of the next regular legislative session; or (iv) the  agency suspends the regulatory process, in which event the regulation, unless  withdrawn, becomes effective on the date specified, which shall be after the  expiration of the 30-day public comment period and no earlier than 15 days from  publication of the readopted action.
    Proposed  regulatory action may be withdrawn by the promulgating agency at any time  before the regulation becomes final.
    FAST-TRACK  RULEMAKING PROCESS
    Section 2.2-4012.1 of the Code of Virginia provides an exemption from certain provisions  of the Administrative Process Act for agency regulations deemed by the Governor  to be noncontroversial.  To use this process, Governor's concurrence is  required and advance notice must be provided to certain legislative  committees.  Fast-track regulations will become effective on the date noted in  the regulatory action if no objections to using the process are filed in  accordance with § 2.2-4012.1.
    EMERGENCY  REGULATIONS
    Pursuant  to § 2.2-4011 of the Code of Virginia, an agency, upon consultation  with the Attorney General, and at the discretion of the Governor, may adopt  emergency regulations that are necessitated by an emergency situation. An  agency may also adopt an emergency regulation when Virginia statutory law or  the appropriation act or federal law or federal regulation requires that a  regulation be effective in 280 days or less from its enactment. The emergency regulation becomes operative upon its  adoption and filing with the Registrar of Regulations, unless a later date is  specified. Emergency regulations are limited to no more than 12 months in  duration; however, may be extended for six months under certain circumstances  as provided for in § 2.2-4011 D. Emergency regulations are published as  soon as possible in the Register.
    During  the time the emergency status is in effect, the agency may proceed with the  adoption of permanent regulations through the usual procedures. To begin  promulgating the replacement regulation, the agency must (i) file the Notice of  Intended Regulatory Action with the Registrar within 60 days of the effective  date of the emergency regulation and (ii) file the proposed regulation with the  Registrar within 180 days of the effective date of the emergency regulation. If  the agency chooses not to adopt the regulations, the emergency status ends when  the prescribed time limit expires.
    STATEMENT
    The  foregoing constitutes a generalized statement of the procedures to be followed.  For specific statutory language, it is suggested that Article 2 (§ 2.2-4006  et seq.) of Chapter 40 of Title 2.2 of the Code of Virginia be examined  carefully.
    CITATION  TO THE VIRGINIA REGISTER
    The Virginia  Register is cited by volume, issue, page number, and date. 23:7 VA.R. 1023-1140  December 11, 2006, refers to Volume 23, Issue 7, pages 1023 through 1140 of  the Virginia Register issued on December 11, 2006.
    The  Virginia Register of Regulations is  published pursuant to Article 6 (§ 2.2-4031 et seq.) of Chapter 40 of Title 2.2  of the Code of Virginia. 
    Members  of the Virginia Code Commission: R.  Steven Landes, Chairman; John S. Edwards, Vice Chairman; Ryan T.  McDougle; Robert Hurt; Robert L. Calhoun; Frank S. Ferguson; E.M.  Miller, Jr.; Thomas M. Moncure, Jr.; James F. Almand; Jane M. Roush.
    Staff  of the Virginia Register: Jane  D. Chaffin, Registrar of Regulations; June T. Chandler, Assistant  Registrar.
         
       
                                                        PUBLICATION SCHEDULE AND DEADLINES
Vol. 25 Iss. 21 - June 22, 2009
June 2009 through March 2010
 
  | Volume: Issue | Material Submitted By Noon* | Will Be Published On | 
 
  | INDEX 3 Volume 25 |   | July 2009 | 
 
  | 25:21 | June 3, 2009 | June 22, 2009 | 
 
  | 25:22 | June 17, 2009 | July 6, 2009 | 
 
  | 25:23 | July 1, 2009 | July 20, 2009 | 
 
  | 25:24 | July 15, 2009 | August 3, 2009 | 
 
  | 25:25 | July 29, 2009 | August 17, 2009 | 
 
  | 25:26 | August 12, 2009 | August 31, 2009 | 
 
  | FINAL INDEX Volume 25 |   | October 2009 | 
 
  | 26:1 | August 26, 2009 | September 14, 2009 | 
 
  | 26:2 | September 9, 2009 | September 28, 2009 | 
 
  | 26:3 | September 23, 2009 | October 12, 2009 | 
 
  | 26:4 | October 7, 2009 | October 26, 2009 | 
 
  | 26:5 | October 21, 2009 | November 9, 2009 | 
 
  | 26:6 | November 4, 2009 | November 23, 2009 | 
 
  | 26:7 | November 17, 2009 (Tuesday) | December 7, 2009 | 
 
  | INDEX 1 Volume 26 |   | January 2010 | 
 
  | 26:8 | December 2, 2009 | December 21, 2009 | 
 
  | 26:9 | December 15, 2009 (Tuesday) | January 4, 2010 | 
 
  | 26:10 | December 29, 2009 (Tuesday) | January 18, 2010 | 
 
  | 26:11 | January 13, 2010 | February 1, 2010 | 
 
  | 26:12 | January 27, 2010 | February 15, 2010 | 
 
  | 26:13 | February 10, 2010 | March 1, 2010 | 
 
  | 26:14 | February 24, 2010 | March 15, 2010 | 
 
  | INDEX 1 Volume 26 |   | April 2010 | 
 
  | 26:15 | March 10, 2010 | March 29, 2010 | 
*Filing deadlines are Wednesdays
unless otherwise specified.
 
   
                                                        PETITIONS FOR RULEMAKING
Vol. 25 Iss. 21 - June 22, 2009
TITLE 8. EDUCATION
    BOARD OF EDUCATION
    Initial Agency Notice
    Title of Regulation: N/A -  There are no present regulations on this subject.
    Statutory Authority: § 22.1-269 of the Code of  Virginia.
    Name of Petitioner: John R. Butcher, Carol A.O. Wolf.
    Nature of Petitioner's Request: Requests promulgation of  a regulation requiring school divisions to report annually to the Board of  Education data on: the number of students with five or more unexcused absences  from school; details regarding the attendance plan and conferences held  regarding such attendance plans; and a summary of the outcomes of attendance  enforcement proceedings.
    Agency's Plan for Disposition of the Request: The agency  has received the petitioner's request and has announced a 21-day comment  period, which will be published in the Virginia Register. Agency action plan  will be determined following the 21-day public comment period.
    Public comments may be submitted until July 14, 2009.
    Agency Contact: Anne D. Wescott, Executive Assistant to  the Board of Education, P.O. Box 2120, Richmond, VA 23218-2120, telephone (804)  225-2403, FAX (804) 225-2524, or email anne.wescott@doe.virginia.gov.
    VA.R. Doc. No. R09-28; Filed June 3, 2009, 1:11 p.m.
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    TITLE 12. HEALTH
    STATE MENTAL HEALTH, MENTAL RETARDATION AND SUBSTANCE ABUSE  SERVICES BOARD
    Agency Decision
    Title of Regulation: N/A -  There are no present regulations on this subject.
    Statutory Authority: §§ 37.2-203 and 37.2-400 of  the Code of Virginia.
    Name of Petitioner: Steven Shoon.
    Nature of Petitioner's Request: Adopt a regulation to  state that the 2003 Guidelines for the Management of Individuals Found Not  Guilty By Reason of Insanity (NGRI Guidelines) are subject to the Human Rights  Regulations and any provision of the NGRI Guidelines in violation, in conflict,  or contrary to the Human Rights Regulations is null and void.
    Agency's Decision: Request denied.
    Statement of Reasons for Decision: The NGRI Guidelines are  subject to the requirements in the Human Rights Regulations (12VAC35-115).  There is no need to add new regulatory provisions for this purpose. The NGRI  Guidelines address the privileging process. To the extent that the privileging  process conflicts with any provision of the Human Rights Regulations, the  Commissioner of the Department of Mental Health, Mental Retardation and  Substance Abuse Services has exempted those provisions from the regulations.  The commissioner has also exempted a few of the requirements of the Human  Rights Regulations for persons under forensic status and persons in custody as  sexually violent predators, such as prohibiting access to victim information.  The commissioner has exercised this authority in accordance with  12VAC35-115-10.
    Agency Contact: Wendy V. Brown,  Policy Analyst, Department of Mental Health, Mental Retardation and Substance  Abuse Services, P.O. Box 1797, Richmond, VA 23218, telephone (804) 225-2252,  FAX (804) 371-0092, or email wendy.brown@co.dmhmrsas.virginia.gov.
    VA.R. Doc. No. R09-18; Filed June 8, 2009, 11:01 a.m.
    Agency Decision
    Title of Regulation: None  specified.
    Statutory Authority: §§ 37.2-203 and 37.2-400 of  the Code of Virginia.
    Name of Petitioner: Steven  Shoon.
    Nature of Petitioner's Request:  Amend regulations to prohibit any director of providers from applying for a  variance that abridges any individual rights for filing a complaint under the  complaint process under the Human Rights Regulations. Individuals in this  context means individuals receiving services from providers.
    Agency Decision: Request  denied.
    Statement of Reasons for Decision:  The board does not believe that the right to request a variance should be  restricted. The variance section of the Rules and Regulations to Assure the  Rights of Individuals Receiving Services from Providers Licensed, Funded or  Operated by the Department of Mental Health, Mental Retardation and Substance  Abuse Services (Human Rights Regulations, 12VAC35-115-220) is intended to  protect individuals receiving services when the implementation of these  regulations may cause harm. The process for pursuing a variance is extensive  and the Human Rights Regulations currently require all variances to be approved  by the State Human Rights Committee.
    Agency  Contact: Wendy V. Brown, Policy Analyst, Department of Mental Health,  Mental Retardation and Substance Abuse Services, P.O. Box 1797, Richmond, VA  23218, telephone (804) 225-2252, FAX (804) 371-0092, or email  wendy.brown@co.dmhmrsas.virginia.gov.
    VA.R. Doc. No. R09-19; Filed June 8, 2009, 11:02 a.m.
    Agency Decision
    Title of Regulation: N/A -  There are no present regulations on this subject.
    Statutory Authority: §§ 37.2-203 and 37.2-400 of  the Code of Virginia.
    Name of Petitioner: Steven Shoon.
    Nature of Petitioner's Request: Adopt regulations to  require mental health facilities operated by the Department of Mental Health,  Mental Retardation and Substance Abuse Services to physically post up  information about the Virginia Freedom of Information Act.  This information  layout is outlined in § 2.2-3704.1 of the Code of Virginia.  It includes  the rights of the requester for requesting public records; the obligations of  public bodies to process requests for public records; contact information for  making requests for public records from the given public body; most commonly  used public record exemptions; and recourse to the courts for violations of the  Virginia Freedom of Information Act.
    Agency Decision: Request denied.
    Statement of Reasons for Decision: The board has determined  that this request may be appropriately addressed by policy rather than  regulation. The Department of Mental Health, Mental Retardation and Substance  Abuse Services has complied with the Virginia Freedom of Information Act (FOIA)  which requires all state public bodies to post information on their websites  informing the public about procedures for requesting public records and  responding to those requests. The board understands that some individuals  receiving services in state facilities do not have access to the Internet  through which they may obtain information about FOIA. Therefore, the  Commissioner of the Department of Mental Health, Mental Retardation and  Substance Abuse Services has issued a policy directive to the state facility  directors encouraging the posting of FOIA information on facility websites and  throughout the facility and specifically on patient units. The board affirms  the commissioner's policy and believes that this policy directive addresses the  intent of this petition.
    Agency Contact: Wendy V. Brown,  Policy Analyst, Department of Mental Health, Mental Retardation and Substance  Abuse Services, P.O. Box 1797, Richmond, VA 23218, telephone (804) 225-2252,  FAX (804) 371-0092, or email wendy.brown@co.dmhmrsas.virginia.gov.
    VA.R. Doc. No. R09-20; Filed June 8, 2009, 11:02 a.m.
    w  ––––––––––––––––––  w
    TITLE 18. PROFESSIONAL AND OCCUPATIONAL LICENSING
    BOARD OF DENTISTRY
    Initial Agency Notice
    Title of Regulation:  18VAC60-20. Regulations Governing the Practice of Dentistry and Dental Hygiene.
    Statutory Authority: § 54.1-2400 of the Code of  Virginia.
    Name of Petitioner: Robert J. Haddad.
    Nature of Petitioner's Request: To amend regulations to (i)  eliminate the distinction between conscious sedation and deep sedation since  deep sedation is a likely result; (ii) institute a permitting process with  inspection of dental offices to ensure they are appropriately equipped to  handle an emergency situation; and (iii) create an Anesthesia Review Committee  to assist the profession and the public with issues relating to anxiety/pain  control/sedation in dentistry.
    Agency's Plan for Disposition of the Request: The board  is requesting public comment on the petition to amend rules to amend  regulations relating to sedation and anesthesia. Following a public comment  period, the board will consider its action on the petition at its meeting on  September 11, 2009.
    Comments may be submitted until July 22, 2009.
    Agency Contact: Elaine J. Yeatts, Agency Regulatory  Coordinator, Department of Health Professions, 9960 Mayland Drive, Suite 300,  Richmond, VA 23233, telephone (804) 367-4688, FAX (804) 527-4434, or email  elaine.yeatts@dhp.virginia.gov.
    VA.R. Doc. No. R09-27; Filed May 26, 2009, 9:44 a.m.
         
       
                                                        
                                                        NOTICES OF INTENDED REGULATORY ACTION
Vol. 25 Iss. 21 - June 22, 2009
TITLE 9. ENVIRONMENT
Virginia Pollution Abatement General Permit Regulation for Poultry Waste Management
Notice of Intended Regulatory Action
    Notice is hereby given in accordance with § 2.2-4007.01 of  the Code of Virginia that the State Water Control Board intends to consider  amending the following regulations: 9VAC25-630, Virginia Pollution Abatement  General Permit Regulation for Poultry Waste Management. The purpose of the  proposed action is to reissue the existing Virginia Pollution Abatement (VPA)  General Permit for Poultry Waste Management. The current VPA general permit  expires on November 30, 2010. The VPA General Permit Regulation for Poultry  Waste Management governs the management of poultry feeding operations that  confine 200 or more animal units (20,000 chickens or 11,000 turkeys) and  establishes the utilization, storage, tracking, and accounting requirements  related to poultry waste.
    The agency intends to hold a public hearing on the proposed  action after publication in the Virginia Register. 
    Statutory Authority: §§ 62.1-44.15 and 62.1-44.17:1.1 of the Code of Virginia.
    Public Comments: Public comments may be submitted until  July 22, 2009.
    Agency Contact: Betsy Bowles, Department of  Environmental Quality, 629 East Main Street, P.O. Box 1105, Richmond, VA 23218,  telephone (804) 698-4059, FAX (804) 698-4116, or email  betsy.bowles@deq.virginia.gov.
    VA.R. Doc. No. R09-2006; Filed June 2, 2009, 5:00 p.m. 
 
                                                        REGULATIONS
Vol. 25 Iss. 21 - June 22, 2009
TITLE 4. CONSERVATION AND NATURAL RESOURCES
MARINE RESOURCES COMMISSION
Emergency Regulation
    Title of Regulation: 4VAC20-260. Pertaining to  Designation of Seed Areas and Clean Cull Areas (amending 4VAC20-260-30).
    Statutory Authority: §§ 28.2-201 and 28.2-210 of  the Code of Virginia.
    Effective Dates: June 1, 2009, through June 30, 2009.
    Agency Contact: Jane Warren, Agency Regulatory  Coordinator, Marine Resources Commission, 2600 Washington Avenue, 3rd Floor,  Newport News, VA 23607, telephone (757) 247-2248, FAX (757) 247-2002, or email  betty.warren@mrc.virginia.gov.
    Summary:
    This emergency amendment establishes that oysters raised in  caged aquaculture by licensed aquaculture facilities on the seaside of Eastern  Shore seed areas shall be exempt from the requirement to be at least three  inches in shell height.
    4VAC20-260-30. Minimum cull size.
    In order to encourage a continued supply of marketable  oysters, minimum size limits are hereby established. Undersized oysters or  shells shall be returned immediately to their natural beds, rocks, or shoals  where taken. When small oysters are adhering so closely to the shell of the  marketable oyster as to render removal impossible without destroying the young  oyster, then it shall not be necessary to remove it. Allowances for undersized  oysters and shells incidentally retained during culling are found in  4VAC20-260-40. 
    1. Oysters taken from clean cull areas shall not have shells  less than three inches in length. 
    2. In the James River seed areas, there shall be no size limit  on oysters harvested for replanting as seed oysters and seed oysters shall not  be marketed for direct consumption. 
    3. In the James River seed areas, the shells of oysters  harvested for direct consumption shall not be less than three inches in length.  
    4. On the seaside of Eastern Shore seed area, the shells of  oysters marketed for direct consumption shall not be less than three inches in  length. The provisions of this subdivision shall not apply to oysters raised  in caged aquaculture by licensed aquaculture facilities.
    5. In the Rappahannock River, the shells of oysters harvested  for direct consumption, from the areas known as Russ' Rock and Carter's Rock,  shall not be less than 2-1/2 inches in length. 
    VA.R. Doc. No. R09-1998; Filed May 28, 2009, 12:08 p.m. 
TITLE 4. CONSERVATION AND NATURAL RESOURCES
MARINE RESOURCES COMMISSION
Final Regulation
    Title of Regulation: 4VAC20-270. Pertaining to Crabbing (amending 4VAC20-270-40, 4VAC20-270-50,  4VAC20-270-58).
    Statutory Authority: § 28.2-201 of the Code of  Virginia.
    Effective Date: June 1, 2009.
    Agency Contact: Jane Warren, Agency Regulatory  Coordinator, Marine Resources Commission, 2600 Washington Avenue, 3rd Floor,  Newport News, VA 23607, telephone (757) 247-2248, FAX (757) 247-2002, or email  betty.warren@mrc.virginia.gov.
    Summary:
    The amendments (i) create a fall closure to the harvest by any  gear of female crabs from November 21 through November 30; (ii) establish a 15%  reduction in crab pots (relative to 2007 limits per each of the five license  categories) rather than the 30% reductions currently in effect; (iii) establish  that any agent convicted by a court of two crab fishery-related violations  within a 12-month period may be precluded from serving as an agent; and (iv)  proposes that the licensee who has authorized an agent who is convicted by a  court of two crab fishery-related violations within a 12-month period shall  appear before the commission for a license-revocation hearing. 
    4VAC20-270-40. Season limits. 
    A. The lawful season for the harvest of male crabs shall be  March 17 through November 30. The lawful season for the harvest of female crabs  shall be March 17 through November 30 20.
    B. It shall be unlawful for any person to harvest crabs or to  possess crabs on board a vessel, except during the lawful season, as described  in subsection A of this section.
    C. It shall be unlawful for any person knowingly to place,  set, fish or leave any hard crab pot or peeler crab pot in any tidal waters of  Virginia from December 1 through March 16.
    D. It shall be unlawful for any person knowingly to place,  set, fish or leave any fish pot in any tidal waters from March 12 through March  16, except as provided in subdivisions 1 and 2 of this subsection. 
    1. It shall be lawful for any person to place, set, or fish  any fish pot in those Virginia waters located upriver of the following boundary  lines: 
    a. In the James River the boundary shall be a line connecting  Hog Point and the downstream point at the mouth of College Creek. 
    b. In the York River the boundary lines shall be the Route 33  bridges at West Point. 
    c. In the Rappahannock River the boundary line shall be the  Route 360 bridge at Tappahannock. 
    d. In the Potomac River the boundary line shall be the Route  301 bridge that extends from Newberg, Maryland, to Dahlgren, Virginia.
    2. This subsection shall not apply to lawful eel pots as  described in 4VAC20-500-50. 
    4VAC20-270-50. Peeler crab pot and crab pot limits. 
    A. It shall be unlawful for any person to place, set or fish  or attempt to place, set or fish more than 210 peeler crab pots in Virginia  tidal waters.
    B. The lawful crab pot license categories and crab pot limits  for the 2008 crab pot season are as follows:
    1. Up to 85 crab pots.
    2. Up to 127 crab pots.
    3. Up to 170 crab pots.
    4. Up to 255 crab pots.
    5. Up to 425 crab pots.
    C. The lawful crab pot license categories and crab pot  limits for the 2009 crab pot season are as follows:
    1. Up to 70 crab pots.
    2. Up to 105 crab pots.
    3. Up to 140 crab pots.
    4. Up to 210 crab pots.
    5. Up to 350 crab pots.
    D. C. It shall be unlawful for any person to  knowingly place, set or fish any amount of crab pots that exceeds that person's  crab pot limit, as described in subsections subsection B and C  of this section.
    4VAC20-270-58. License revocation.
    A. Any person convicted by a court of two crab  fishery-related violations, may be subject to having his license(s) to take  crabs revoked in accordance with the provisions of § 28.2-232 of the Code of  Virginia.
    B. Any person serving as an agent who is convicted by a  court of two crab fishery-related violations may be subject to having his  authority to serve as an agent revoked by the commission.
    C. Any crab licensee whose agent is convicted by a court  of two crab fishery-related violations may be subject to having any of his licenses  to take crabs revoked by the commission.
    VA.R. Doc. No. R09-1990; Filed May 28, 2009, 12:17 p.m. 
TITLE 4. CONSERVATION AND NATURAL RESOURCES
MARINE RESOURCES COMMISSION
Final Regulation
    Title of Regulation: 4VAC20-320. Pertaining to the  Taking of Black Drum (amending 4VAC20-320-70). 
    Statutory Authority: §§ 28.2-201 and 28.2-204.1 of  the Code of Virginia.
    Effective Date: June 1, 2009. 
    Agency Contact: Jane Warren, Agency Regulatory  Coordinator, Marine Resources Commission, 2600 Washington Avenue, 3rd Floor,  Newport News, VA 23607, telephone (757) 247-2248, FAX (757) 247-2002, or email  betty.warren@mrc.virginia.gov.
    Summary: 
    The amendments provide the commissioner, or his designee,  the authority to grant exceptions and transfer requests for a Black Drum  Harvesting Permit, and eliminate the March 1 deadline for submission of  requests to transfer. 
    4VAC20-320-70. Commercial harvest permits required. 
    A. It shall be unlawful for any registered commercial  fisherman to take, catch, sell, or possess more than one black drum per day,  without first having obtained a Black Drum Harvesting and Selling Permit from  the Marine Resources Commission. Such permit shall be completed in full by the  permittee and a copy kept in the possession of the permittee while fishing and  selling black drum. Permits shall only be issued to applicants meeting the  following criteria: 
    1. The applicant shall be a registered commercial fisherman  and shall have held a Black Drum Permit in at least one year from 1988 to 1993;  
    2. The applicant shall have documented catch of black drum in  at least one year for which a Black Drum Permit was held from 1988 to 1993; and  
    3. The applicant shall have reported, in accordance with this  chapter, any black drum fishery activity in 1992 and 1993, if a Black Drum  Permit was held in those years. 
    Nothing in this subsection is intended to prohibit a  registered commercial fisherman fishing pursuant to 4VAC20-320-40 as a legally  eligible recreational fisherman from possessing only one black drum not to be  sold. 
    B. Any registered commercial fisherman who is not permitted  to harvest black drum, in accordance with subsection A of this section, may  harvest, possess, and sell one black drum per day. Any such daily harvest shall  not be a part of the commercial harvest quota but shall be reported to the VMRC  as specified in 4VAC20-610. 
    C. The Marine Resources Commission commissioner, or  his designee, may grant exceptions to the limited entry criteria listed in  subsection A of this section based upon scientific, economic, biological,  sociological, and hardship factors. Any person requesting an exception shall  provide in writing an explanation for exception and all pertinent information  relating to the criteria in subsection A of this section. All exception  requests must be received by the Marine Resources Commission prior to March 1  of the year for which a permit is requested. 
    D. Requests to transfer a Black Drum Harvesting Permit  shall be documented on a form provided by the Marine Resources Commission,  notarized by lawful notary public, and subject to approval by the commissioner,  or his designee.
    D. E. It shall be unlawful for any person,  firm, or corporation to buy any black drum from the harvester without first  having obtained a Black Drum Buying Permit from the Marine Resources  Commission. Such permit shall be completed in full by the permittee and a copy  kept in possession of the permittee while buying black drum. 
    E. F. Any person, firm or corporation that has  black drum in possession with the intent to sell must either be a permitted  harvester or buyer, or must be able to demonstrate that those fish were  imported from another state or purchased from a permitted buyer or seller. 
    VA.R. Doc. No. R09-1979; Filed May 28, 2009, 12:24 p.m. 
TITLE 4. CONSERVATION AND NATURAL RESOURCES
MARINE RESOURCES COMMISSION
Final Regulation
    Title of Regulation:  4VAC20-450. Pertaining to the Taking of Bluefish (amending 4VAC20-450-30). 
    Statutory Authority: § 28.2-201 of the Code of  Virginia.
    Effective Date: June 1, 2009.
    Agency Contact: Jane Warren, Agency Regulatory  Coordinator, Marine Resources Commission, 2600 Washington Avenue, 3rd Floor,  Newport News, VA 23607, telephone (757) 247-2248, FAX (757) 247-2002, or email  betty.warren@mrc.virginia.gov.
    Summary: 
    The amendment establishes the 2009 commercial bluefish  quota as 1,155,945 pounds. 
    4VAC20-450-30. Commercial landings quota. 
    A. During the period of January 1 through December 31,  commercial landings of bluefish shall be limited to 1,048,366 1,155,945  pounds. 
    B. When it is projected that 95% of the commercial landings  quota has been realized, a notice will be posted to close commercial harvest  and landings from the bluefish fishery within five days of posting. 
    C. It shall be unlawful for any person to harvest or land  bluefish for commercial purposes after the closure date set forth in the notice  described in subsection B of this section. 
    VA.R. Doc. No. R09-1978; Filed May 28, 2009, 12:31 p.m. 
TITLE 4. CONSERVATION AND NATURAL RESOURCES
MARINE RESOURCES COMMISSION
Final Regulation 
    Title of Regulation: 4VAC20-650. Establishment of  Oyster Sanctuary Areas (amending 4VAC20-650-10, 4VAC20-650-20,  4VAC20-650-30).
    Statutory Authority: § 28.2-201 of the Code of Virginia.
    Effective Date: June 1, 2009. 
    Agency Contact: Jane Warren, Agency Regulatory  Coordinator, Marine Resources Commission, 2600 Washington Avenue, 3rd Floor,  Newport News, VA 23607, telephone (757) 247-2248, FAX (757) 247-2002, or email  betty.warren@mrc.virginia.gov.
    Summary:
    The amendments establish five new shellfish sanctuaries in  Northampton and Accomack Counties on the Seaside Eastern Shore (on and adjacent  to the Nature Conservancy). 
    4VAC20-650-10. Purpose. 
    The purpose of this chapter is to protect and promote the  oyster resources within the designated sanctuary areas and to protect  oyster replenishment efforts on all public oyster grounds. 
    4VAC20-650-20. Oyster replenishment sanctuary areas. 
    The following oyster sanctuary areas are established:
    A. The following Oyster Sanctuary Area is established: 1.  The Wreck Shoals-James River Oyster Sanctuary Area shall consist consisting  of all public oyster grounds with a boundary defined as: beginning at Corner 1  of Public Ground No.1-Warwick County (Lat 37° 04.520'N, Lon 76° 33.7333'W-NAD  1983); thence southeasterly to Deep Creek Channel Marker "2" (Lat 37°  03.609'N, Lon 76° 32.102'W); thence south-southwesterly to James River Channel  Marker "5" (Lat 37° 02.345'N, Lon 76° 32.769'W); thence southwesterly  to the chimney of a beach house east of the Luter airstrip (Lat 37° 01.666'N,  Lon 76° 35.136'W); thence northerly to James River Channel Marker  "12" (Lat 37° 03.323'N, Lon 76° 35.169'W); thence northeasterly to  Corner 190 of Plat File 16734 (Lat 37° 04.904'N, Lon 76° 34.254'W); thence  southeasterly to Corner 1 of Public Ground 1-Warwick County, the point of  beginning. 
    2. Smith Island Sanctuary - Beginning at a point in Smith  Island Bay near the western shore of Smith Island, said point being  approximately 9,900 feet north-northwest of the Cape Charles Light House and  the northern most point on Ballard Fish and Oyster Co., Inc. oyster lease, plat  16613, said point being corner 85, having NAD 83 Geographic Coordinates of 37°  08.3987390'N, 75° 54.0094551'W; thence in a northeasterly direction along the  inshore oyster lease line of Thomas J. O'Conner, III, plat 17720, to corner  106, 37° 08.5079488'N, 75° 53.9121013'W; thence northeasterly to corner 107,  37° 08.5406502'N, 75° 53.8494541'W; thence east-northeasterly to corner 207,  37° 08.5420829'N, 75° 53.8281776'W; thence east-northeasterly along the inshore  oyster lease line of Mark R. Heath, plat 17721, to corner 108, 37° 08.5446005'  N, 75° 53.7907806'W; thence north-northeasterly to corner 109, 37°  08.5895883'N, 75° 53.7864524'W; thence northeasterly to corner 110, 37°  08.6921483'N, 75° 53.6226465'W; thence northeasterly to corner 111, 37°  08.7546771'N, 75° 53.4568175'W; thence northeasterly to corner 112, 37°  08.7754748'N, 75° 53.3619827'W; thence southeasterly along the inshore oyster  lease line of H. M. Terry Co., Inc. to corner 18, 37° 08.7544364'N, 75°  53.3207742'W; thence southeasterly to corner 17, 37° 08.7306590'N, 75°  53.2980718'W; thence southeasterly to corner 16, 37° 08.6251318'N, 75°  53.1579039'W; thence easterly to corner 15, 37° 08.6225028'N, 75° 53.1025432'W;  thence north-northeasterly to corner 14, 37° 08.6626612'N, 75° 53.0854858'W;  thence northwesterly to corner 153, 37° 08.6768312'N, 75° 53.1394736'W; thence  along the inshore oyster lease line of Daniel Scott Long, plat 16802,  northeasterly to corner 152, 37° 08.7156785'N, 75° 53.0819599'W; thence  northeasterly to corner 151, 37° 08.8330482'N, 75° 52.7283538'W; thence,  south-southeasterly onto Smith Island to corner 1, 37° 08.4630004'N, 75°  52.6679990'W; thence, southwesterly to corner 2, 37° 07.9690002'N, 75°  53.0919992'W; thence southwesterly to corner 3, 37° 07.9080005'N, 75°  53.4390002'W; thence southwesterly to corner 4, 37° 07.7800009'N, 75°  53.6839996'W; thence southwesterly to corner 5, 37° 07.6540002'N, 75°  54.3200009'W; thence southwesterly to corner 6, 37° 07.3169996'N, 75°  54.6700007' W.; thence northwesterly, off shore, to corner 170 of Mark R. Heath's  oyster lease, plat 17456, 37° 07.3524313'N, 75° 54.6976587'W; thence along the  inshore line of said parcel, northwesterly to corner 169, 37° 07.3528695'N, 75°  54.7176135'W; thence north-northeasterly to corner 168, 37° 07.4495084'N, 75°  54.7100342'W; thence northeasterly to corner 92, 37° 07.5477653'N, 75°  54.5615711'W; thence northeasterly along the inshore oyster lease line of  Ballard Fish and Oyster Co., Inc., plat 16613, to corner 91, 37° 07.6416382'N,  75° 54.4402745'W; thence northeasterly to corner 90, 37° 07.6890220'N, 75°  54.3527929'W; thence northeasterly to corner 89, 37° 07.7661702'N, 75° 54.0839677'W;  thence northeasterly along the inshore oyster lease line of Henry S. Jones,  Jr., plat 19450, to corner 254, 37° 07.7879690'N, 75° 53.9324560'W; thence  northerly to corner 253, 37° 07.8109207'N, 75° 53.9343385'W; thence westerly to  corner 252, 37° 07.8094111'N, 75° 53.9916726'W; thence north-northwesterly to  corner 251, 37° 07.8582020'N, 75° 53.9962243'W; thence west-southwesterly to  corner 250, 37° 07.8535649'N, 75° 54.0512576'W; thence northwesterly to corner  249, 37° 07.9116397'N, 75° 54.0935389'W; thence westerly to corner 248, 37°  07.9113922'N, 75° 54.0976427'W; thence north-northwesterly along the inshore  oyster lease line of Ballard Fish and Oyster Co., Inc., plat 16613, to corner  88, 37° 08.0660474'N, 75° 54.1122194'W; thence northeasterly to corner 87, 37°  08.1821017'N, 75° 54.0516546'W; thence north-northeasterly to corner 86, 37°  08.2555945'N, 75° 54.0483544'W; thence north-northeasterly to corner 85, 37°  08.3987390'N, 75° 54.0094551'W, said point being the point of beginning.
    3. Cobb Island Oyster Sanctuary - Beginning at a point in  Cobb Bay, near the western shore of Cobb Island and being the southern most  point of the oyster lease of John R. Mariner, plat 16866, corner 355, said  corner having NAD 83 Geographic Coordinates of 37° 19.3528688'N, 75°  45.9182774'W; thence northeasterly along the inshore line of said oyster lease  to corner 354, 37° 19.4051876'N, 75° 45.8386060'W; thence northeasterly to  corner 353, 37° 19.5182900'N, 75° 45.6662561'W; thence northeasterly to corner  352, 37° 19.6443229'N, 75° 45.5201098'W; thence southeasterly to a point on  Cobb Island, corner 5, 37° 19.2960000'N, 75° 45.3319992'W; thence southwesterly  to corner 6, 37° 19.2109998'N, 75° 45.4150006'W; thence southwesterly to a  point west of Cobb Island, corner 7, 37° 18.9289998'N, 75° 45.5570001'W; thence  southwesterly to corner 8, 37° 18.8050003'N, 75° 45.7710008'W; thence  southwesterly to corner 9, 37° 18.2650004'N, 75° 46.3249991'W; thence  southwesterly to corner 10, 37° 18.1689997'N, 75° 46.6559996'W; thence northerly  to corner 11, 37° 18.6160000'N, 75° 46.6279994'W; thence northeasterly to  corner 12, 37° 18.7500009'N, 75° 46.5019997'W; thence northeasterly to the  western most point of the oyster lease of J. Steve McCready, plat 16371, corner  90, 37° 18.8870550'N, 75° 46.1567968'W; thence southeasterly along the lease  line to corner 89, 37° 18.8653681'N, 75° 46.1241425'W; thence southeasterly  along the oyster lease line of R&C Seafood, plat 16986 to corner 374, 37°  18.7448511'N, 75° 46.0512077'W; thence northeasterly to corner 373, 37°  18.9339657'N, 75° 45.7191531'W; thence northeasterly to corner 372, 37°  18.9858220'N, 75° 45.6864128'W; thence northwesterly to corner 355, 37°  19.3528688'N, 75° 45.9182774'W, said point being the point of beginning.
    4. Boxtree Oyster Sanctuary - Beginning at a point in  Boxtree Creek, said point being the eastern most point on the oyster lease of  Edwin E. Brady and Marion Brady, Jr., plat 16344, corner 7, said corner having  NAD 83 Geographic Coordinates of 37° 23.7990757'N, 75° 51.5561984'W; thence  southeasterly to corner 2, 37° 23.6849997'N, 75° 51.4280006'W; thence southerly  to a point in Ramshorn Bay, corner 3, 37° 23.5570008'N, 75° 51.4309991'W;  thence southeasterly to corner 4, 37° 23.5009994'N, 75° 51.3100008'W; thence  southeasterly to corner 5, 37° 23.4050000'N, 75° 51.2529994'W; thence  southwesterly to corner 6, 37° 22.8749994'N, 75° 51.5500012'W; thence westerly  to a point on shore, corner 8, 37° 22.9039994'N, 75° 52.3000000'W; thence  northeasterly to corner 7, 37° 23.7990757'N, 75° 51.5561984'W, said point being  the point of beginning.
    5. Parramore Island Sanctuary - Beginning at a point,  corner 1, in Swash Bay, near the western shore of Parramore Island, being  approximately 1,550 feet northeast of the northern most point of the oyster  lease of John Barr, plat 19331, said corner having NAD 83 Geographic  Coordinates of 37° 32.7759991'N, 75° 39.1639995'W; thence in a  east-southeasterly direction, onto Parramore Island, to corner 2, 37°  32.7529993'N, 75° 39.0129998'W; thence south-southeasterly to, a point on  shore, corner 3, 37° 32.2970002'N, 75° 39.0090007'W; thence northwesterly, off  shore, to corner 4, 37° 32.3579996'N, 75° 39.1610007'W; thence  north-northwesterly to corner 1, 37° 32.7759991'N, 75° 39.1639995'W, said point  being the point of beginning.
    6. Hillcrest Oyster Sanctuary - Beginning at a point in  Brockenberry Bay, on the south side of the entrance channel to Oyster Slip and  approximately 139 feet south-southwest of Day Marker 14, said point being  corner 1, having NAD 83 Geographic Coordinates of 37° 17.3320003'N, 75°  55.1269999'W; thence southeasterly to corner 2, 37° 17.2680001'N, 75°  54.8050006'W; thence east-northeasterly to corner 3, 37° 17.3050000'N, 75°  54.5899996'W; thence northeasterly to corner 4, 37° 17.4090006'N, 75°  54.5039998'W; thence northeasterly to corner 5, 37° 17.5909997'N, 75°  54.4389995'W; thence northeasterly to corner 6, 37° 17.7330004'N, 75°  54.2999997'W; thence south-southeasterly to corner 7, 37° 17.5039998'N, 75°  54.0680001'W; thence south-southeasterly to corner 8, 37° 17.3660002'N, 75°  53.9980006'W; thence south-southeasterly to corner 9, 37° 16.8299992'N, 75°  53.9940006'W; thence south-southwesterly to corner 10, 37° 16.4400007'N, 75°  54.0729995'W; thence northwesterly to corner 11, 37° 16.6400008'N, 75°  54.3490009'W; thence west-northwesterly to corner 12, 37° 16.7200007'N, 75°  54.5290004'W; thence west-southwesterly to corner 13, 37° 16.7550008'N, 75°  55.1040003' W; thence west-southwesterly to corner 14, 37° 16.7039996'N, 75°  55.6450007'W; thence northeasterly to corner 15, 37° 17.0609995'N, 75°  55.0360003'W; thence northeasterly to corner 16, 37° 17.1370004'N, 75°  54.9509998'W; thence northwesterly to corner 17, 37° 17.2660006' N, 75°  55.0820004'W; thence west-southwesterly to corner 18, 37° 17.2610009'N, 75°  55.2330009'W; thence northerly to corner 19, 37° 17.2979996'N, 75°  55.2310007'W; thence northeasterly to corner 1, 37° 17.3320003'N, 75°  55.1269999'W, said point being the point of beginning.
    B. Constructed 7. All constructed oyster reefs  include all reefs constructed and reef sanctuary areas marked by a  "no harvesting" sign provided by the Conservation and Replenishment  Department. 
    4VAC20-650-30. Closure of sanctuary areas. 
    A. All Oyster Sanctuary Areas shall be closed to the harvest  of oysters, except that Seaside of the Eastern Shore Oyster Sanctuary Areas  shall be closed to the harvest of all shellfish. Any person harvesting oysters  or shellfish from the specified areas shall be guilty of a violation of this  chapter. 
    B. It shall be unlawful for any person to possess any gear  that could be used to harvest shellfish, within 100 feet of on  public or unassigned oyster grounds, in the area surrounding within  100 feet of any oyster sanctuary area, and such possession shall be  considered as prima facie evidence of a violation of this chapter. 
    VA.R. Doc. No. R09-1906; Filed May 28, 2009, 12:50 p.m. 
TITLE 4. CONSERVATION AND NATURAL RESOURCES
MARINE RESOURCES COMMISSION
Final Regulation
    Title of Regulation: 4VAC20-670. Pertaining to  Recreational Gear Licenses (amending 4VAC20-670-20, 4VAC20-670-25,  4VAC20-670-30, 4VAC20-670-40).
    Statutory Authority: § 28.2-201 of the Code of Virginia.
    Effective Date: June 1, 2009. 
    Agency Contact: Jane Warren, Agency Regulatory  Coordinator, Marine Resources Commission, 2600 Washington Avenue, 3rd Floor,  Newport News, VA 23607, telephone (757) 247-2248, FAX (757) 247-2002, or email  betty.warren@mrc.virginia.gov.
    Summary: 
    The amendment establishes a five-pot license to take or  possess one bushel of hard crabs and two dozen peeler crabs during June 1  through September 15 season. 
    4VAC20-670-20. Recreational gear licenses. 
    A. Any person desiring to take or catch finfish or shellfish  for recreational purposes in the tidal waters of Virginia using commercial gear  authorized under § 28.2-226.1 of the Code of Virginia shall first obtain the  license for the appropriate gear. 
    B. Any license to use fishing gear for recreational purposes  shall be issued to an individual for his exclusive use and shall not be  transferable. 
    C. No person shall be issued more than one recreational gill  net license, more than one recreational crab pot license, more than one  crab trap license, nor more than one recreational eel pot license. 
    D. After May 1, 2008, no license to take crabs by crab pot  for recreation or personal use shall be issued and any license purchased prior  to May 1, 2008, shall be null and void. The commission shall establish a  five-pot recreational crab pot license, at such time that it determines from  the Virginia-Maryland Baywide Winter Dredge Survey that the abundance of age  one and older blue crabs in the Chesapeake Bay meets or exceeds an interim  abundance target of 200 million crabs.
    E. D. No license shall be required of any  person taking minnows, menhaden, or mullet with a cast net for personal use as  bait which is not to be sold, traded, or bartered. 
    4VAC20-670-25. Harvest limits. 
    It shall be unlawful for any person licensed to use recreational  crab pots, recreational crab trap, or recreational ordinary crab  trotline, as described in 4VAC20-670-20, to take or possess more than one  bushel of hard crabs and two dozen peeler crabs, in any one day, for personal  use. 
    4VAC20-670-30. Gear restrictions. 
    A. It shall be unlawful for any person to use any gill net  greater than 300 feet in length when licensed for recreational purposes under  this chapter except as described in subsection B of this section. Any person  licensed to use a recreational gill net up to 300 feet in length shall stay  within 100 yards of such net when it is overboard. Failure to attend such net  in this fashion is a violation of this chapter. 
    B. It shall be unlawful for any person to use any anchored  gill net when licensed for recreational purposes under this chapter that is  greater than 110 feet in length in any of the tidal waters upriver of the  saltwater-freshwater boundaries. Any anchored gill net set or placed in areas  upriver of the saltwater-freshwater boundaries shall be retrieved within one  hour of setting or placing that gill net. Any person licensed to use a  recreational anchored gill net shall stay within 100 yards of such net when it  is overboard. Failure to attend such net in this fashion is a violation of this  chapter, and any unattended anchored gill net shall be confiscated by the  marine police officer. 
    C. It shall be unlawful for any person to use more than five  crab pots or more than two eel pots when licensed for recreational purposes  under this chapter. 
    D. Any law or chapter applying to the setting or fishing of  commercial gill nets, cast nets, dip nets, crab pots, crab traps, or  crab trot lines shall also apply to the gear licensed under this chapter when  set or fished for recreational purposes, except that (i) certain commercial  gear used for recreational purposes shall be marked in accordance with the  provisions described in 4VAC20-670-40, (ii) the daily time limits for  commercial crab potting and peeler potting established in this section shall  not apply to the setting and fishing of recreational crab pots licensed under  this chapter, and (iii) the closed season and area established in § 28.2-709 of  the Code of Virginia shall not apply to the setting and fishing of recreational  crab pots licensed under this chapter. 
    E. It shall be unlawful for any person to use any  recreational gill net to catch and possess any species of fish whose commercial  fishery is regulated by an annual harvest quota. 
    F. It shall be unlawful for any person using a recreational  gill net, fish cast net, or fish dip net to take and possess more than the  recreational possession limit for any species regulated by such a limit. When  fishing from any boat, using gear licensed under this chapter, the total  possession limit shall be equal to the number of persons on board legally  eligible to fish multiplied by the individual possession limit for the  regulated species, and the captain or operator of the boat shall be responsible  for adherence to the possession limit. 
    G. It shall be unlawful for any person using a recreational  gill net, fish cast net, or fish dip net to take and possess any fish which is  less than the lawful minimum size established for that species. When the taking  of any fish is regulated by different size limits for commercial and recreational  fishermen, that size limit applicable to recreational fishermen or to  hook-and-line fishermen shall apply to the taking of that species by persons  licensed under this chapter. 
    H. It shall be unlawful for any person to use any ordinary  crab trot line greater than 300 feet in length when licensed for recreational  purposes under this chapter. 
    I. It shall be unlawful for any person licensed to use  five crab pots under this chapter to fish those pots on Sunday or to fish those  pots from September 16 through May 31.
    4VAC20-670-40. Gear marking requirements. 
    A. Buoys of any crab pot, eel pot, gill net or  ordinary crab trot line used for recreational purposes shall be marked with the  licensee's last four numbers of his social security number or driver's license  number, preceded by the letter "R." 
    B. An offshore stake of any crab trap used for recreational  purposes shall be marked with the licensee's last four numbers of his social  security number or driver's license number, preceded by the letter  "R." 
    C. In accordance with subsections A and B of this section,  licensees shall mark their gear in a legible and visible manner and in figures  of not less than one inch in height. 
    VA.R. Doc. No. R09-1991; Filed May 29, 2009, 9:31 a.m. 
TITLE 4. CONSERVATION AND NATURAL RESOURCES
MARINE RESOURCES COMMISSION
Final Regulation 
    Title of Regulation: 4VAC20-880. Pertaining to Hard  Crab Pot Limits (amending 4VAC20-880-30). 
    Statutory Authority: § 28.2-201 of the Code of  Virginia.
    Effective Date: June 1, 2009. 
    Agency Contact: Jane Warren, Agency Regulatory  Coordinator, Marine Resources Commission, 2600 Washington Avenue, 3rd Floor,  Newport News, VA 23607, telephone (757) 247-2248, FAX (757) 247-2002, or email  betty.warren@mrc.virginia.gov.
    Summary: 
    The amendments establish that it is unlawful (i) to place,  set, or fish more than 255 hard crab pots in the tributaries of the mainstem  Chesapeake Bay; (ii) to fish more than 425 hard crab pots in the mainstem  Chesapeake Bay or coastal area; and (iii) to place, set, or fish more than a  combined total of 425 pots in Virginia tidal waters.
    4VAC20-880-30. Hard crab pot limits. 
    A. From May 1, 2008, through November 30, 2008, it shall  be unlawful for any person to place, set or fish more than 255 hard crab pots  in the tributaries of the mainstem Chesapeake Bay. After March 16, 2009, it  It shall be unlawful for any person to place, set or fish more than 210  255 hard crab pots in the tributaries of the mainstem Chesapeake Bay or  the Potomac River tributaries.
    B. From May 1, 2008, through November 30, 2008, it shall  be unlawful for any person to place, set or fish more than 425 hard crab pots  in the mainstem Chesapeake Bay and coastal area. After March 16, 2009, it It  shall be unlawful for any person to place, set or fish more than 350 425  hard crab pots in the mainstem Chesapeake Bay or coastal area.
    C. From May 1, 2008, through November 30, 2008, it shall  be unlawful for any person to place, set or fish more than a combined total of  425 hard crab pots in Virginia tidal waters. After March 16, 2009, it It  shall be unlawful for any person to place, set or fish more than 350 425  hard crab pots in Virginia tidal waters.
    D. It shall be unlawful for any person to take or catch hard  crabs or peeler crabs using any type of pot other than a licensed hard crab pot  or peeler pot except as provided in § 28.2-226 of the Code of Virginia. 
    VA.R. Doc. No. R09-1992; Filed May 28, 2009, 1:11 p.m. 
TITLE 4. CONSERVATION AND NATURAL RESOURCES
MARINE RESOURCES COMMISSION
Final Regulation 
    Title of Regulation: 4VAC20-1040. Pertaining to  Crabbing Licenses (amending 4VAC20-1040-25).
    Statutory Authority: § 28.2-201 of the Code of  Virginia.
    Effective Date: June 1, 2009.
    Agency Contact: Jane Warren, Agency Regulatory  Coordinator, Marine Resources Commission, 2600 Washington Avenue, 3rd Floor,  Newport News, VA 23607, telephone (757) 247-2248, FAX (757) 247-2002, or email  betty.warren@mrc.virginia.gov.
    Summary:
    The amendment establishes a deadline for the submission of crabbing  license eligibility appeals as June 9, 2009.
    4VAC20-1040-25. Appeal process.
    Any registered commercial fisherman described in 4VAC20-1040-20  B 2 may appeal the status of his license ineligibility, to the commission,  provided he documents one of the following conditions: (i) a health condition  that prevented the registered commercial fisherman from harvesting any crabs  during the 2004 through 2007 lawful crabbing seasons; (ii) an active military  service that prevented the registered commercial fisherman from harvesting any  crabs during the 2004 through 2007 lawful crabbing seasons; or (iii) a  substantial error in his mandatory harvest reporting records. The deadline  for submission to the commission of any appeal under this section shall be June  9, 2009.
    VA.R. Doc. No. R09-1993; Filed May 28, 2009, 1:24 p.m. 
TITLE 4. CONSERVATION AND NATURAL RESOURCES
MARINE RESOURCES COMMISSION
Final Regulation
    Title of Regulation: 4VAC20-1090. Pertaining to  Licensing Requirements and License Fees (amending 4VAC20-1090-30). 
    Statutory Authority: § 28.2-201 of the Code of Virginia.
    Effective Date: June 1, 2009. 
    Agency Contact: Jane Warren, Agency Regulatory  Coordinator, Marine Resources Commission, 2600 Washington Avenue, 3rd Floor,  Newport News, VA 23607, telephone (757) 247-2248, FAX (757) 247-2002, or email  betty.warren@mrc.virginia.gov.
    Summary:
    The amendments modify crab pot license categories and their  limits. 
         
          4VAC20-1090-30. License fees.
    The following listing of license fees applies to any person  who purchases a license for the purposes of harvesting for commercial purposes,  or fishing for recreational purposes, during any calendar year.
           | 1. COMMERCIAL LICENSES. | 
       | Commercial Fisherman Registration License | $190.00 | 
       | Commercial Fisherman Registration License for a person 70    years or older | $90.00 | 
       | Delayed Entry Registration.  | $190.00 | 
       | Delayed Entry Registration License for a person 70 years or    older  | $90.00 | 
       | Seafood Landing License for each boat or vessel | $175.00 | 
       | For each Commercial Fishing Pier over or upon subaqueous    beds (mandatory) | $83.00 | 
       | Seafood Buyer's License -- For each boat or motor vehicle | $63.00 | 
       | Seafood Buyer's License -- For each place of business | $126.00 | 
       | Clam Aquaculture Product Owner's Permit | $10.00 | 
       | Oyster Aquaculture Product Owner's Permit | $10.00 | 
       | Clam Aquaculture Harvester's Permit | $5.00 | 
       | Oyster Aquaculture Harvester's Permit | $5.00 | 
       | Nonresident Harvester's License | $444.00 | 
       | OYSTER HARVESTING AND SHUCKING LICENSES | 
       | For each person taking oysters by hand, or with ordinary    tongs | $10.00 | 
       | For each single-rigged patent tong boat taking oysters | $35.00 | 
       | For each double-rigged patent tong boat taking oysters | $70.00 | 
       | Oyster Dredge Public Ground | $50.00 | 
       | Oyster Hand Scrape | $50.00 | 
       | To shuck and pack oysters, for any number of gallons under    1,000 | $12.00 | 
       | To shuck and pack oysters, for 1,000 gallons, up to 10,000 | $33.00 | 
       | To shuck and pack oysters, for 10,000 gallons, up to 25,000 | $74.00 | 
       | To shuck and pack oysters, for 25,000 gallons, up to 50,000 | $124.00 | 
       | To shuck and pack oysters, for 50,000 gallons, up to 100,000 | $207.00 | 
       | To shuck and pack oysters, for 100,000 gallons, up to    200,000 | $290.00 | 
       | To shuck and pack oysters, for 200,000 gallons or over | $456.00 | 
       | BLUE CRAB HARVESTING AND SHEDDING LICENSES, EXCLUSIVE OF CRAB    POT LICENSES | 
       | For each person taking or catching crabs by dip nets | $13.00 | 
       | For ordinary trotlines  | $13.00 | 
       | For patent trotlines | $51.00 | 
       | For each single-rigged crab-scrape boat | $26.00 | 
       | For each double-rigged crab-scrape boat | $53.00 | 
       | For up to 210 peeler pots | $36.00 | 
       | For up to 20 tanks and floats for shedding crabs | $9.00 | 
       | For more than 20 tanks or floats for shedding crabs | $19.00 | 
       | For each crab trap or crab pound | $8.00 | 
       | CRAB POT LICENSES | 
       | a. From May 1, 2008, through November 30, 2008, the    following crab pot licenses and fees shall be in effect:
 | 
       | For up to 85 crab pots
 | $48.00
 | 
       | For over 85 but not more than 127 crab pots
 | $79.00
 | 
       | For over 127 but not more than 170 crab pots
 | $79.00
 | 
       | For over 170 but not more than 255 crab pots
 | $79.00
 | 
       | For over 255 but not more than 425 crab pots
 | $127.00
 | 
       | b. After November 30, 2008, the following crab pot    licenses and fees shall be in effect:
 | 
       | For up to 7085 crab pots | $48.00 | 
       | For over 7085 but not more than105127    crab pots | $79.00 | 
       | For over 105127 but not more than140170    crab pots | $79.00 | 
       | For over 140170 but not more than210255    crab pots | $79.00 | 
       | For over 210255 but not more than350425    crab pots | $127.00 | 
       | HORSESHOE CRAB AND LOBSTER LICENSES | 
       | For each person harvesting horseshoe crabs by hand  | $16.00 | 
       | For each boat engaged in fishing for, or landing of, lobster    using less than 200 pots  | $41.00 | 
       | For each boat engaged in fishing for, or landing of, lobster    using 200 pots or more  | $166.00 | 
       | CLAM HARVESTING LICENSES | 
       | For each person taking or harvesting clams by hand, rake or    with ordinary tongs | $24.00 | 
       | For each single-rigged patent tong boat taking clams | $58.00 | 
       | For each double-rigged patent tong boat taking clams | $84.00 | 
       | For each boat using clam dredge (hand) | $19.00 | 
       | For each boat using clam dredge (power) | $44.00 | 
       | For each boat using hydraulic dredge to catch soft shell    clams | $83.00 | 
       | For each person taking surf clams | $124.00 | 
       | CONCH (WHELK) HARVESTING    LICENSES | 
       | For each boat using a conch dredge | $58.00 | 
       | For each person taking channeled whelk by conch pot | $51.00 | 
       | FINFISH HARVESTING LICENSES | 
       | Each pound net | $41.00 | 
       | Each stake gill net of 1,200 feet in length or under, with a    fixed location | $24.00 | 
       | All other gill nets up to 600 feet | $16.00 | 
       | All other gill nets over 600 feet and up to 1,200 feet  | $24.00 | 
       | Each person using a cast net or throw net or similar device | $13.00 | 
       | Each fyke net head, weir, or similar device | $13.00 | 
       | For fish trotlines | $19.00 | 
       | Each person using or operating a fish dip net | $9.00 | 
       | On each haul seine used for catching fish, under 500 yards    in length | $48.00 | 
       | On each haul seine used for catching fish, from 500 yards in    length to 1,000 yards in length | $146.00 | 
       | For each person using commercial hook and line | $31.00 | 
       | For each person using commercial hook and line for catching    striped bass only | $31.00 | 
       | On each boat or vessel under 70 gross tons fishing with    purse net, per gross ton, but not more than $249 | $4.00 | 
       | On each boat or vessel over 70 gross tons fishing with purse    net, per gross ton. Provided the maximum license fee for such vessels shall    not be more than $996 | $8.00 | 
       | For up to 100 fish pots or eel pots | $19.00 | 
       | For over 100 but not more than 300 fish pots or eel pots | $24.00 | 
       | For over 300 fish pots or eel pots | $62.00 | 
       | 2. COMMERCIAL GEAR FOR    RECREATIONAL USE. | 
       | Up to five crab pots | $36.00 | 
       | Crab trotline (300 feet maximum) | $10.00 | 
       | One crab trap or crab pound | $6.00 | 
       | One gill net up to 300 feet in length | $9.00 | 
       | Fish dip net | $7.00 | 
       | Fish cast net | $10.00 | 
       | Up to two eel pots | $10.00 | 
       | 3. SALTWATER RECREATIONAL    FISHING LICENSE. | 
       | Individual License | $12.50 | 
       | Temporary 10-Day License | $5.00 | 
       | Recreational boat | $38.00 | 
       | Head Boat/Charter Boat, six or less passengers | $190.00 | 
       | Head Boat/Charter Boat, more than six passengers plus $5.00    per person over six | $190.00 | 
       | Rental Boat, per boat, with maximum fee of $635 | $9.00 | 
       | Commercial Fishing Pier (Optional) | $571.00 | 
       | Disabled Resident Lifetime Saltwater License | $5.00 | 
       | Reissuance of Saltwater Recreational Boat License | $5.00 | 
       | Combined Sportfishing License to fish in all inland waters    and tidal waters of the Commonwealth during open season | 
       | Residents | $24.50 | 
       | Nonresidents | $42.50 | 
       | Combined Sportfishing Trip License to fish in all inland    waters and tidal waters of the Commonwealth during open season, for five    consecutive days | 
       | Residents | $10.50 | 
       | Nonresidents | $15.50 | 
       | Individual Lifetime License | $250.00 | 
       | Individual Lifetime License age 45 - 50 | $120.00 | 
       | Individual Lifetime License age 51 - 55 | $90.00 | 
       | Individual Lifetime License age 56 - 60 | $60.00 | 
       | Individual Lifetime License age 61 - 64 | $30.00 | 
       |  |  |  | 
  
    VA.R. Doc. No. R09-1994; Filed May 28, 2009, 1:30 p.m. 
TITLE 4. CONSERVATION AND NATURAL RESOURCES
MARINE RESOURCES COMMISSION
Final Regulation
    Title of Regulation: 4VAC20-1120. Pertaining to  Tilefish and Grouper (adding 4VAC20-1120-31, 4VAC20-1120-32). 
    Statutory Authority: § 28.2-201 of the Code of Virginia.
    Effective Date: July 1, 2009. 
    Agency Contact: Jane Warren, Agency Regulatory  Coordinator, Marine Resources Commission, 2600 Washington Avenue, 3rd Floor,  Newport News, VA 23607, telephone (757) 247-2248, FAX (757) 247-2002, or email  betty.warren@mrc.virginia.gov.
    Summary:
    The amendment establishes a requirement to obtain a  Tilefish and Grouper Landing Permit to possess and land grouper and tilefish in  Virginia and also requires the reporting of recreational harvests of tilefish  and grouper when landed in Virginia. 
    4VAC20-1120-31. Recreational landing permit.
    It shall be unlawful to possess aboard or to land from any  private recreational fishing vessel, charter boat, or head boat, any tilefish  or grouper harvested recreationally without first having obtained a Tilefish  and Grouper Landing Permit for that vessel from the Marine Resources  Commission. Such permit shall be completed in full by the vessel owner or  operator, approved by the commissioner or his designee, and a copy shall be  kept with the permittee while tilefish or grouper is in the possession of that  permittee.
    4VAC20-1120-32. Recreational mandatory harvest reporting.
    A. It shall be unlawful for any registered Tilefish and  Grouper Landing Permittee, as described in 4VAC20-1120-31, to fail to fully  report harvests and related information as set forth in this chapter and as  provided by 4VAC20-610-60.
    B. Registered Tilefish and Grouper Landing Permittees  shall complete a daily form that accurately enumerates and legibly describes  that permittee's daily harvest from Virginia tidal and federal waters. The form  used to record daily harvest shall be that provided by the commission or  approved by the commission. 
    C. Registered Tilefish and Grouper Landing Permittees  shall submit a monthly harvest report to the commission no later than the fifth  day of the following month. This report shall be accompanied by the daily  harvest records described in subsection D of this section. Completed forms  shall be mailed or delivered to the commission or other designated locations.
    D. The monthly harvest report and daily harvest records  from registered Tilefish and Grouper Landing Permittees shall include the name  and signature of the registered Tilefish and Grouper Landing Permittee and his  license number; date of harvest; city or county of landing; water body fished;  gear type and amount used; number of hours fished; number of individuals on  board, including captain; species harvested; number of discard by species; live  weight of each individual species harvested; and vessel identification (Coast  Guard documentation number, Virginia license number, or hull/VIN number).
    VA.R. Doc. No. R09-1989; Filed May 29, 2009, 9:36 a.m. 
TITLE 4. CONSERVATION AND NATURAL RESOURCES
MARINE RESOURCES COMMISSION
Final Regulation
    Title of Regulation: 4VAC20-1140. Prohibition of Crab  Dredging in Virginia Waters (amending 4VAC20-1140-20). 
    Statutory Authority: § 28.2-201 of the Code of Virginia.
    Effective Date: June 1, 2009. 
    Agency Contact: Jane Warren, Agency Regulatory  Coordinator, Marine Resources Commission, 2600 Washington Avenue, 3rd Floor,  Newport News, VA 23607, telephone (757) 247-2248, FAX (757) 247-2002, or email  betty.warren@mrc.virginia.gov.
    Summary: 
    The amendments prohibit crab dredging in Virginia's waters  from December 1, 2009, through March 31, 2010. 
    4VAC20-1140-20. Crab dredging prohibited.
    A. The season to use a dredge for catching crabs is closed  In accordance with the provisions of § 28.2-707 of the Code of Virginia, the  crab dredging season of December 1, 2009, through March 31, 2010, is closed,  and it shall be unlawful to use a dredge for catching crabs from the waters of  the Commonwealth during that season.
    B. It shall be unlawful for any person to use a dredge for  catching crabs from the waters of the Commonwealth.
    C. B. The following regulations that pertain to  the crab dredge fishery or activities associated with crab dredging are  repealed:
    4VAC20-40, "Pertaining to Crab Catch Limits"
    4VAC20-90, "Pertaining to Dredging for Crabs"
    4VAC20-270-30 C, Daily Time Limits, "Pertaining to Crabbing"
    4VAC20-750, "Pertaining to Crab Dredge Sales"
    4VAC20-752-30 A, Harvest Restrictions. "Pertaining to  Blue Crab Sanctuaries"
    4VAC20-1090-30 1, Commercial Licenses: Blue Crab Harvesting  and Shedding Licenses--For each boat used for taking or catching hard crabs  with dredges. "Pertaining to Licensing Requirements and License Fees"
    VA.R. Doc. No. R09-1972; Filed May 28, 2009, 1:46 p.m. 
TITLE 4. CONSERVATION AND NATURAL RESOURCES
VIRGINIA SOIL AND WATER CONSERVATION BOARD
Proposed Regulation
    Title of Regulation:  4VAC50-60. Virginia Stormwater Management Program (VSMP) Permit Regulations (amending 4VAC50-60-700, 4VAC50-60-720 through  4VAC50-60-840; adding 4VAC50-60-825; repealing 4VAC50-60-710).
    Statutory Authority: § 10.1-603.2:1 of the Code of  Virginia.
    Public Hearing Information:
    June 30, 2009 - 7 p.m. - Hungry  Mother State Park, Hemlock Haven Conference Center, 380 Hemlock Haven Lane,  Marion, VA
    July 1, 2009 - 7 p.m. - Augusta County Government Center,  Board of Supervisors Meeting Room, 18 Government Center Lane, Verona, VA
    July 7, 2009 - 7 p.m. - City of Manassas, City Council  Chambers, 9027 Center Street, Manassas, VA
    July 9, 2009 - 7 p.m. - City of Hampton, City Council  Chambers, 22 Lincoln Street, 8th Floor, Hampton, VA
    July 14, 2009 - 7 p.m. - Virginia General Assembly Building,  910 Capitol Street, Senate Room B, Richmond, VA
    Public Comments: Public comments may be submitted until  5 p.m. on August 21, 2009.
    Agency Contact: David C. Dowling, Policy, Planning, and  Budget Director, Department of Conservation and Recreation, 203 Governor  Street, Suite 302, Richmond, VA 23219, telephone (804) 786-2291, FAX (804)  786-6141, or email david.dowling@dcr.virginia.gov.
    Basis: The Virginia Stormwater Management Program was  created by Chapter 372 of the 2004 Virginia Acts of Assembly (HB1177).   This action transferred the responsibility for the permitting programs  for Municipal Separate Storm Sewers (MS4s) and construction activities from the  State Water Control Board and the Department of Environmental Quality to the  Virginia Soil and Water Conservation Board and the Department of Conservation  and Recreation.  This federally authorized program is administered in  accordance with requirements set forth in the federal Clean Water Act (33 USC §  1251 et seq.) as well as the Virginia Stormwater Management Act (§ 10.1-603.1  et seq. of the Code of Virginia).
    Section 10.1-603.2:1 of the Code of Virginia speaks to the  powers and duties of the Virginia Soil and Water Conservation Board.  Subdivision 2 of § 10.1-603.2:1 of the Code of Virginia authorizes the Virginia  Soil and Water Conservation Board to delegate to the department or an approved  locality the implementation of the Virginia Stormwater Management Program.  Section 10.1-603.3 of the Code of Virginia (as it will read effective July 1,  2009) requires establishment of stormwater management programs by localities.   The board must amend, modify, or delete provisions of the Virginia  Stormwater Management Program (VSMP) Permit Regulations to allow localities to  implement local stormwater management programs. Additionally, enactment clause  2 of Chapter 18 of the 2009 Virginia Acts of Assembly stipulates that "the  regulation that establishes local program criteria and delegation procedures  and the water quality and water quantity criteria, and that is referenced in  subsections A and B of § 10.1-603.3 of this act, shall not become  effective prior to July 1, 2010."
    In order to properly pay for these local stormwater management  programs and to fund the Department of Conservation and Recreation's necessary  program oversight, the Stormwater Management Act, subdivision 5 of  § 10.1-603.4 of the Code of Virginia allows for the establishment of a  statewide permit fee at a level sufficient to carry out the program. The  current fees will be evaluated and necessary increases or decreases made to  implement this section of the Code of Virginia. Additionally, the Stormwater  Management Act in subdivision 10 of § 10.1-603.4 of the Code of Virginia  allows for the establishment of MS4 fees.
    Also, requirements set forth in the federal Clean Water Act (33  USC § 1251 et seq.), formally referred to as the Federal Water Pollution  Control Act or Federal Water Pollution Control Act Amendments of 1972, P. L.  92-500, as amended by P. L. 95-217, P. L. 95-576, P. L. 96-483, and P. L.  97-117, or any subsequent revisions thereto, and its attendant regulations set  forth in 40 CFR Parts 122, 123, 124 and 125 requires states to establish a  permitting program for the management of stormwater for municipal separate  storm sewer systems (MS4s) and construction activities disturbing greater than  or equal to an acre.
    Purpose: The stormwater management program funded  through the fees authorized pursuant to this regulatory action is necessary to  address water quality within the Commonwealth. Controlling stormwater runoff  and its impacts is a serious issue facing the Commonwealth and its local  governments. Citizens are complaining about flooding caused by increased  amounts of stormwater runoff and the runoff is also reported as a contributor  to excessive nutrient enrichment in numerous rivers, lakes, and ponds  throughout the state, as well as a continued threat to estuarine waters and the  Chesapeake Bay. Numerous studies have documented the cumulative effects of  urbanization on stream and watershed ecology. Research has established that as  impervious cover in a watershed increases, stream stability is reduced, habitat  is lost, water quality becomes degraded, and biological diversity decreases  largely due to stormwater runoff. We recognize that impervious areas decrease  the natural stormwater purification functions of watersheds and increase the  potential for water quality impacts in receiving waters. Additionally, runoff  from managed turf is recognized as a significant source of pollutants.
    The purpose of this proposed action is to develop regulations  that establish statewide stormwater permit fees at a level sufficient to carry  out the stormwater management program per subdivision 5 of § 10.1-603.4 of  the Code of Virginia and to revise the related provisions in the regulations,  as needed, to improve the administration and implementation of fees under the  Virginia Stormwater Management Act (§ 10.1-603.2 et seq. of the Code of  Virginia).
    The fees that are in effect under the current VSMP regulations  were transferred over with the stormwater program from the Department of  Environmental Quality in 2005 and are essentially only minimal processing fees.  These fees are proposed to be amended in this regulatory action, as they are  insufficient for the operation of a local program and for necessary program  oversight.
    •  Per the Code of Virginia, the fees need to be set at  level sufficient to cover expenses associated with all portions of the  administration of the Commonwealth's stormwater management permit program.
    •  The proposed fees are estimated to appropriately cover  the costs of the key elements of administering a stormwater program: plan  review, permit review and issuance, inspections, enforcement, program  administration and oversight, and travel. The permit fee also includes costs  associated with department oversight functions and database management.
    •  The construction fees are based on the area being  disturbed.  Administrative expenses routinely increase with the size of  the project. When the higher fees are put on a per lot basis, they do not  result in a large increase per lot. Such increases will most likely be passed  on to the consumer as part of doing business.
    •  The annual maintenance fees have been established to  allow local programs to recoup inspection and enforcement expenses for a  project that has not been completed and terminated within the first year.  Additionally, modification fees are added to allow a local program to recover  expenses associated with significant plan modifications that require review.
    •  The CPI-U annual increase was added to provide a  mechanism to ensure that fees keep pace with the costs of doing business.
    •  Localities may establish lower construction fees for  their program if they can demonstrate their ability to fully and successfully  implement a qualifying program at a lower rate or from a different funding  source.
    •  The municipal separate storm sewer system (MS4) fees  have been set at a level sufficient to provide oversight to regulated entities  MS4 programs and to allow for implementation plan review, report review, and  enforcement.
    The fees are necessary, as the sole funding source, to support  work to minimize the cumulative impacts of stormwater on humans and the  environment and to moderate the associated hydrologic impacts. If not properly  managed, stormwater can have significant economic impacts and the stream  restoration costs to fix the problems after the fact are very costly. Without  the fees generated through this regulatory action, local programs could not be  properly administered.
    This action is necessary to establish sufficient fees to fund  the implementation and oversight of stormwater management programs by both  localities and the Department of Conservation and Recreation. Such stormwater  management programs are being established through a parallel regulatory action  (Parts I, II, and III) and are essential to protect the general health, safety,  and welfare of the citizens of the Commonwealth from the potential harm of  unmanaged stormwater.
    Substance: This proposed regulatory action establishes a  statewide fee schedule for stormwater management and state agency projects and  establishes the fee assessment and the collection and distribution systems for  those fees.
    •  Construction permit fees are proposed to be  established at a level to allow a local program to cover stormwater program  costs associated with plan review, permit review and issuance, inspections,  enforcement, program administration and oversight, and travel. Fees also  include costs associated with department oversight functions and database  management.
    •  50% of the construction fees are due upon application  and the remaining 50% at issuance of coverage.
    •  The construction fees are split 72% to the local  program and 28% to the department.
    •  Localities may establish lower construction fees for  their program if they can demonstrate their ability to fully and successfully  implement a qualifying program at a lower rate or from a different funding  source.
    •  The construction fees shall be periodically assessed  and revised as necessary through regulatory actions.
    •  Permit fees are established for:
    Municipal Separate Storm Sewer Systems new coverage  (Individual and General Permit)
    Municipal Separate Storm Sewer Systems major modifications  (Individual)
    Construction activity coverage (Individual and General Permit)  (based on project acreage)
    Construction activity modifications or transfers (Individual  and General Permit) (For those permits that require significant additional  administrative expenses such as additional plan reviews, etc.)
    MS4 and Construction activity annual permit maintenance fees  (Individual and General Permit) (For those projects that have not been completed  and terminated within a year, allows for recovery in the out years of expenses  associated with inspection, enforcement, etc.)
    •  Allows for an annual increase in fees based on the  CPI-U.  (Not to exceed 4.0% per annum without formal action by the board.)
    Issues: The primary advantage of this regulatory change  for the public is an enhanced statewide stormwater management program that will  be properly funded and administered at the local level. This will result in  improved compliance with the VSMP regulations and thus improved water quality.  The regulated community will also benefit from properly funded and staffed  local stormwater management programs, as local administration will improve  efficiency and service over today's scenario of erosion and sediment control  being administered by the locality and stormwater management being administered  by the department. By developing the fee structure based upon the estimated  actual costs of administering a local stormwater management program, there is  not expected to be any disadvantage to localities or to the department from the  fees associated with permits for construction activities.
    The primary disadvantage of this proposed regulation is  increased permit fees for the regulated community. Today's fees for permits  associated with construction activities are set at levels insufficient to  support the vast majority of responsibilities associated with administering a  stormwater management program. The fees proposed by this regulatory action,  while in many cases are higher than the current fees, will allow for proper  funding of permit oversight and service. In addition to the increased proposed  initial issuance permit fees, annual maintenance fees have been created for the  Construction General Permit (by acreage), and for the Construction Individual  Permit.
    The fees proposed by this regulatory action for municipal  separate storm sewer systems (MS4s) are, like the construction activity  permitting fees, based on the estimated actual costs of permit administration.  For Large and Medium MS4s (Individual Permit), the estimation has resulted in a  lower proposed initial issuance permit fee than currently exists. For Small MS4  Individual Permit and for the Small MS4 General Permit, the proposed  regulations do include an increased fee. Additionally, MS4 annual maintenance  fees have been increased for the MS4 Individual Permit (Large and Medium) and  the MS4 Individual Permit (Small) and created for the MS4 General Permit.
    The Department of Planning and Budget's Economic Impact Analysis:
    Summary of the Proposed Amendments to Regulation. The Virginia  Stormwater Management Program was created by Chapter 372 of the 2004 Virginia  Acts of Assembly (HB1177). This transferred the responsibility for the  permitting programs for Municipal Separate Storm Sewers (MS4s) and construction  activities from the State Water Control Board and the Department of  Environmental Quality to the Virginia Soil and Water Conservation Board and the  Department of Conservation and Recreation.  This federally-authorized  program is administered in accordance with requirements set forth in the  federal Clean Water Act (33 USC § 1251 et seq.) as well as the Virginia  Stormwater Management Act (§ 10.1-603.1 et seq.).
    In a separate action, the Virginia Soil and Water Conservation  Board (Board), with the assistance of the Virginia Department of Conservation  and Recreation (DCR), proposes a comprehensive revision of Virginia's  regulations regarding the control and treatment of stormwater runoff from land  development activities. The Board proposes to amend the technical criteria  applicable to stormwater discharges from construction activities, establishes  minimum criteria for locality-administered stormwater management programs  (qualifying local programs) and Department of Conservation and Recreation  (Department) administered local stormwater management programs, as well as  authorization procedures and review procedures for qualifying local programs,  and amends the definitions section applicable to all of the Virginia Stormwater  Management Program (VSMP) regulations.
    With regard to technical criteria applicable to stormwater  discharges from construction activities, revised water quality and water  quantity requirements are proposed to be included in Part II of the  regulations. Water quality requirements include a 0.28 lbs/acre/year phosphorus  standard for new development, a requirement that total phosphorus loads be  reduced to an amount at least 20% below the pre-development phosphorus load on  prior developed lands, and a requirement that control measures be installed on  a site to meet any applicable wasteload allocation. Water quantity requirements  include both channel protection and flood protection criteria. This action  would also establish the minimum criteria and ordinance requirements (where  applicable) for a Virginia Soil and Water Conservation Board (Board) authorized  qualifying local program (Part IIIA) or for a Board-authorized  Department-administered local stormwater management program (Part IIIB) which  include, but are not limited to, administration, plan review, issuance of   coverage under the General Virginia Stormwater Management Program (VSMP) Permit  for Discharges of Stormwater from Construction Activities, inspection,  enforcement, reporting, and recordkeeping. Part IIID establishes the procedures  the Board will utilize in authorizing a locality to administer a qualifying  local program. Part IIIC establishes the criteria the Department will utilize  in reviewing a locality's administration of a qualifying local program.
    Finally, the proposed action would make changes to definitions  in Part I, which is applicable to the full body of the VSMP regulations.  Unnecessary definitions are proposed to be deleted, needed definitions are  proposed to be added, and many existing definitions are proposed to be updated.
    This proposed action, which accompanies the aforementioned  action, establishes a statewide fee schedule for stormwater management and  state agency projects and establishes the fee assessment and the collection and  distribution systems for those fees. Permit fees are established for: Municipal  Separate Storm Sewer Systems (new coverage); Municipal Separate Storm Sewer  Systems (major modifications); Construction activity general permit coverage;  Construction activity individual permits, Construction activity modifications  or transfers; and MS4 and Construction activity annual permit maintenance fees.
    Note: most of the following analysis was directly taken from a  report produced by Professor Kurt Stephenson of Virginia Tech and Bobby Beamer  of BBeamer LLC. 1
    Result of Analysis. The benefits exceed the costs for one or  more proposed changes. The costs likely exceed the benefits for one or more  other proposed changes.
    Estimated Economic Impact. The Board proposes modifications to the  existing stormwater water quantity and quality requirements that will be  applied to every land disturbing activity not exempted by state law  (§ 10.1-603.8B).2 Land disturbing activity subject to this  regulation generally includes disturbances of 2,500 square feet or more in the  Chesapeake Bay Preservation Act areas and disturbances of an acre or more  elsewhere in the state (with some smaller areas included when a part of a  larger common plan of development or sale).
    The proposed regulations establish statewide water quality  design criteria for land disturbing activities. For new land development  projects, water quality plans must be designed so that the total phosphorus  load shall not exceed 0.28 pounds per acre per year (4VAC50-60-63). The  phosphorus load criterion was derived from Chesapeake Bay Tributary Strategies  and reductions needed to achieve Bay-wide nutrient reductions derived from the  Chesapeake Bay 2000 Agreement. The 0.28/lb/yr phosphorus design criteria  represents the average per acre edge of field loading from agriculture, forest  and mixed open land uses (estimated from Chesapeake Bay Program watershed  model) if the 2005 tributary strategies input deck was fully implemented. For  development that occurs on prior developed land, the designs must allow for the  total phosphorus loads to be reduced by 20% below predevelopment levels. While  the Chesapeake Bay Tributary Strategies called for phosphorus reductions  exceeding 40%, a lower water quality criteria for redevelopment was chosen 1)  to achieve additional load reductions from urban areas over existing  regulations, and 2) to avoid higher barriers to redevelopment. No explicit  sediment or nitrogen water quality design criteria were established because it  was determined that the stormwater management practices used to achieve the  necessary phosphorus reductions would also result in reductions of nitrogen,  sediment, and other potential pollutants.
    Compliance is determined by implementing control practices  outlined in 4VAC50-60-65. The revisions provide three general ways to reduce  phosphorus loads: 1) managing land use conversion (forest, turf, and impervious  cover), 2) reducing runoff volumes, and 3) treatment of stormwater runoff. An  initial list of best management practices that can be used to achieve the  phosphorus criteria are listed in 4VAC50-60-65B. Other BMPs available to comply  with the stormwater requirements are listed on the new Virginia Stormwater BMP  Clearinghouse website (http://www.vwrrc.vt.edu/swc). The removal efficiency of  each BMP includes phosphorus removal from treating the pollutant concentration  in the stormwater as well as the percent removal achieved by preventing runoff  from occurring (based upon 1 inch of rainfall, 90% storm). The addition of the  runoff reduction potential of individual stormwater control practices reflects  a substantive change over the existing regulation. Similar to existing  practice, the calculation of phosphorus loads is based primarily on the  "simple method" (see Virginia Stormwater Handbook) that relates  phosphorus load to total impervious surface. The simple method calculation,  however, is modified by adding phosphorus loading coefficients for turf and  forest land cover. To assist in determining compliance, DCR has also developed  an Excel stormwater compliance spreadsheet.
    Water quantity control requirements (4VAC50-60-66) establish  minimum standards for downstream flood protection and stream channel  protection. The proposed regulation establishes different criteria based on the  condition of the existing stormwater conveyance systems. Four general  classifications of conveyance systems are identified: 1) man-made conveyance  systems, 2) restored streams (designed to restore natural steam channels), 3)  stable natural stream channels, and 4) unstable natural stream channels. For  stream channel protection, general water quantity criteria are (4VAC50-60-66A):
    •  Man-made conveyance: stormwater releases following  land disturbing activity conveys post-development peak flow from 2-year,  24-hour storm without causing erosion.
    •  Restored stream channel: runoff following land  disturbing activity will not exceed design of the restored stormwater  conveyance system or result in instability of that system.
    •  Stable natural stream channel: will not become  unstable as a result of the peak flow from the 1-year, 24-hour storm and  provides a developed peak flow rate equal to the pre-developed flow rate times  the pre-developed runoff volume divided by the developed runoff volume.
    •  Unstable natural steam channel: runoff following a  land-disturbing activity shall be released into a channel at or below a peak  developed flow rate based on the 1-year 24-hour storm where the developed peak  flow rate is equal to the peak flow rate from the site in a forested condition  times the volume of runoff from the site in a forested condition divided by the  developed runoff volume.
    For flood protection, general water quantity criteria are  (4VAC50-60-66B):
    •  Man-made conveyance must confine the post development  peak flow rate from the 10-year, 24-hour storm.
    •  Restored stream channel: Peak flow rate from the  10-year, 24-hour storm following the land disturbance will be confined within  the system.
    •  Natural stream channel that does not currently flood  during a 10-year, 24-hour storm: Post development peak flow from the 10-year,  24-hour storm is confined within the system.
    •  Natural steam channel where localized flooding exists  during a 10-year, 24-hour storm: Post development peak flow rate for 10-year,  24-hour storm shall not exceed predevelopment peak flow from the area under  forested conditions.
    These criteria do not have to be met under certain conditions  where the land disturbance is small relative to the size of the drainage area  or results in small contributions to overall peak flow (4VAC50-60-66 C). It is  also possible that runoff volume reduction achieved through the implementation  of water quality control practices would be sufficient to reduce or avoid the  need for water quantity controls.
    The proposed regulation allows, in certain situations, water  quality and quantity objectives to be met offsite from the disturbed site.  4VAC50-60-65 F and G allow land disturbers to meet water quality criteria  off-site. Specifically, the proposed regulations provide that off-site controls  "shall achieve the required pollutant reductions either completely  off-site in accordance with the plan or in a combination of on-site and  off-site controls." In localities with an approved comprehensive watershed  management plan (4VAC50-60-96), offset activities can occur within the same  Hydrologic Unit Code (HUC)3 or any locally designated watershed.  Without such a plan, offsite controls may be allowed, but must be located  within the same HUC or adjacent downstream HUC to the land disturbing site  (4VAC50-60-65 G 4). In addition, water quantity objectives could also be met  offsite if a locality has a Board approved watershed stormwater management plan  and equivalent off-site reductions are demonstrated. In areas with approved  watershed plans, localities are also permitted to develop a pro rata fee  program. Such a program allows land disturbers to pay a per unit fee ($ per  pound of P) to meet all or a portion of a regulatory requirement. Fee funds  must be used, by Virginia Code requirements (§ 15.2-2243), to fund actions to  achieve equivalent results offsite. Local programs administered by DCR would  not have a fee system and must confine water quality offset activities within,  or adjacent to, the impacted HUC. Additionally, the regulations also provide  for a request for an exception that may be granted by a local program in  accordance with 4VAC50-60-122.
    Linear (road) projects are also subject to the water quality  and quantity requirements (4VAC50-60-76). Unless exempt from § 10.1-603.8  B, linear development projects shall "control post-development stormwater  runoff in accordance with a site-specific stormwater management plan or a  comprehensive watershed stormwater management plan developed in accordance with  these regulations."
    The proposed regulations also require a stormwater management  plan for land disturbing activities. The plan applies the water quality and  quantity technical criteria to the land disturbance (4VAC50-60-93).
    Program Administration and Permitting: The proposed regulation  establishes the requirements for local governments that are required to assume  the primary authority to administer the provisions of the proposed regulations  as well as for those localities that may elect to administer a program  (4VAC50-60-104). DCR's aim is to encourage local governments (counties, cities,  and towns) that are not required to administer a program to voluntarily assume  this responsibility. Local governments developing a qualifying program must  administer the stormwater program in accordance with general criteria outlined  in Part III A. In general, a local qualifying program must provide technical  criteria to be used in the qualifying local program; procedures for the  submission and approval of stormwater management plans (4VAC50-60-108);  assessment and collection of fees; inspection and monitoring of land disturbing  activities (generally 4VAC50-60-114); procedures and policy for long-term  inspection and maintenance of stormwater facilities (4VAC50-60-124); reporting  and record keeping (4VAC30-60-126); and enforcement (4VAC30-60-116).
    If the local government elects not to administer a program, DCR  is required to assume the basic responsibilities of program implementation and  administration described above (Part III B).
    The regulations also define state oversight responsibilities  for the Board and DCR. 4VAC50-60-159 describes the general procedure and  requirements the Board must use for authorizing a locality to administer a  stormwater management program. Once a locality is approved to administer a  stormwater management program, 4VAC50-60-157 describes Board oversight of that  program. The Board must review all administered stormwater programs a minimum  of once every 5 years (including those administered by DCR). The review will  generally consist of reviewing approved site development plans, inspection and  enforcement activities, and fee accounting practices. The Board is authorized  to pursue corrective actions for noncompliant local programs.
    Summary of the estimated economic impact. The proposed  revisions to Virginia stormwater regulations will likely produce improvements  in the condition of receiving waters. The new emphasis on reducing runoff  volumes can produce important benefits related to the condition of aquatic  habitat by reducing the energy pulses produced during storm events. New water  quantity control requirements also provide benefits in terms of additional  flood protection and in-stream aquatic protection. Acknowledging and accounting  for the runoff reduction potential of many types of stormwater control practices  will increase compliance options and increase the effectiveness of state  stormwater regulations.
    The proposed regulatory revisions also impose more stringent  stormwater water quality criteria. The proposed stormwater regulatory revisions  will produce additional reductions in phosphorus and other effluent loads  produced from urban land conversion (land use change to impervious cover and  turf). Achieving additional improvements in the quality of stormwater will  impose new costs on land development activities. In development case examples,  the new water quality and quantity standards could be achieved on the  development site. The cost of incremental reductions in nutrient loads from the  application of stormwater controls, however, is high relative to other nutrient  removal options. Uncertainties exist over the long-term cost and effectiveness  of many stormwater control practices. The cost of achieving additional nutrient  reductions in highly urban settings and other areas with site specific  constraints is still uncertain but potentially high. The off-site and pro-rata  provisions in the regulation offer opportunities to lower costs and enhance  benefits to affected watersheds if properly implemented. The total incremental  costs to the state of implementing additional stormwater control practices to  meet the proposed regulatory changes could not be estimated at this time.
    The proposed revisions apply the same water quality and  quantity criteria across the entire state. New proposed stormwater water  quality criteria was based on estimates of the nutrient reductions needed to  achieve reductions called for in the Chesapeake Bay Tributary Strategies.  Economic efficiency of the proposed regulation could be improved by applying  differential water quality criteria in watersheds across the state based on the  relative water quality benefits that can be achieved.
    The proposed regulation will produce improvements in the  stormwater permitting structure and will strengthen the administrative tools  localities need to implement stormwater programs. While the proposed changes  will increase the number and type of control practices that can be used, these  changes will also increase the sophistication and resources needed for  stormwater design and program administration. The greater expected use of  smaller scale distributed practices could increase the costs of local  stormwater management, particularly in terms of ensuring the long-term  maintenance and performance of stormwater control practices over time. The  local and state government cost to administer local stormwater programs will  increase (rough estimates range between $13 and $17.5 million, but estimates  are not final). State agency cost (DCR) for overall program administration will  be a minimum of $3 million per year (estimates are not yet final). These costs  are expected to be partially to fully covered by additional fees imposed on  land disturbing permit applicants.
    This proposed action includes the following fees per permit:
           | Project Size | Fee per Permit | 
       | Greater than or equal to 2,500 sq. ft. & less than 0.5    acres | $290 | 
       | Greater than or equal to 0.5 acres & less than 1 acre | $1,500 | 
       | Greater than or equal to 1 acre & less than 5 acres | $2,700 | 
       | Greater than or equal to 5 acres & less than 10 acres | $3,400 | 
       | Greater than or equal to 10 acres & less than 50 acres | $4,500 | 
       | Greater than or equal to 50 acres & less than 100 acres | $6,100 | 
       | Greater than or equal to 100 acres  | $9,600  | 
  
    Based on information supplied by DCR and their own  investigation, Stephenson and Beamer project a future average of 5,600 permits  per year.  Looking at a lower bound estimate of 3,000 permits, best  estimated average of 5,600 permits, and an upper bound of 7,000 permits,  Stephenson and Beamer estimate that the total annual permit fees collected  would be approximately $9 million, $18 million, and $22 million,  respectively.  DCR would retain about 28 percent of those funds, with the  rest going to local governments.  
    Further detail on estimated costs and benefits can be found in  Stephenson and Beamer report, which is Appendix B in the Agency Background  Document associated with this proposed action.
    Businesses and Entities Affected. The general public and businesses  throughout the Commonwealth benefit from additional stream channel and flood  protection.  Commercial and recreational fisheries benefit from improved  water quality.  Cleaner waters also benefit tourism-based businesses.
    The proposed regulation revises water quality and quantity  control requirements for land disturbing activities. As such, the proposed  regulations will directly impact private land developers, public land  developers, businesses, and homeowners. Virginia residents will also likely pay  for the higher costs associated with local stormwater program requirements.4
    Public agencies (such as state colleges and universities, state  agencies, and municipalities) involved in public works and construction  projects will also be required to comply with these requirements. 
    The direct expenditures (costs) associated with implementing  the proposed stormwater requirements may increase upon the current demand for  stormwater design and construction services. The comprehensive nature of the  regulations and the additional technical requirements will necessitate the  greater use of environmental consultants and engineers to design stormwater  plans and oversee the implementation of stormwater practices. Businesses  providing construction and earthmoving services will also be impacted.
    Local governments and DCR are clearly affected by the changes  in requirements as well. 
    Localities Particularly Affected. All Virginia localities are  significantly affected by the proposed amendments.
    Projected Impact on Employment. Since the comprehensive nature  of the regulations and the additional technical requirements will necessitate  the greater use of environmental consultants and engineers to design stormwater  plans and oversee the implementation of stormwater practices, there will likely  be more demand for their services and some increase in the value of associated  firms.
    Effects on the Use and Value of Private Property. Since the  comprehensive nature of the regulations and the additional technical  requirements will necessitate the greater use of environmental consultants and  engineers to design stormwater plans and oversee the implementation of  stormwater practices, there will likely be more demand for their services and  some increase in the value of associated firms. Cleaner water may also add to  the profitability of some commercial fisheries. Also, increased demand for  stormwater design and construction services may result in higher value in some  associated firms.
    Private land developers across the state may face increased  land development costs associated with these new regulations in many  situations. A portion of those costs will be passed down to buyers of newly  constructed properties, homeowners and businesses. Although maintenance of  stormwater control facilities should be conducted under today's regulations,  many commercial property owners and some residential property owners across the  state may still face higher long-term costs associated with maintenance of  stormwater control facilities because of the potential for the installation of  a greater number of these facilities to meet the proposed requirements and  higher maintenance costs associated with some types of BMPs. Virginia residents  will also likely pay for the higher costs associated with local stormwater  program requirements.
    Small Businesses: Costs and Other Effects. Numerous small  businesses, particularly those involved in aquaculture and tourism, will  benefit from improved water quality. Those and other firms will benefit from  reduced flooding risk. As alluded to above, stormwater design and construction  services and environmental consultants and engineers will likely encounter  greater demand for their services.
    On the other hand, private land developers will face increased  land development costs associated with these amended regulations, and a portion  of those costs will be passed down to buyers of newly constructed properties  including small businesses.
    Small Businesses: Alternative Method that Minimizes Adverse  Impact. This proposed action concerns the fee schedule associated with the  proposed comprehensive revision of Virginia's regulations regarding the control  and treatment of stormwater runoff from land development activities. Reducing  the burden of the fees on small businesses would necessitate shifting the burden  to other entities. If all aspects of the associated proposed comprehensive  revision of Virginia's regulations regarding the control and treatment of  stormwater runoff from land development activities are kept, then there is no  clear alternative method that minimizes the adverse impact on small businesses  that would not in turn just be a shifting of a commensurate burden to other  entities.
    Real Estate Development Costs. The proposed additional fees  imposed on land disturbing permit applicants will commensurately increase real  estate development costs.
    Legal Mandate. The Department of Planning and Budget (DPB) has  analyzed the economic impact of this proposed regulation in accordance with  § 2.2-4007.04 of the Administrative Process Act and Executive Order Number  36 (06). Section 2.2-4007.04 requires that such economic impact analyses  include, but need not be limited to, the projected number of businesses or  other entities to whom the regulation would apply, the identity of any  localities and types of businesses or other entities particularly affected, the  projected number of persons and employment positions to be affected, the  projected costs to affected businesses or entities to implement or comply with  the regulation, and the impact on the use and value of private property.  Further, if the proposed regulation has adverse effect on small businesses,  § 2.2-4007.04 requires that such economic impact analyses include (i) an  identification and estimate of the number of small businesses subject to the  regulation; (ii) the projected reporting, recordkeeping, and other  administrative costs required for small businesses to comply with the  regulation, including the type of professional skills necessary for preparing  required reports and other documents; (iii) a statement of the probable effect  of the regulation on affected small businesses; and (iv) a description of any  less intrusive or less costly alternative methods of achieving the purpose of  the regulation. The analysis presented above represents DPB's best estimate of  these economic impacts.
    _________________________________
    1 Stephenson, K. and  B. Beamer. December 31, 2008, "Economic Impact Analysis of Revisions to  the Virginia Stormwater Regulation," Appendix B in the Agency Background  Document associated with this proposed action.
    2 Exemptions under  this regulation include land-disturbing activities generally associated with  agricultural, forest, and mining activities (§ 10.1-603.8 B). Road  projects may also be exempted if certain minimal impacts can be demonstrated.
    3 Hydrologic Unit Code"  or "HUC" means a watershed unit established in the most recent  version of Virginia's 6th Order National Watershed Boundary Dataset. Sixth  order HUC range in size from 10,000 to 40,000 acres. See  http://www.dcr.virginia.gov/soil_&_water/hu.shtml
    4 For localities with  stormwater utilities, the increase in cost for stormwater control facilities  long-term maintenance may be paid for by higher fees. Other localities would  have to cover the higher costs through existing local and state revenue  sources.
    Agency's Response to the Department of Planning and Budget's  Economic Impact Analysis: The Department of Conservation and Recreation  (DCR) has reviewed the economic impact analysis (EIA) of the Virginia Soil and  Water Conservation Board's proposed amendments to Part XIII of the Virginia  Stormwater Management Program (VSMP) Permit Regulations (4VAC50-60) prepared by  the Department of Planning and Budget (DPB) and generally concurs with the fee  assessment while offering the following specific observations and or  qualifications.
    First, DCR notes that this action is closely tied to the  proposed Part I, II, and III stormwater regulatory action as the fees generated  are necessary to fund the local stormwater management programs established  through that concurrent regulatory action. The fees that are in effect under  the current VSMP regulations were transferred over with the stormwater program  from the Department of Environmental Quality in 2005 and are essentially only  minimal processing fees. The existing fees are proposed to be amended in this  regulatory action as they are insufficient for the operation of a local program  and for necessary program oversight. The proposed fees have been established  using estimates of the time determined to be necessary for different sized  projects for a local stormwater management program to conduct plan review,  inspections (including stormwater pollution prevention plan (SWPPP) review and  re-inspections), and enforcement; provide technical assistance; and issue  permit coverage, and for DCR to provide oversight of the Commonwealth's  stormwater management program. The public will benefit from an enhanced  statewide stormwater management program that will be properly funded and  administered at the local level. This will result in improved compliance with  the VSMP regulations and thus improved water quality. The regulated community  will also benefit from properly funded and staffed local stormwater management  programs, as local administration will improve efficiency and service over  today's scenario of erosion and sediment control being administered by the  locality and stormwater management being administered by the department. DCR  also notes that a wealth of additional information regarding the proposed fees  in this regulatory action, including how they are calculated, is presented in  the detailed Agency Statement document (TH-02 form) accompanying this  regulatory action.
    Second, the EIA specifies that "[b]ased on information  supplied by DCR and their own investigation, Stephenson and Beamer1 project  a future average of 5,600 permits per year. Looking at a lower bound estimate  of 3,000 permits, best estimated average of 5,600 permits, and an upper bound  of 7,000 permits, Stephenson and Beamer estimate that the total annual permit  fees collected would be approximately $9 million, $18 million, and $22 million,  respectively." DCR spent considerable time in its analyses in the Agency  Statement refining the estimate of the number of permits that are expected to  be issued when the regulations are implemented and the revenue that would need  to be generated to cover program costs. DCR, after taking the data from several  sources under consideration and the significantly slowing economy, and  recognizing that an overestimate of the permits to be expected in the future  could lead to severe revenue shortfalls and an inability of both localities and  the department to cover program administration costs (if proposed permit fees  were further lowered), selected 5,000 permits as a reasonable estimate of the  number of expected permits annually going forward (unless there is further  erosion of the economy). This calculation is fundamental to both local and  state staffing calculations as well as the right-sizing of the proposed fees to  cover costs. DCR estimates that the revenue from the proposed fees will be  approximately $14.7 million to be used by localities to administer 103 local  stormwater management programs and by DCR to administer 74 local stormwater  management programs (consolidation of 222 localities) as well as to conduct  construction program oversight and MS4 program management.  The estimated  fee revenue generated compares closely with the $14.9 million estimate in  combined program administration costs.
    Finally, DCR emphasizes that the proposed fees are necessary,  as the sole funding source, to support work to minimize the cumulative impacts  of stormwater on humans and the environment and to moderate the associated  hydrologic impacts. If not properly managed, stormwater can have significant  economic impacts and the stream restoration costs for fixing the problems after  the fact are very costly. Without the fees generated through this regulatory  action, local programs could not be properly administered. Per the Code, the  fees need to be set at level sufficient to cover expenses associated with all  portions of the administration of the Commonwealth's stormwater management  permit program.
    ______________________________________
    1 Stephenson, K. and  B. Beamer. December 31, 2008, "Economic Impact Analysis of Revisions to  the Virginia Stormwater Regulation," Appendix B in the Agency Background  Document associated with this proposed action.
    Summary:
    This proposed regulatory action establishes a statewide fee  schedule for stormwater management and state agency projects and establishes  the fee assessment and the collection and distribution systems for those  fees.  Permit fees are established for: Municipal Separate Storm Sewer  Systems (new coverage); Municipal Separate Storm Sewer Systems (major  modifications); Construction activity general permit coverage; Construction  activity individual permits; Construction activity modifications or transfers;  and MS4 and Construction activity annual permit maintenance fees.
    This action is closely tied to the proposed Parts I, II,  and III action of this chapter as the fees generated are necessary to fund the  local stormwater management programs established through that concurrent  regulatory action.  The fees have been established using estimates of the  time determined to be necessary for different sized projects for a local  stormwater management program to conduct plan review, for inspections  (including stormwater pollution prevention plan (SWPPP) review and  re-inspections), for enforcement, to provide technical assistance, to issue  permit coverage, and for the Department of Conservation and Recreation to  provide oversight of the Commonwealth's stormwater management program.
    The necessary proposed permit fee levels were arrived at  through discussions of a subcommittee of the technical advisory committee and  discussions with the overall technical advisory committee and through  corroboration of the costs of conducting the various components of program  implementation with Department of Conservation and Recreation stormwater field  staff and with local government program personnel.
    Part XIII 
  Fees 
    4VAC50-60-700. Purpose.
    Sections 10.1-603.4 and 10.1-603.5 of the Code of Virginia  authorize the establishment of a statewide fee schedule for stormwater  management and state agency projects for land-disturbing activities  and for municipal separate storm sewer systems. These regulations in  this This part establish establishes the fee  assessment and the collection system and distribution systems  for those fees. The fees associated with individual permits or coverage  under the General Permit for Discharges of Stormwater From Construction  Activities (permits for stormwater management for land-disturbing activities)  issued by a qualifying local program or a department-administered local  stormwater management program that has been approved by the board shall include  costs associated with plan review, permit review and issuance, inspections,  enforcement, program administration and oversight, and database management.  Fees shall also be established for permit maintenance, modification, and  transfer.
    Should a qualifying local program demonstrate to the board  its ability to fully and successfully implement a qualifying local program  without a full implementation of the fees set out in this part, the board may  authorize the administrative establishment of a lower fee for that program  provided that such reduction shall not reduce the amount of fees due to the  department for its program oversight and shall not affect the fee schedules set  forth herein.
    As part of its program oversight, the department shall  periodically assess the revenue generated by both the localities and the  department to ensure that the fees have been appropriately set and the fees may  be adjusted through periodic regulatory actions should significant deviations  become apparent. The department may make such periodic adjustments in addition  to the annual fee increases authorized by 4VAC50-60-840.
    4VAC50-60-710. Definitions. (Repealed.)
    The following words and terms used in this chapter have  the following meanings: 
    "Permit applicant" means for the purposes of  this part any person submitting a permit application for issuance, reissuance,  or modification, except as exempted by 4VAC50-60-740, of a permit or filing a  registration statement or permit application for coverage under a general  permit issued pursuant to the Act and this chapter. 
    "Permit application" means for the purposes of  this part the forms approved by the Virginia Soil and Water Conservation Board  for applying for issuance or reissuance of a permit or for filing a  registration statement or application for coverage under a general permit  issued in response to the Act and this chapter. In the case of modifications to  an existing permit requested by the permit holder and not exempted by  4VAC50-60-740, the application shall consist of the formal written request and  any accompanying documentation submitted by the permit holder to initiate the  modification. 
    4VAC50-60-720. Authority. 
    The authority for this part is pursuant to §§ 10.1-604.4  §§ 10.1-603.4 and 10.1-603.4:1 of the Code of Virginia and enactment  clause 7 governing the transfer of the relevant provisions of Fees for Permits  and Certificates Regulations, 9VAC25-20, in accordance with Chapter 372 of the  2004 Virginia Acts of Assembly. 
    4VAC50-60-730. Applicability. 
    A. This part applies to: 
    1. All permit applicants for issuance of persons  seeking coverage of a MS4 under a new permit or reissuance of an  existing permit, except as specifically exempt under 4VAC50-60-740 A. The  fee due shall be as specified under 4VAC50-60-800 or 4VAC50-60-820. 
    2. All permittees operators who request that an  existing MS4 individual permit be modified, except as specifically  exempt under 4VAC50-60-740 A 1 of this chapter. The fee due shall be as  specified under 4VAC50-60-810. 
    3. All persons seeking coverage under the General Permit  for Discharges of Stormwater From Construction Activities or a person seeking  an Individual Permit for Discharges of Stormwater From Construction  Activities.  The fee due shall be as specified under 4VAC50-60-820.
    4. All permittees who request modifications to or transfers  of their existing registration statement for coverage under a General Permit  for Discharges of Stormwater From Construction Activities or of an Individual  Permit for Discharges of Stormwater From Construction Activities.  The fee  due shall be as specified under 4VAC50-60-825 in addition to any additional  fees necessary pursuant to 4VAC50-60-820 due to an increase in acreage.
    B. An applicant for a permit involving a permit that is to  be revoked and reissued Persons who are applicants for an individual  VSMP Municipal Separate Stormwater Sewer System permit as a result of existing  permit revocation shall be considered an applicant for a new permit. The  fee due shall be as specified under 4VAC50-60-800. 
    Persons whose coverage under the General Permit for  Discharges of Stormwater From Construction Activities has been revoked shall  reapply for an Individual Permit for Discharges of Stormwater From Construction  Activities.  The fee due shall be as specified under 4VAC50-60-820.
    C. Permit and permit coverage maintenance fees may  apply to each Virginia Stormwater Management Permit (VSMP) permit holder. The  fee due shall be as specified under 4VAC50-60-830. 
    4VAC50-60-740. Exemptions.
    A. No permit application fees will be assessed to: 
    1. Permittees who request minor modifications or minor  amendments to permits as defined in 4VAC50-60-10 or other minor  amendments at the discretion of the local stormwater management program. 
    2. Permittees whose permits are modified or amended at the  initiative of the permit-issuing authority. This does not include errors in  the registration statement identified by the local stormwater management  program or errors related to the acreage of the site. 
    B. Permit modifications at the request of the permittee  resulting in changes to stormwater management plans that require additional  review by the local stormwater management program shall not be exempt pursuant  to this section and shall be subject to fees specified under 4VAC50-60-825.
    4VAC50-60-750. Due dates for Virginia Stormwater Management  Program (VSMP) Permits. 
    A. Permit application fees for all new permit applications  are due on the day a permit application is submitted and shall be Requests  for a permit, permit modification, or general permit coverage shall not be  processed until the fees required pursuant to this part are paid in  accordance with 4VAC50-60-760. Applications will not be processed without  payment of the required fee. 
    B. A permit application fee is due on the day a permit  application is submitted for a major modification that occurs (and becomes  effective) before the stated permit expiration date. There is no application  fee for a major modification or amendment that is made at the permit-issuing  authority's initiative. 
    C. Permit B. Individual permit or general permit  coverage maintenance fees shall be paid annually to the permit-issuing  authority by October 1 of each year department or the qualifying local  program, as applicable, by the anniversary date of individual permit issuance  or general permit coverage. No permit will be reissued or automatically  continued without payment of the required fee. Individual permit or general  permit coverage maintenance fees shall be applied until a Notice of Termination  is effective.
    MS4 individual operators who currently pay a permit  maintenance fee that is due by October 1 of each year shall continue to pay the  maintenance fee by October 1 until their current permit expires. Upon  reissuance of the MS4 individual permit, maintenance fees shall be paid on the  anniversary date of the reissued permit.
    Effective April 1, 2005, any permit holder whose permit is  effective as of April 1 of a given year (including permits that have been  administratively continued) shall pay the permit maintenance fee or fees to the  permit-issuing authority by October 1 of that same year. 
    4VAC50-60-760. Method of payment. 
    A. Fees, as applicable, shall be, at the discretion  of the department, submitted electronically or be paid by check, draft,  or postal money order payable to:
    the 1. The Treasurer of Virginia, for a MS4  individual or general permit or for a coverage issued by the department under  the General Permit for Discharges of Stormwater From Construction Activities or  Individual Permit for Discharges of Stormwater From Construction Activities,  to the permit-issuing authority, and must be in U.S. currency, except  that agencies and institutions of the Commonwealth of Virginia may submit  Interagency Transfers for the amount of the fee. To pay electronically, go  to the Department of Conservation and Recreation's stormwater management  section of the Department's public website at http://www.dcr.virginia.gov. The  Department of Conservation and Recreation may provide a means to pay fees  electronically. Fees not submitted electronically shall be sent to the  following address: Virginia Department of Conservation and Recreation,  Division of Finance, Accounts Payable, 203 Governor Street, Richmond, VA 23219.  
           |   | Virginia Department of Conservation and RecreationDivision of Finance, Accounts Payable
 203 Governor Street
 Richmond, VA 23219
 | 
  
    2. The qualifying local program, for coverage authorized by  the qualifying local program under the General Permit for Discharges of  Stormwater From Construction Activities, and must be in U.S. currency.
    B. Required information . for permits or permit  coverage: All applicants for new permit issuance, permit reissuance, or  permit modification, unless otherwise specified by the department,  shall submit the following information along with the fee payment or utilize  the Department of Conservation and Recreation Permit Application Fee Form: 
    1. Applicant name, address and daytime phone number. 
    2. Applicant Federal Identification Number (FIN), if  applicable. 
    3. The name of the facility/activity, and the  facility/activity location. 
    4. The type of permit applied for. 
    5. Whether the application is for a new permit issuance,  permit reissuance, permit maintenance, or permit modification. 
    6. The amount of fee submitted. 
    7. The existing permit number, if applicable. 
    8. Other information as required by the local stormwater  management program.
    4VAC50-60-770. Incomplete payments and late payments. 
    All incomplete payments will be deemed as nonpayments. The  department or the qualifying local program, as applicable, shall provide  notification to the applicant of any incomplete payments.
    Interest may be charged for late payments at the underpayment  rate set out by the U.S. Internal Revenue Service established pursuant to §  6621(a)(2) of the Internal Revenue Code. This rate is prescribed set  forth in § 58.1-15 of the Code of Virginia and is calculated on a monthly  basis at the applicable periodic rate. 
    A 10% late payment fee may shall be charged to  any delinquent (over 90 days past due) account. 
    The permit-issuing authority is department and the  qualifying local program are entitled to all remedies available under the  Code of Virginia in collecting any past due amount and may recover any  attorney's fees and/or other administrative costs incurred in pursuing and  collecting any past due amount. 
    4VAC50-60-780. Deposit and use of fees.
    A. All fees collected by the board department  or department board in response pursuant to  this chapter shall be deposited into a special nonreverting fund known as  the Virginia Stormwater Management Fund established by, and shall be  used and accounted for as specified in § 10.1-603.4:1 of the Code of Virginia.  Fees collected by the department or board shall be exempt from statewide  indirect costs charged and collected by the Department of Accounts. 
    B. All fees collected by a qualifying local program  pursuant to this chapter shall be subject to accounting review and shall be  used solely to carry out the qualifying local program's responsibilities  pursuant to Part II and Part III A of this chapter.
    Whenever Pursuant to subdivision 5 a of  § 10.1-603.4 of the Code of Virginia, whenever the board has delegated  authorized the administration of a stormwater management program to  by a locality or is required to do so by the Act qualifying  local program, no more than 30% 28% of the total revenue  generated by the statewide stormwater management fees collected within the  locality in accordance with 4VAC50-60-820 shall be remitted on a  monthly basis to the State Treasurer for deposit in the Virginia Stormwater  Management Fund unless otherwise collected electronically. If the qualifying  local program waives or reduces any fee due in accordance with 4VAC50-60-820,  the qualifying local program shall remit the 28% portion that would be due to  the Virginia Stormwater Management Fund if such fee were charged in full.
    4VAC50-60-790. General. 
    Each permit application for a new permit each permit  application for reissuance of a permit, each permit application for major  modification of a permit, and each revocation and reissuance of a permit is a  The fees for individual permits, general permit coverage, permit or  registration statement modification, or permit transfers are considered  separate action actions and shall be assessed a separate fee, as  applicable. The fees for each type of permit that the permit-issuing  authority has the authority to issue, reissue or modify will be as specified in  this part. 
    4VAC50-60-800. Fee schedules for VSMP Municipal Separate Storm  Sewer System new permit issuance.
    The following fee schedule applies to permit applications for  issuance of a new individual VSMP Municipal Separate Storm Sewer System  permit or coverage under a MS4 General Permit. All regulated MS4s  that apply for joint coverage under an individual permit or general permit  registration shall each pay the appropriate fees set out below. 
           | VSMP Municipal Stormwater / MS4 Individual (Large and    Medium) | $21,300$16,000
 | 
       | VSMP Municipal Stormwater / MS4 Individual (Small) | $2,000$8,000
 | 
       | VSMP Municipal Stormwater / MS4 General Permit (Small) | $600 $4,000
 | 
  
    4VAC50-60-810. Fee schedules for major modification of MS4  individual permits or certificates requested by the permitee operator.  
    The following fee schedules apply schedule applies  to applications for major modification of an individual MS4 permit  requested by the permittee: 
    The permit application fees listed in the table below  apply to a major modification of a VSMP Municipal Separate Storm Sewer Systems  Permit that occurs (and becomes effective) before the stated permit expiration  date. 
           | VSMP Municipal Stormwater / MS4 Individual (Large and    Medium) | $10,650$5,000
 | 
       | VSMP Municipal Stormwater / MS4 Individual (Small) | $1,000$2,500
 | 
  
    4VAC50-60-820. Fees for filing permit applications (registration  statements) for general permits issued by the permit-issuing authority an  individual permit or coverage under the General Permit for Discharges of  Stormwater from Construction Activities. 
    The following fees apply to filing of permit applications  (registration statements) for all general permits issued by the permit-issuing  authority, except VSMP Stormwater Construction General Permits coverage  under the General Permit for Discharges of Stormwater from Construction  Activities issued by the department prior to a qualifying local program or a  department-administered local stormwater management program being approved by  the board in the area where the applicable land-disturbing activity is located,  or where the department has issued an individual permit or coverage under the  General Permit for Discharges of Stormwater from Construction Activities for a  state agency for which it has approved annual standards and specifications.  
    The fee for filing a permit application (registration  statement) for coverage under a VSMP stormwater general permit issued by the  permit-issuing authority shall be: 
           | VSMP General / Stormwater Management - Phase I Land Clearing    ("Large" Construction Activity - Sites or common plans of    development equal to or greater than 5five acres) | $500 | 
       | VSMP General / Stormwater Management - Phase II Land    Clearing ("Small" Construction Activity - Sites or common plans of    development equal to or greater than 1one acre and less than5five acres) | $300 | 
       | VSMP General/Stormwater Management – Small Construction    Activity/Land Clearing (Sites within designated areas of Chesapeake Bay Act    localities with land disturbance acreage equal to or greater than 2,500    square feet and less than one acre) | $200 | 
  
    The following fees apply to coverage under the General  Permit for Discharges of Stormwater from Construction Activities for a state  agency that does not file annual standards and specifications, an individual  permit issued by the board or coverage under the General Permit for Discharges  of Stormwater from Construction Activities issued by a qualifying local  program, or a department-administered local stormwater management program that  has been approved by the board. For coverage under the General Permit for  Discharges of Stormwater from Construction Activities, 50% of the fee shall be  due at the time that a stormwater management plan or an initial stormwater  management plan is submitted for review in accordance with 4VAC50-60-108. The  remaining 50% shall be due prior to the issuance of coverage under the General  Permit for Discharges of Stormwater from Construction Activities.
    When a site or sites are purchased for development within  a previously permitted common plan of development or sale, the applicant shall  be subject to fees in accordance with the disturbed acreage of their site or  sites according to the following table.
           | VSMP General / Stormwater    Management – Small Construction Activity/Land Clearing (Sites within    designated areas of Chesapeake Bay Act localities with land-disturbance    acreage equal to or greater than 2,500 square feet and less than 0.5 acre) | $290 | 
       | VSMP General / Stormwater    Management - Small Construction Activity/Land Clearing (Areas within common    plans of development or sale with land-disturbance acreage less than one    acre) | $290 | 
       | VSMP General / Stormwater    Management - Small Construction Activity/Land Clearing (Sites within    designated areas of Chesapeake Bay Act localities with land-disturbance    acreage equal to or greater than 0.5 acre and less than one acre) | $1,500 | 
       | VSMP General / Stormwater    Management - Small Construction Activity/Land Clearing (Sites or areas within    common plans of development or sale with land-disturbance acreage equal to or    greater than one acre and less than five acres) | $2,700 | 
       | VSMP General / Stormwater    Management – Large Construction Activity/Land Clearing (Sites or areas within    common plans of development or sale with land-disturbance acreage equal to or    greater than five acres and less than 10 acres) | $3,400 | 
       | VSMP General / Stormwater    Management – Large Construction Activity/Land Clearing (Sites or areas within    common plans of development or sale with land-disturbance acreage equal to or    greater than 10 acres and less than 50 acres) | $4,500 | 
       | VSMP General / Stormwater    Management – Large Construction Activity/Land Clearing (Sites or areas within    common plans of development or sale with land-disturbance acreage equal to or    greater than 50 acres and less than 100 acres) | $6,100 | 
       | VSMP General / Stormwater    Management – Large Construction Activity/Land Clearing (Sites or areas within    common plans of development or sale with land-disturbance acreage equal to or    greater than 100 acres) | $9,600 | 
       | VSMP Individual Permit for    Discharges of Stormwater From Construction Activities | $15,000 | 
  
    4VAC50-60-825. Fees for the modification or transfer of  individual permits or of registration statements for the General Permit for  Discharges of Stormwater from Construction Activities.
    The following fees apply to modification or transfer of  individual permits or of registration statements for the General Permit for  Discharges of Stormwater from Construction Activities issued by a qualifying  local program or a department-administered local stormwater management program  that has been approved by the board. If the permit modifications result in changes  to stormwater management plans that require additional review by the local  stormwater management program, such reviews shall be subject to the fees set  out in this section. The fee assessed shall be based on the total disturbed  acreage of the site. No modification or transfer fee shall be required until  such board-approved programs exist. No modification fee shall be required for  the General Permit for Discharges of Stormwater from Construction Activities  for a state agency that is administering a project in accordance with approved  annual standards and specifications but shall apply to all other state agency  projects.
           | VSMP General / Stormwater    Management – Small Construction Activity/Land Clearing (Sites within    designated areas of Chesapeake Bay Act localities with land-disturbance    acreage equal to or greater than 2,500 square feet and less than 0.5 acre) | $20 | 
       | VSMP General / Stormwater    Management – Small Construction Activity/Land Clearing (Areas within common    plans of development or sale with land disturbance acreage less than one    acre) | $20 | 
       | VSMP General / Stormwater    Management – Small Construction Activity/Land Clearing (Sites within    designated areas of Chesapeake Bay Act localities with land-disturbance    acreage equal to or greater than 0.5 acre and less than one acre) | $100 | 
       | VSMP General / Stormwater    Management – Small Construction Activity/Land Clearing (Sites or areas within    common plans of development or sale with land-disturbance acreage equal to or    greater than one and less than five acres) | $200 | 
       | VSMP General / Stormwater    Management – Large Construction Activity/Land Clearing (Sites or areas within    common plans of development or sale with land-disturbance acreage equal to or    greater than five acres and less than 10 acres) | $250 | 
       | VSMP General / Stormwater    Management – Large Construction Activity/Land Clearing (Sites or areas within    common plans of development or sale with land-disturbance acreage equal to or    greater than 10 acres and less than 50 acres) | $300 | 
       | VSMP General / Stormwater    Management – Large Construction Activity/Land Clearing (Sites or areas within    common plans of development or sale with land-disturbance acreage equal to or    greater than 50 acres and less than 100 acres) | $450 | 
       | VSMP General / Stormwater    Management – Large Construction Activity/Land Clearing (Sites or areas within    common plans of development or sale with land-disturbance acreage equal to or    greater than 100 acres) | $700 | 
       | VSMP Individual Permit for    Discharges of Stormwater From Construction Activities | $5,000 | 
  
    4VAC50-60-830. Permit maintenance fees.
    A. The following annual permit maintenance fees apply  to each VSMP permit identified below, including expired permits that have been  administratively continued:. With respect to the General Permit for  Discharges of Stormwater from Construction Activities, these fees shall apply  until the permit coverage is terminated, and shall only be effective when  assessed by a qualifying local program or a department-administered local  stormwater management program that has been approved by the board. No  maintenance fee shall be required for a General Permit for Discharges of  Stormwater from Construction Activities until such board approved programs  exist. No maintenance fee shall be required for the General Permit for  Discharges of Stormwater from Construction Activities for a state agency that  is administering a project in accordance with approved annual standards and  specifications but shall apply to all other state agency projects. All  regulated MS4s who are issued joint coverage under an individual permit or  general permit registration shall each pay the appropriate fees set out below:
           | VSMP Municipal Stormwater / MS4    Individual (Large and Medium) | $3,800$8,800
 | 
       | VSMP Municipal Stormwater / MS4    Individual (Small) | $400$6,000
 | 
       | VSMP Municipal Stormwater /    MS4 General Permit (Small) | $4,000 | 
       | VSMP General / Stormwater    Management - Phase I Land Clearing ("Large" Construction Activity -    Sites or common plans of development equal to or greater than 5 acres)
 | $0
 | 
       | VSMP General / Stormwater    Management - Phase II Land Clearing ("Small" Construction Activity    - Sites or common plans of development equal to or greater than 1 acre and    less than 5 Acres)
 | $0
 | 
       | VSMP General / Stormwater    Management – Small Construction Activity/Land Clearing (Sites within    designated areas of Chesapeake Bay Act localities with land-disturbance    acreage equal to or greater than 2,500 square feet and less than 0.5 acre) | $50 | 
       | VSMP General / Stormwater    Management – Small Construction Activity/Land Clearing (Areas within common    plans of development or sale with land-disturbance acreage less than one    acre) | $50 | 
       | VSMP General / Stormwater    Management – Small Construction Activity/Land Clearing (Sites within    designated areas of Chesapeake Bay Act localities with land-disturbance    acreage equal to or greater than 0.5 acre and less than one acre) | $200 | 
       | VSMP General / Stormwater    Management – Small Construction Activity/Land Clearing (Sites or areas within    common plans of development or sale with land-disturbance equal to or greater    than one acre and less than five acres) | $400 | 
       | VSMP General / Stormwater    Management – Large Construction Activity/Land Clearing (Sites or areas within    common plans of development or sale with land-disturbance acreage equal to or    greater than five acres and less than 10 acres) | $500 | 
       | VSMP General / Stormwater    Management – Large Construction Activity/Land Clearing (Sites or areas within    common plans of development or sale with land-disturbance acreage equal to or    greater than 10 acres and less than 50 acres) | $650 | 
       | VSMP General / Stormwater    Management – Large Construction Activity/Land Clearing (Sites or areas within    common plans of development or sale with land-disturbance acreage equal to or    greater than 50 acres and less than 100 acres) | $900 | 
       | VSMP General / Stormwater    Management – Large Construction Activity/Land Clearing (Sites or areas within    common plans of development or sale with land-disturbance acreage equal to or    greater 100 acres) | $1,400 | 
       | VSMP Individual Permit for    Discharges From Construction Activities | $3,000 | 
  
    B. An additional permit maintenance fee of $1,000 shall be  paid annually by permittees in a toxics management program. Any facility that  performs acute or chronic biological testing for compliance with a limit or  special condition requiring monitoring in a VPDES permit is included in the  toxics management program. 
    4VAC50-60-840. [Reserved] Annual increase in fees.
    The fees set out in 4VAC50-60-800 through 4VAC50-60-830  shall be increased each July 1 by multiplying the fee by the percentage by  which the consumer price index for all-urban consumers published by the United  States Department of Labor (CPI-U) for the 12-month period ending May 31 of the  preceding year exceeds the CPI-U for the 12-month period ending May 31, 2007,  and the result shall be rounded to the nearest $1 increment. The fee schedule  shall be posted to the department's website and distributed to each qualified  local program in advance of each fiscal year. Notwithstanding the foregoing, in  no event shall the permit fee be decreased and in no event shall any increase  exceed 4.0% per annum without formal action by the board.
    FORMS (4VAC50-60)
    Application Form 1-General Information, Consolidated Permits  Program, EPA Form 3510-1, DCR 199-149 (August 1990).
    Department of Conservation and Recreation Permit Fee Form,  DCR 199-145 (03/09) (9/08).
    VSMP General Permit for Discharges of Stormwater from  Construction Activities (VAR10) - Registration Statement, DCR 199-146 (03/09).
    VSMP General Permit Notice of Termination - Construction  Activity Stormwater Discharges (VAR10), DCR 199-147 (03/09).
    VSMP General Permit for Discharges of Stormwater from  Construction Activities (VAR10) - Transfer Agreement, DCR199-191 (03/09).
    VSMP General Permit Registration Statement for Stormwater  Discharges From Small Municipal Separate Storm Sewer Systems (VAR04), DCR  199-148 (07/08).
    VA.R. Doc. No. R06-129; Filed June 2, 2009, 2:35 p.m. 
TITLE 4. CONSERVATION AND NATURAL RESOURCES
VIRGINIA SOIL AND WATER CONSERVATION BOARD
Proposed Regulation
    Title of Regulation: 4VAC50-60. Virginia Stormwater  Management Program (VSMP) Permit Regulations (amending 4VAC50-60-10, 4VAC50-60-20,  4VAC50-60-30, 4VAC50-60-40; adding 4VAC50-60-53, 4VAC50-60-56, 4VAC50-60-63,  4VAC50-60-65, 4VAC50-60-66, 4VAC50-60-72, 4VAC50-60-74, 4VAC50-60-76,  4VAC50-60-85, 4VAC50-60-93, 4VAC50-60-96, 4VAC50-60-102, 4VAC50-60-104,  4VAC50-60-106, 4VAC50-60-108, 4VAC50-60-112, 4VAC50-60-114, 4VAC50-60-116,  4VAC50-60-118, 4VAC50-60-122, 4VAC50-60-124, 4VAC50-60-126, 4VAC50-60-128,  4VAC50-60-132, 4VAC50-60-134, 4VAC50-60-136, 4VAC50-60-138, 4VAC50-60-142,  4VAC50-60-154, 4VAC50-60-156, 4VAC50-60-157, 4VAC50-60-158, 4VAC50-60-159;  repealing 4VAC50-60-50, 4VAC50-60-60, 4VAC50-60-70, 4VAC50-60-80, 4VAC50-60-90,  4VAC50-60-100, 4VAC50-60-110, 4VAC50-60-120, 4VAC50-60-130, 4VAC50-60-140,  4VAC50-60-150).
    Statutory Authority: §§ 10.1-603.2:1 and 10.1-603.4  of the Code of Virginia.
    Public Hearing Information:
    June 30, 2009  - 7 p.m. - Hungry Mother State Park, Hemlock Haven Conference Center, 380  Hemlock Haven Lane, Marion, VA
    July 1, 2009 -  7 p.m. - Augusta County Government Center, Board of Supervisors Meeting Room,  18 Government Center Lane, Verona, VA
    July 7, 2009 -  7 p.m. - City of Manassas, City Council Chambers, 9027 Center Street, Manassas,  VA
    July 9, 2009 -  7 p.m. - City of Hampton, City Council Chambers, 22 Lincoln Street, 8th Floor,  Hampton, VA
    July 14, 2009  - 7 p.m. - Virginia General Assembly Building, 910 Capitol Street, Senate Room  B, Richmond, VA
    Public Comments: Public comments may be submitted until  5 p.m. on August 21, 2009.
    Agency Contact: David C. Dowling, Policy, Planning, and  Budget Director, Department of Conservation and Recreation, 203 Governor  Street, Suite 302, Richmond, VA 23219, telephone (804) 786-2291, FAX (804)  786-6141, or email david.dowling@dcr.virginia.gov.
    Basis: The Virginia Stormwater Management Program was  created by Chapter 372 of the 2004 Virginia Acts of Assembly (HB1177). This  action transferred the responsibility for the permitting programs for Municipal  Separate Storm Sewers (MS4s) and construction activities from the State Water  Control Board and DEQ to the Virginia Soil and Water Conservation Board and  Department of Conservation and Recreation. This federally authorized program is  administered in accordance with requirements set forth in the federal Clean  Water Act (33 USC § 1251 et seq.) as well as the Virginia Stormwater  Management Act (§ 10.1-603.1 et seq. of the Code of Virginia).
    Subdivision 2 of § 10.1-603.2:1 of the Code of Virginia  authorizes the Virginia Soil and Water Conservation Board to delegate to the  department or an approved locality the implementation of the Virginia  Stormwater Management Program.
    Section 10.1-603.3 of the Code of Virginia (as it will read  effective July 1, 2009) requires establishment of stormwater management  programs by localities.  The board must amend, modify, or delete  provisions of the Virginia Stormwater Management Program (VSMP) Permit  Regulations to allow localities to implement local stormwater management  programs.
    Additionally, enactment clause 2 of the Chapter 18 of the 2009  Virginia Acts of Assembly stipulates that the regulation that establishes local  program criteria and delegation procedures and the water quality and water  quantity criteria, and that is referenced in subsections A and B of  § 10.1-603.3 of this act, shall not become effective prior to July 1, 2010.
    Subsection E of § 10.1-603.3 of the Code of Virginia  further stipulates minimum requirements for a local stormwater program.
    Section 10.1-603.4 of the Code of Virginia also provides  additional authority and guidance to the board in the development of  regulations, including authority to develop criteria associated with local  program administration and implementation, criteria to control nonpoint source  pollution, and establishment of statewide standards for stormwater management  from land-disturbing activities. It should also be noted that localities may  adopt more stringent criteria than the minimum criteria developed by the board  through this regulatory process.
    HB 2168 of the 2009 Legislative Session (in a July 1, 2009,  effective date) establishes a new § 10.1-603.8:1 of the Code of Virginia  containing a process for approving stormwater management offsets in the  Chesapeake Bay watershed and grants the board the necessary authority to  develop a future program in the remainder of the state.
    Also, requirements set forth in the federal Clean Water Act (33  USC § 1251 et seq.), formerly referred to as the Federal Water Pollution  Control Act or Federal Water Pollution Control Act Amendments of 1972, P. L.  92-500, as amended by P. L. 95-217, P. L. 95-576, P. L. 96-483, and P. L.  97-117, or any subsequent revisions thereto, and its attendant regulations set  forth in 40 CFR Parts 122, 123, 124 and 125 requires states to establish a  permitting program for the management of stormwater for municipal separate  storm sewer systems (MS4s) and construction activities disturbing greater than  or equal to an acre.
    Purpose: Controlling stormwater runoff and its impacts  is a serious issue facing the Commonwealth and its local governments. Citizens  are complaining about flooding caused by increased amounts of stormwater runoff  and the runoff is also reported as a contributor to excessive nutrient  enrichment in numerous rivers, lakes, and ponds throughout the state, as well  as a continued threat to estuarine waters and the Chesapeake Bay.   Numerous studies have documented the cumulative effects of urbanization on  stream and watershed ecology. Research has established that as impervious cover  in a watershed increases, stream stability is reduced, habitat is lost, water  quality becomes degraded, and biological diversity decreases largely due to  stormwater runoff.
    We recognize that impervious areas decrease the natural  stormwater purification functions of watersheds and increase the potential for  water quality impacts in receiving waters. Additionally, runoff from managed  turf is recognized as an additional significant source of pollutants.
    Uncontrolled stormwater runoff has many cumulative impacts on  humans and the environment including:
    •  Flooding - Damage to  public and private property,
    •  Eroded Streambanks - Sediment clogs waterways, fills  lakes and reservoirs, and kills fish and aquatic animals,
    •  Widened Stream Channels - Loss of valuable property,
    •  Aesthetics - Dirty water, trash and debris, foul  odors,
    •  Fish and Aquatic Life - Impaired and destroyed,
    •  Impaired Recreational Uses - Swimming, fishing,  boating,
    •  Threatens Public Health - Contamination of drinking  water, fish/shellfish,
    •  Threatens Public Safety - Drownings occur in flood  waters, and
    •  Economic Impacts – Impairments to fisheries,  shellfish, tourism, and recreation-related businesses.
    Additionally, development can dramatically alter the  hydrologic regime of a site or watershed as a result of increases in impervious  surfaces. The impacts of development on hydrology may include loss of  vegetation, resulting in decreased evapotranspiration; soil compaction; reduced  groundwater recharge; reduced stream base flow; increased runoff volume;  increased peak discharges; decreased runoff travel time; increased frequency  and duration of high stream flow; increased flow velocity during storms; and  increased frequency of bank-full and over-bank floods.
    It is believed that these proposed regulations will work to  minimize the cumulative impacts of stormwater on humans and the environment and  moderate the associated hydrologic impacts. If not properly managed, stormwater  can have significant economic impacts and the stream restoration costs to fix  the problems after the fact are very costly.
    A 2007 EPA Office of the Inspector General report entitled  "Development Growth Outpacing Progress in Watershed Efforts to Restore the  Chesapeake Bay"; Report No. 2007-P-00031; September 10, 2007, noted that  "new development is increasing nutrient and sediment loads at rates faster  than loads are being reduced from developed lands." The Chesapeake Bay  Program Office estimated that impervious surfaces in the Bay watershed grew  significantly – by 41% – in the 1990s. Meanwhile, the population increased by  only 8%. Because progress in reducing loads is being offset by increasing loads  from new development, greater reductions will be needed to meet the bay goals  as well as to address stream impairments across the Commonwealth. The  Chesapeake Bay Program Office estimated that loads from developed and  developing lands increased while loads from agriculture and wastewater  facilities decreased. Currently, 32% of the phosphorus loads and 28% of the  sediment loads to the bay watershed are attributed to urban and suburban  sources, making it one of the most significant contributors to the bay's poor  health.
    The Commonwealth needs to employ all possible strategies in  its tool box to address water quality improvements on a statewide basis in both  agricultural and urban settings, including making marked improvements in its  stormwater regulations. The proposed stormwater regulations are a necessary and  critical part of the Commonwealth's overall nutrient reduction strategies and  the criteria included in the proposed regulations will slow nutrient and  sediment increases, and where possible, contribute to water quality  improvements. Improved stormwater management through these regulations will  have numerous benefits including reductions in flood risk, avoidance of  infrastructure costs through the use of LID practices, improved aquatic life,  and enhancement of recreational and commercial fisheries.
    This regulatory action is essential to protect the general  health, safety, and welfare of the citizens of the Commonwealth from the  potential harm of unmanaged stormwater through the establishment of criteria  that further protect the quality and manage the quantity of stormwater runoff  to state waters, criteria for the administration of a local stormwater  management program, processes and procedures for board approval of a qualifying  local program, and local program oversight and implementation criteria for the  board and the department. 
    Substance: The key provisions of this regulation:
    1. Establish that in order to protect the quality of state  waters and to control nonpoint source pollution, a local program shall apply  the minimum technical criteria and statewide standards established in Part II  for stormwater management associated with land-disturbing activities. In  general, since 2005 when the board took over the federal stormwater permit  program, the current water quality technical criteria for construction activity  statewide are as follows:
    •  Sites between 0 and 15% imperviousness for new  development, all stormwater runoff goes virtually untreated.
    •  New development above the 16% imperviousness threshold  requires a postdevelopment pollutant load of 0.45 lbs/acre/year Phosphorus.
    •  A 10% reduction in the predevelopment load is required  on redevelopment sites.
    New statewide water quality technical criteria that are being  proposed for construction activity are as follows:
    •  For new development, a 0.28 lbs/acre/year phosphorus  standard is established.
    •  On prior developed lands, total phosphorus loads shall  be reduced to an amount at least 20% below the predevelopment phosphorus load.
    •  If a wasteload allocation for a pollutant has been  established in a TMDL and is assigned to stormwater discharges from a  construction activity, control measures must be implemented to meet the WLA.
    •  A qualifying local program may establish more  stringent standards.
    •  Compliance with the water quality criteria shall be  determined utilizing the Virginia Runoff Reduction Method.
    •  BMPs listed in Table 1 of Part II or those available  on the Virginia Stormwater BMP Clearinghouse shall be utilized to reduce the  phosphorus load.
    •  A locality may establish use limitations on specific  BMPs (such as wet ponds or certain infiltration practices).
    We believe that most projects can achieve the required  reductions on site. However, if the water quality technical criteria cannot be  met onsite, offsite controls in part or in whole will be allowed by a  qualifying local program in accordance with a department-approved comprehensive  watershed stormwater management plan. Offsite reductions shall be equal to or  greater than those required on the land-disturbing site.
    If no comprehensive watershed stormwater management plan  exists, the criteria may still be allowed to be met offsite if:
    •  The local program allows for offsite controls;
    •  The applicant demonstrates to the satisfaction of the  local program that offsite reductions equal to or greater than those that would  otherwise be required for the site are achieved;
    •  The development's runoff will not result in flooding  or channel erosion impacts downstream of the site or any offsite treatment  area;
    •  Offsite controls are located within the same  Hydrologic Unit Code or the adjacent downstream Hydrologic Unit Code to the  land-disturbing site;
    •  Verification has been received as to the legal right  to use the offsite property; and
    •  A maintenance agreement for the stormwater facilities  is developed.
    If allowed by the qualifying local program, reductions  required for a site may be achieved by the payment of a pro rata fee sufficient  to fund improvements necessary to adequately achieve those reductions.
    A local program may also waive the water quality  requirements through the granting of an exception in accordance with Part III provided  that:
    •  The exception is the minimum necessary to afford  relief.
    •  Reasonable and appropriate conditions are imposed to  preserve the intent of the Act.
    •  Granting will not confer on the permittee any special  privileges denied to others under similar circumstances.
    •  The exception requests are not based upon conditions  or circumstances that are self-imposed or self-created.
    •  Economic hardship alone is not sufficient reason to  grant an exception.
    Additionally, HB2168 of the 2009 Session, effective July 1,  2009, created a new section numbered 10.1-603.8:1, relating to stormwater  nonpoint nutrient offsets that stipulates that a permit-issuing authority may  allow compliance with stormwater nonpoint nutrient runoff water quality  criteria through the use of the permittee's acquisition of nonpoint nutrient  offsets in the same tributary.
    2. Establish in Part II water quantity criteria to address  channel protection and flood protection.  This language clarifies and  expands on current requirements found in Minimum Standard 19 in the Erosion and  Sediment Control Regulations (4VAC50-30).
    Channel protection shall be achieved through one of the  following:
    •  Stormwater released into a manmade conveyance system  from the two-year 24-hour storm shall be done so without causing erosion of the  system.
    •  Stormwater released into a restored stormwater  conveyance system, in combination with other existing stormwater runoff, shall  not exceed the design of the restored system nor result in instability of the  system.
    •  Stormwater released to a stable natural stormwater  conveyance shall not cause the system to become unstable from the one-year  24-hour storm discharge and it shall provide a peak flow rate from the one-year  24-hour storm that is less than or equal to the predevelopment peak flow rate  as ascertained by the energy balance equation.
    •  Stormwater released to an unstable natural stormwater  conveyance shall provide a peak flow rate from the one-year 24-hour storm that  is less than or equal to the forested peak flow rate as ascertained by the  energy balance equation.
    Flood protection shall be achieved through one of the  following:
    •  The postdevelopment peak flow rate from the 10-year  24-hour storm is confined within a manmade conveyance system.
    •  The postdevelopment peak flow rate from the 10-year  24-hour storm is confined within a restored stormwater conveyance system.
    •  The postdevelopment peak flow rate from the 10-year  24-hour storm is confined within a natural stormwater conveyance that currently  does not flood.
    •  The postdevelopment peak flow rate from the 10-year  24-hour storm shall not exceed the predevelopment peak flow rate from the  10-year 24-hour storm based on forested conditions in a natural stormwater  conveyance where localized flooding exists.
    •  A local program may adopt alternative flood design  criteria that achieve equivalent results.
    If either of the following conditions are met, the channel  protection and flood protection criteria do not apply:
    •  The site's contributing drainage area is less than or  equal to one percent of the total watershed area draining to the point of  discharge.
    •  The development of the site results in an increase in  the peak flow rate from the one-year 24-hour storm that is less than one  percent of the existing peak flow rate from the one-year 24-hour storm  generated by the total watershed area draining to the point of discharge.
    3. Establish the minimum criteria and ordinance requirements  (where applicable) for a board-authorized qualifying local program (Part III A)  or for a board-authorized department-administered local stormwater management  program (Part III B), which include but are not limited to administration, plan  review, issuance of coverage under the General Virginia Stormwater Management  Program (VSMP) Permit for Discharges of Stormwater from Construction  Activities, inspection, enforcement, reporting, and recordkeeping.
    A local program shall provide for the following:
    a. Identification of the authority or authorities issuing  permit coverage, reviewing plans, approving plans, conducting inspections, and  carrying-out enforcement.
    b. Any technical criteria differing from those set out in the  regulations.
    c. Plan submission and approval procedures.
    d. Project inspection and monitoring processes.
    e. Procedures for long-term inspection and maintenance of  stormwater management facilities.
    f. Enforcement.
    g. An ordinance that incorporates the components outlined in  items a through f above is required.
    h. A local program shall report specified information to the  department.
    i. A local program may require performance bonds or other  financial surety.
    A local program shall require stormwater management plans  that include the following elements:
    •  Location of points of discharge, receiving waters,  predevelopment and postdevelopment conditions.
    •  Contact information.
    •  Project narrative.
    •  Location and design of stormwater management  facilities.
    •  Hydrologic characteristics and structural properties  of the soils utilized during facility installation.
    •  Hydrologic and hydraulic computations of the  predevelopment and postdevelopment runoff conditions for the required design  storms.
    •  Calculations verifying compliance with the water  quality and quantity requirements.
    •  A site map that includes the specified elements.
    •  Plans shall be appropriately signed and sealed by a  professional.
    The regulation establishes timelines for establishing plan  and application completeness, for plan review and approval, and for plan  modifications.  It also establishes applicant notification requirements.
    Establish that coverage under the construction general  permit shall be authorized in accordance with the following:
    •  The applicant must have an approved stormwater  management plan.
    •  The applicant must have submitted proposed right-of-entry  agreements or easements granted from the owner to the local program for the  purposes of inspection and maintenance of stormwater management facilities as  well as maintenance agreements, including inspection schedules, for such  facilities.
    •  An approved general permit registration statement.
    •  The required fee form and total fee.
    Inspections shall be conducted as follows:
    •  The local program or its designee shall inspect the  land-disturbing activity during construction.
    •  At the termination of the project and prior to bond or  surety release of the performance bond or surety, construction record drawings  for the permanent stormwater facilities shall be submitted to the local  program.
    •  The owner of the stormwater management facilities  shall conduct inspections in accordance with the inspection schedule in the  recorded maintenance agreement and shall submit the inspection report to the  local program.
    •  The local program shall develop a board-approved  inspection schedule.
    Information shall be reported on a fiscal year basis by the  local program to the department by October 1 annually as follows:
    •  Information regarding permanent stormwater facilities  completed during the fiscal year.
    •  Number of permitted projects inspected by acreage  categories.
    •  Number and type of enforcement actions taken.
    •  Number of exceptions granted or denied.
    4. Establish a Schedule of Civil Penalties as guidance for a  court as required by law.
    5. Establish in Part III D the procedures the  board will utilize in authorizing a locality to administer a qualifying local  program.  The application package shall include the following:
    •  The local program ordinance(s);
    •  A funding and staffing plan based on the projected  permitting fees; and
    •  The policies and procedures, including but not limited  to, agreements with Soil and Water Conservation Districts, adjacent localities,  or other entities, for the administration, plan review, permit issuance,  inspection and enforcement components of the program.
    The department shall operate a program in any locality in  which a qualifying local program has not been adopted in accordance with a  board-approved schedule.
    6. Establish in Part III C the criteria the  department will utilize in reviewing a locality's administration of a  qualifying local program. The review shall consist of the following:
    •  An interview between department staff and the  qualifying local program administrator or his designee;
    •  A review of the local ordinance(s) and other  applicable documents;
    •  A review of a subset of the plans approved by the  qualifying local program and consistency of application including exceptions  granted;
    •· An accounting of the receipt and of the expenditure of fees  received;
    •  An inspection of regulated activities; and
    •  A review of enforcement actions and an accounting of  amounts recovered through enforcement actions.
    7. Make changes to definitions in Part I by deleting  unnecessary definitions; establishing abbreviations for commonly used terms;  and adding needed definitions.
    Issues: The primary advantage of this proposed  regulatory action is enhanced water quality and management of stormwater runoff  in the Commonwealth. Citizens are complaining about flooding caused by  increased amounts of stormwater runoff and the runoff is also a contributor to  excessive nutrient enrichment in numerous rivers, lakes, and ponds throughout  the state, as well as a continued threat to estuarine waters and the Chesapeake  Bay. The water quality and quantity criteria proposed by this regulatory action  will improve upon today's stormwater management program and assist the  Commonwealth in reducing nutrient pollution and meeting Chesapeake Bay  restoration goals. The regulations will have numerous benefits including  reductions in flood risk, avoidance of infrastructure costs through the use of  LID practices, improved aquatic life, and enhancement of recreational and  commercial fisheries.
    The implementation of local stormwater management programs will  also have benefits for the regulated community. Today, construction activity  operators must go to two sources in order to receive needed Erosion and  Sediment Control (locality) and Stormwater (department) approvals. The  development of locality-run qualifying local programs will allow for both  approvals to be received from a singular source, thus improving efficiency as  well as saving time for the developer. Even in localities where the department  administers the local stormwater management program, the program envisioned by  these proposed regulations will allow for greater customer service and  oversight over today's more limited program.
    As the board is also proposing a regulatory action related to  permit fees (Part XIII) as a compliment to this regulatory action, and as the  permit fees proposed by that regulatory action are based on projected costs  associated with program administration based on actual data for performing  specified management activities, this regulatory action is not projected to  have an adverse financial impact upon localities administering qualifying local  programs or upon the department in administering local stormwater management  programs or in its oversight of qualifying local programs.
    The primary disadvantage of this regulatory action will be  increased compliance costs in some instances for construction site operators.  Those costs are further discussed in the economic impact portion of this  document.
    The Department of Planning and Budget's Economic Impact  Analysis: 
    Summary of the Proposed Amendments to Regulation. The Virginia  Stormwater Management Program was created by Chapter 372 of the 2004 Virginia  Acts of Assembly (HB1177). This action transferred the responsibility for the  permitting programs for Municipal Separate Storm Sewers (MS4s) and construction  activities from the State Water Control Board and the Department of  Environmental Quality to the Virginia Soil and Water Conservation Board and the  Department of Conservation and Recreation. This federally-authorized program is  administered in accordance with requirements set forth in the federal Clean Water  Act (33 USC § 1251 et seq.) as well as the Virginia Stormwater Management  Act (§ 10.1-603.1 et seq.).
    The Virginia Soil and Water Conservation Board (Board), with  the assistance of the Virginia Department of Conservation and Recreation (DCR),  proposes a comprehensive revision of Virginia's regulations regarding the  control and treatment of stormwater runoff from land development  activities.  The Board proposes to amend the technical criteria applicable  to stormwater discharges from construction activities, establishes minimum  criteria for locality-administered stormwater management programs (qualifying  local programs) and Department of Conservation and Recreation (Department)  administered local stormwater management programs, as well as authorization procedures  and review procedures for qualifying local programs, and amends the definitions  section applicable to all of the Virginia Stormwater Management Program (VSMP)  regulations.
    With regard to technical criteria applicable to stormwater  discharges from construction activities, revised water quality and water  quantity requirements are proposed to be included in Part II of the  regulations. Water quality requirements include a 0.28 lbs/acre/year phosphorus  standard for new development, a requirement that total phosphorus loads be  reduced to an amount at least 20% below the predevelopment phosphorus load on  prior developed lands, and a requirement that control measures be installed on  a site to meet any applicable wasteload allocation. Water quantity requirements  include both channel protection and flood protection criteria.  This  action would also establish the minimum criteria and ordinance requirements  (where applicable) for a Virginia Soil and Water Conservation Board (Board)  authorized qualifying local program (Part IIIA) or for a Board-authorized  Department-administered local stormwater management program (Part IIIB) which  include, but are not limited to, administration, plan review, issuance of   coverage under the General Virginia Stormwater Management Program (VSMP) Permit  for Discharges of Stormwater from Construction Activities, inspection,  enforcement, reporting, and recordkeeping. Part IIID establishes the procedures  the Board will utilize in authorizing a locality to administer a qualifying  local program. Part IIIC establishes the criteria the Department will utilize  in reviewing a locality's administration of a qualifying local program.
    Finally, this proposed action would make changes to definitions  in Part I, which is applicable to the full body of the VSMP regulations.  Unnecessary definitions are proposed to be deleted, needed definitions are  proposed to be added, and many existing definitions are proposed to be updated.
    Note: most of the following analysis was directly taken from a  report produced by Professor Kurt Stephenson of Virginia Tech and Bobby Beamer  of BBeamer LLC.1
    Result of Analysis. The benefits exceed the costs for one or  more proposed changes. The costs likely exceed the benefits for one or more  other proposed changes.
    Estimated Economic Impact. The Board proposes modifications to  the existing stormwater water quantity and quality requirements that will be  applied to every land disturbing activity not exempted by state law  (§ 10.1-603.8 B).2 Land disturbing activity subject to this regulation  generally includes disturbances of 2,500 square feet or more in the Chesapeake  Bay Preservation Act areas and disturbances of an acre or more elsewhere in the  state (with some smaller areas included when a part of a larger common plan of  development or sale).
    The proposed regulations establish statewide water quality  design criteria for land disturbing activities. For new land development  projects, water quality plans must be designed so that the total phosphorus  load shall not exceed 0.28 pounds per acre per year (4VAC50-60-63). The  phosphorus load criterion was derived from Chesapeake Bay Tributary Strategies  and reductions needed to achieve Bay-wide nutrient reductions derived from the  Chesapeake Bay 2000 Agreement. The 0.28/lb/yr phosphorus design criteria  represents the average per acre edge of field loading from agriculture, forest  and mixed open land uses (estimated from Chesapeake Bay Program watershed  model) if the 2005 tributary strategies input deck was fully implemented (DCR  2008). For development that occurs on prior developed land, the designs must  allow for the total phosphorus loads to be reduced by 20% below predevelopment  levels. While the Chesapeake Bay Tributary Strategies called for phosphorus  reductions exceeding 40%, a lower water quality criteria for redevelopment was  chosen 1) to achieve additional load reductions from urban areas over existing  regulations, and 2) to avoid higher barriers to redevelopment. No explicit  sediment or nitrogen water quality design criteria were established because it  was determined that the stormwater management practices used to achieve the  necessary phosphorus reductions would also result in reductions of nitrogen,  sediment, and other potential pollutants.
    Compliance is determined by implementing control practices  outlined in 4VAC50-60-65. The revisions provide three general ways to reduce  phosphorus loads: 1) managing land use conversion (forest, turf, and impervious  cover), 2) reducing runoff volumes, and 3) treatment of stormwater runoff. An  initial list of best management practices that can be used to achieve the  phosphorus criteria are listed in 4VAC50-60- 65 B. Other BMPs available to  comply with the stormwater requirements are listed on the new Virginia  Stormwater BMP Clearinghouse website (http://www.vwrrc.vt.edu/swc). The removal  efficiency of each BMP includes phosphorus removal from treating the pollutant  concentration in the stormwater as well as the percent removal achieved by  preventing runoff from occurring (based upon 1 inch of rainfall, 90% storm).  The addition of the runoff reduction potential of individual stormwater control  practices reflects a substantive change over the existing regulation. Similar  to existing practice, the calculation of phosphorus loads is based primarily on  the "simple method" (see Virginia Stormwater Handbook) that relates  phosphorus load to total impervious surface. The simple method calculation,  however, is modified by adding phosphorus loading coefficients for turf and  forest land cover. To assist in determining compliance, DCR has also developed  an Excel stormwater compliance spreadsheet.
    Water quantity control requirements (4VAC50-60-66) establish  minimum standards for downstream flood protection and stream channel  protection. The proposed regulation establishes different criteria based on the  condition of the existing stormwater conveyance systems. Four general  classifications of conveyance systems are identified: 1) man-made conveyance  systems, 2) restored streams (designed to restore natural steam channels), 3)  stable natural stream channels, and 4) unstable natural stream channels. For  stream channel protection, general water quantity criteria are (4VAC50-60-66  B):
    •  Man-made conveyance: stormwater releases following  land disturbing activity conveys postdevelopment peak flow from 2-year, 24-hour  storm without causing erosion.
    •  Restored stream channel: runoff following land  disturbing activity will not exceed design of the restored stormwater  conveyance system or result in instability of that system.
    •  Stable natural stream channel: will not become  unstable as a result of the peak flow from the 1-year, 24-hour storm and  provides a developed peak flow rate equal to the pre-developed flow rate times  the pre-developed runoff volume divided by the developed runoff volume.
    •  Unstable natural steam channel: runoff following a  land-disturbing activity shall be released into a channel at or below a peak  developed flow rate based on the 1-year 24-hour storm where the developed peak  flow rate is equal to the peak flow rate from the site in a forested condition  times the volume of runoff from the site in a forested condition divided by the  developed runoff volume.
    For flood protection, general water quantity criteria are  (4VAC50-60-66 C):
    •  Man-made conveyance must confine the post development  peak flow rate from the 10-year, 24-hour storm.
    •  Restored stream channel: Peak flow rate from the  10-year, 24-hour storm following the land disturbance will be confined within  the system.
    •  Natural stream channel that does not currently flood  during a 10-year, 24-hour storm: Post development peak flow from the 10-year,  24-hour storm is confined within the system.
    •  Natural steam channel where localized flooding exists  during a 10-year, 24-hour storm: Post development peak flow rate for 10-year,  24-hour storm shall not exceed predevelopment peak flow from the area under  forested conditions.
    These criteria do not have to be met under certain conditions  where the land disturbance is small relative to the size of the drainage area  or results in small contributions to overall peak flow (4VAC50-60-66 D). It is  also possible that runoff volume reduction achieved through the implementation  of water quality control practices would be sufficient to reduce or avoid the  need for water quantity controls.
    The proposed regulation allows, in certain situations, water  quality and quantity objectives to be met offsite from the disturbed site.  Section 4VAC50-60-65F and G allow land disturbers to meet water quality  criteria off-site. Specifically, the proposed regulations provide that off-site  controls "shall achieve the required pollutant reductions either  completely off-site in accordance with the plan or in a combination of on-site  and off-site controls." In localities with an approved comprehensive  watershed management plan (4VAC50-60-96), offset activities can occur within  the same Hydrologic Unit Code (HUC)3 or any locally designated  watershed. Without such a plan, offsite controls may be allowed, but must be  located within the same HUC or adjacent downstream HUC to the land disturbing  site (4VAC50-60-65 G 4). In addition, water quantity objectives could also be  met offsite if a locality has a Board approved watershed stormwater management  plan and equivalent off-site reductions are demonstrated. In areas with  approved watershed plans, localities are also permitted to develop a pro rata  fee program. Such a program allows land disturbers to pay a per unit fee ($ per  pound of P) to meet all or a portion of a regulatory requirement. Fee funds must  be used, by Virginia Code requirements (§ 15.2-2243), to fund actions to  achieve equivalent results offsite. Local programs administered by DCR would  not have fee system and must confine water quality offset activities within, or  adjacent to, the impacted HUC. Additionally, the regulations also provide for a  request for an exception that may be granted by a local program in accordance  with 4VAC50-60-122.
    Linear (road) projects are also subject to the water quality  and quantity requirements (VAC 50-60-76). Unless exempt from § 10.1-603.8  B, linear development projects shall "control postdevelopment stormwater  runoff in accordance with a site-specific stormwater management plan or a  comprehensive watershed stormwater management plan developed in accordance with  these regulations."
    The proposed regulations also require a stormwater management  plan for land disturbing activities. The plan applies the water quality and  quantity technical criteria to the land disturbance (4VAC50-60-93).
    Program Administration and Permitting: The  proposed regulation establishes the requirements for local governments that are  required to assume the primary authority to administer the provisions of the  proposed regulations as well as for those localities that may elect to  administer a program (4VAC50-60-104). DCR's aim is to encourage local  governments (counties, cities, and towns) that are not required to administer a  program to voluntarily assume this responsibility. Local governments developing  a qualifying program must administer the stormwater program in accordance with  general criteria outlined in Part III A. In general, a local qualifying program  must provide:
    •  technical criteria to be used in the qualifying local  program;
    •  procedures for the submission and approval of stormwater  management plans (4VAC50-60-108)
    •  assessment and collection of fees;
    •  inspection and monitoring of land disturbing  activities (generally 4VAC50-60-114);
    •  procedures and policy for long-term inspection and  maintenance of stormwater facilities (4VAC50-60-124);
    •  reporting and record keeping (4VAC30-60-126); and
    •  enforcement (4VAC30-60-116).
    If the local government elects not to administer a program, DCR  is required to assume the basic responsibilities of program implementation and  administration described above (Part III B).
    The regulations also define state oversight responsibilities  for the Board and DCR. Section 4VAC50-60-159 describes the general procedure  and requirements the Board must use for authorizing a locality to administer a  stormwater management program. Once a locality is approved to administer a  stormwater management program, section 4VAC50-60-157 describes Board oversight  of that program. The Board must review all administered stormwater programs a  minimum of once every 5 years (including those administered by DCR). The review  will generally consist of reviewing approved site development plans, inspection  and enforcement activities, and fee accounting practices. The Board is  authorized to pursue corrective actions for noncompliant local programs.
    Summary of the estimated economic impact
    The proposed revisions to Virginia stormwater regulations will  likely produce improvements in the condition of receiving waters. The new  emphasis on reducing runoff volumes can produce important benefits related to  the condition of aquatic habitat by reducing the energy pulses produced during  storm events. New water quantity control requirements also provide benefits in  terms of additional flood protection and in-stream aquatic protection.  Acknowledging and accounting for the runoff reduction potential of many types  of stormwater control practices will increase compliance options and increase  the effectiveness of state stormwater regulations.
    The proposed regulatory revisions also impose more stringent stormwater  water quality criteria. The proposed stormwater regulatory revisions will  produce additional reductions in phosphorus and other effluent loads produced  from urban land conversion (land use change to impervious cover and turf).  Achieving additional improvements in the quality of stormwater will impose new  costs on land development activities. In development case examples, the new  water quality and quantity standards could be achieved on the development site.  The cost of incremental reductions in nutrient loads from the application of  stormwater controls, however, is high relative to other nutrient removal  options. Uncertainties exist over the long-term cost and effectiveness of many  stormwater control practices. The cost of achieving additional nutrient  reductions in highly urban settings and other areas with site specific  constraints is still uncertain but potentially high. The off-site and pro-rata  provisions in the regulation offer opportunities to lower costs and enhance  benefits to affected watersheds if properly implemented. The total incremental  costs to the state of implementing additional stormwater control practices to  meet the proposed regulatory changes could not be estimated at this time.
    The proposed revisions apply the same water quality and  quantity criteria across the entire state.  New proposed stormwater water  quality criteria was based on estimates of the nutrient reductions needed to  achieve reductions called for in the Chesapeake Bay Tributary Strategies.  Economic efficiency of the proposed regulation could be improved by applying  differential water quality criteria in watersheds across the state based on the  relative water quality benefits that can be achieved.
    The proposed regulation will produce improvements in the  stormwater permitting structure and will strengthen the administrative tools  localities need to implement stormwater programs. While the proposed changes  will increase the number and type of control practices that can be used, these  changes will also increase the sophistication and resources needed for  stormwater design and program administration. The greater expected use of  smaller scale distributed practices could increase the costs of local  stormwater management, particularly in terms of ensuring the long-term maintenance  and performance of stormwater control practices over time. The local and state  government cost to administer local stormwater programs will increase (rough  estimates range between $13 and $17.5 million, but estimates are not final).  State agency cost (DCR) for overall program administration will be a minimum of  $3 million per year (estimates are not yet final). These costs are expected to  be partially to fully covered by additional fees imposed on land disturbing  permit applicants.
    Further detail on estimated costs and benefits can be found in  the Stephenson and Beamer report, which is Appendix C in the Agency Background  Document associated with this proposed action.
    Businesses and Entities Affected. The general public and  businesses throughout the Commonwealth benefit from additional stream channel  and flood protection. Commercial and recreational fisheries benefit from  improved water quality.  Cleaner waters also benefit tourism–based  businesses.
    The proposed regulation revises water quality and quantity  control requirements for land disturbing activities. As such, the proposed  regulations will directly impact private land developers, public land  developers, businesses, and homeowners. Virginia residents will also likely pay  for the higher costs associated with local stormwater program requirements.4
    Public agencies (such as state colleges and universities, state  agencies, and municipalities) involved in public works and construction  projects will also be required to comply with these requirements. 
    The direct expenditures (costs) associated with implementing  the proposed stormwater requirements may increase upon the current demand for  stormwater design and construction services. The comprehensive nature of the  regulations and the additional technical requirements will necessitate the  greater use of environmental consultants and engineers to design stormwater  plans and oversee the implementation of stormwater practices. Businesses  providing construction and earthmoving services will also be impacted.
    Localities Particularly Affected. All Virginia localities are  significantly affected by the proposed amendments.
    Projected Impact on Employment. Since the comprehensive nature  of the regulations and the additional technical requirements will necessitate  the greater use of environmental consultants and engineers to design stormwater  plans and oversee the implementation of stormwater practices, there will likely  be more demand for their services and some increase in the value of associated  firms.
    Effects on the Use and Value of Private Property. Since the  comprehensive nature of the regulations and the additional technical  requirements will necessitate the greater use of environmental consultants and  engineers to design stormwater plans and oversee the implementation of  stormwater practices, there will likely be more demand for their services and  some increase in the value of associated firms. Cleaner water may also add to  the profitability of some commercial fisheries. Also, increased demand for  stormwater design and construction services may result higher value in some  associated firms.
    Private land developers across the state may face increased  land development costs associated with these new regulations in many  situations. A portion of those costs will be passed down to buyers of newly  constructed properties, homeowners and businesses. Although maintenance of  stormwater control facilities should be conducted under today's regulations,  many commercial property owners and some residential property owners across the  state may still face higher long-term costs associated with maintenance of  stormwater control facilities because of the potential for the installation of  a greater number of these facilities to meet the proposed requirements and  higher maintenance costs associated with some types of BMPs. Virginia residents  will also likely pay for the higher costs associated with local stormwater  program requirements.
    Small Businesses: Costs and Other Effects. Numerous small  businesses, particularly those involved in aquaculture and tourism, will  benefit from improved water quality.  Those and other firms will benefit  from reduced flooding risk. As mentioned above, stormwater design and  construction services and environmental consultants and engineers will likely  encounter greater demand for their services.
    On the other hand, private land developers will face increased  land development costs associated with these amended regulations, and a portion  of those costs will be passed down to buyers of newly constructed properties  including small businesses.
    Small Businesses: Alternative Method that Minimizes Adverse  Impact. The proposed revisions apply the same water quality and quantity  criteria across the entire state. New proposed stormwater water quality  criteria was based on estimates of the nutrient reductions needed to achieve  reductions called for in the Chesapeake Bay Tributary Strategies. Economic  efficiency of the proposed regulation could be improved by applying  differential water quality criteria in watersheds across the state based on the  relative water quality benefits that can be achieved. In other words, there are  areas of the state where the environmental benefit of a 0.28 lbs/acre/year  phosphorus standard for new development is likely significant, and other parts  of the Commonwealth where a less stringent standard would not produce a  significant adverse impact.  The costs for meeting the standard appear to  be significant everywhere.  Thus, costs could likely be significantly  reduced without significantly reducing total benefit by applying differential  water quality criteria in watersheds across the state based on the relative  water quality benefits that can be achieved.
    Real Estate Development Costs. The proposed regulatory  revisions impose more stringent stormwater water quality criteria. The proposed  stormwater regulatory revisions will produce additional reductions in  phosphorus and other effluent loads produced from urban land conversion (land  use change to impervious cover and turf). Achieving additional improvements in  the quality of stormwater will impose new costs on land development activities.
    Legal Mandate. The Department of Planning and Budget (DPB) has  analyzed the economic impact of this proposed regulation in accordance with  § 2.2-4007.04 of the Administrative Process Act and Executive Order Number  36 (06). Section 2.2-4007.04 requires that such economic impact analyses  include, but need not be limited to, the projected number of businesses or  other entities to whom the regulation would apply, the identity of any  localities and types of businesses or other entities particularly affected, the  projected number of persons and employment positions to be affected, the  projected costs to affected businesses or entities to implement or comply with  the regulation, and the impact on the use and value of private property.   Further, if the proposed regulation has adverse effect on small businesses,  § 2.2-4007.04 requires that such economic impact analyses include (i) an  identification and estimate of the number of small businesses subject to the  regulation; (ii) the projected reporting, recordkeeping, and other  administrative costs required for small businesses to comply with the  regulation, including the type of professional skills necessary for preparing  required reports and other documents; (iii) a statement of the probable effect  of the regulation on affected small businesses; and (iv) a description of any  less intrusive or less costly alternative methods of achieving the purpose of  the regulation.  The analysis presented above represents DPB's best  estimate of these economic impacts
    __________________________________
    1 Stephenson, K. and  B. Beamer. December 31, 2008. "Economic Impact Analysis of Revisions to  the Virginia Stormwater Regulation."
    2 Exemptions under  this regulation include land disturbing activities generally associated with  agricultural, forest, and mining activities (§ 10.1-603.8 B). Road  projects may also be exempted if certain minimal impacts can be demonstrated.
    3 Hydrologic Unit Code  or "HUC" means a watershed unit established in the most recent  version of Virginia's 6th Order National Watershed Boundary Dataset. Sixth  order HUC range in size from 10,000 to 40,000 acres. See http://www.dcr.virginia.gov/soil_&_water/hu.shtml
    4 For localities with  stormwater utilities, the increase in cost for stormwater control facilities  long-term maintenance may be paid for by higher fees. Other localities would  have to cover the higher costs through existing local and state revenue  sources.
    Agency's Response to the Department of Planning and Budget's  Economic Impact Analysis. The Department of Conservation and Recreation  (DCR) has reviewed the economic impact analysis (EIA) of the Virginia Soil and  Water Conservation Board's proposed amendments to Parts I, II, and III of the  Virginia Stormwater Management Program (VSMP) Permit Regulations (4VAC50-60)  prepared by the Department of Planning and Budget (DPB) and generally concurs  with the assessment while offering the following specific observations and or  qualifications.
    First, DCR agrees with the assertion of DPB that the  "proposed revisions to the Virginia stormwater regulation will likely  produce improvements in the condition of receiving waters" and that the  "revisions will produce additional reductions in phosphorus and other  effluent loads produced from urban land conversion (land use change to  impervious cover and turf)." DCR notes that these "proposed  regulations will work to minimize the cumulative impacts of stormwater on  humans and the environment and moderate the associated hydrologic impacts. If  not properly managed, stormwater can have significant economic impacts and the  stream restoration costs to fix the problems after the fact are very  costly." DCR also notes that "[t]he Commonwealth needs to employ  all possible strategies in its tool box to address water quality improvements  on a statewide basis in both agricultural and urban settings, including making  marked improvements in its stormwater regulations. The proposed stormwater  regulations are a necessary and critical part of the Commonwealth's overall  nutrient reduction strategies and the criteria included in the proposed  regulations will slow nutrient and sediment increases, and where possible,  contribute to water quality improvements. Improved stormwater management  through these regulations will have numerous benefits including reductions in  flood risk, avoidance of infrastructure costs through the use of LID practices,  improved aquatic life, and enhancement of recreational and commercial  fisheries."  DCR also notes that a wealth of additional information  regarding the potential benefits of this regulatory action are presented in the  detailed Agency Statement document (TH-02 form) accompanying this regulatory  action.
    Second, DCR wants to provide qualifications to DPB's statements  regarding the proposed statewide 0.28 pounds per acre per year water quality  phosphorus standard. The EIA recognizes that the 0.28 water quality standard  that would be imposed by the proposed regulations was calculated based upon the  nutrient reductions needed to meet Virginia's Chesapeake Bay goals.  The  EIA goes on to state that "[e]conomic efficiency of the proposed  regulation could be improved by applying differential water quality criteria in  watersheds across the state based on the relative water quality benefits that  can be achieved."  DCR notes that discussions occurred during the  development of the proposed regulations surrounding the possibility of setting  different water quality standards for the bay and nonbay areas of the  Commonwealth, and DCR remains committed to further examining and discussing the  appropriate use of this standard as the regulatory process moves forward. In  drafting the proposed regulations, however, a statewide standard was believed  to have merit for several reasons:
    •  Stormwater quality is a recognized problem  statewide.  Impaired waters are not only prevalent in the Chesapeake Bay,  but have also been identified throughout the state.  Total maximum daily  loads have been established on stream segments throughout the state, including  nonbay watersheds, to address these impairments. Additionally, studies have  reportedly shown that nutrient loadings to Virginia's rivers draining to the  Ohio and Mississippi basins may contribute to those basins' hypoxia episodes.
    •  While the 0.28 lbs/acre/year phosphorus standard was  established not only to meet specified bay goals, but also as the target level  necessary to minimize nutrient impacts on Virginia's aquatic systems and to  maintain the health of aquatic communities.
    •  Phosphorus is an "indicator pollutant,"  meaning that targeting its removal will also lead to reductions in nitrogen,  sediment, and other potential pollutants that plague the Commonwealth's waters  statewide.
    •  The 0.28 lbs/acre/yr phosphorous load addresses the  reductions needed by new development to maintain predevelopment phosphorous  loads associated with non-urban land.  The end result is "no-net  increase" in phosphorous from new development, which helps assure that  development will not further impact streams statewide.
    •  Additionally, stormwater additions to western streams  may have even greater impacts due to the greater sensitivity of cold and cool  water ecosystems (such as trout streams) to nutrient enrichment, sedimentation,  turbidity, and dissolved oxygen reductions. These systems also contain some of  Virginia's most ecologically sensitive and rare aquatic communities.
    •  Establishment of a statewide standard also simplifies  and standardizes compliance calculations across jurisdictions, ensuring that no  locality has a competitive development advantage and facilitating  implementation for both permit applicants and local program administrators.
    Third, the EIA observes that "[t]he cost of incremental  reductions in nutrient loads from the application of stormwater controls,  however, is high relative to other nutrient removal options." It is  recognized that, to date, the Commonwealth has focused its efforts on sources  that yield reductions at the lowest cost per pound. Efforts employed so far have  been successful in helping to address nutrient removal goals for these sources,  notably point sources (wastewater treatment and industrial facilities) and  agriculture. Achieving the Commonwealth's water quality goals, however,  requires that a comprehensive approach of addressing all nutrient pollution  sources be utilized. These goals will not be achieved by allowing further  degradation in stormwater quality and local receiving waterbodies and  attempting to fully mitigate this damage through reductions achieved elsewhere.  Moreover, while gains continue to be made in addressing other pollutant  sources, contributions from stormwater runoff continue to increase.
    Among other sources noted in the Department's Agency Background  Document, a 2007 EPA Office of the Inspector General report entitled  "Development Growth Outpacing Progress in Watershed Efforts to Restore the  Chesapeake Bay"; Report No. 2007-P-00031; September 10, 2007, noted that  "new development is increasing nutrient and sediment loads at rates faster  than loads are being reduced from developed lands." The Chesapeake Bay  Program Office estimated that impervious surfaces in the bay watershed grew  significantly – by 41% – in the 1990s. Meanwhile, the population increased by  only 8.0%. Because progress in reducing loads is being offset by increasing  loads from new development, greater reductions will be needed to meet the bay  goals as well as to address stream impairments across the Commonwealth. The  Chesapeake Bay Program Office estimated that loads from developed and  developing lands increased while loads from agriculture and wastewater  facilities decreased.  Currently, 32% of the phosphorus loads and 28% of  the sediment loads to the bay watershed are attributed to urban and suburban  sources, making it one of the most significant contributors to the bay's poor  health.  In order for the Commonwealth's waters to be adequately  protected, this trend cannot continue, and all sources must be addressed.
    Finally DCR reiterates that "[t]hese proposed regulations  are thus a necessary part of the overall reduction strategies. We believe that  a substantial amount of work done to date shows that proper site planning and  designing for stormwater controls early in the development process will ease  many difficulties involved with requiring appropriate stormwater controls.  These improved stormwater regulations are necessary to protect the public  interest. For example, stormwater itself is increasingly being recognized as a  resource that should be retained on site and used for irrigation, groundwater  recharge, and other beneficial uses.  On the other hand, damages to  aquatic resources, stream channels, and downstream properties from poorly  managed stormwater are significant and are difficult to correct if development  has taken place without the necessary design controls."
    Summary:
    The amendments provide technical criteria applicable to  stormwater discharges from construction activities; establish minimum criteria  for locality-administered stormwater management programs (qualifying local  programs) and Department of Conservation and Recreation administered local  stormwater management programs, as well as authorization procedures and review  procedures for qualifying local programs; and revise the definitions section  applicable to all of the Virginia Stormwater Management Program (VSMP)  regulations.
    With regard to technical criteria applicable to stormwater  discharges from construction activities, revised water quality and water  quantity requirements are proposed to be included in Part II of the  regulations.  Water quality requirements include a 0.28 lbs/acre/year  phosphorus standard for new development, a requirement that total phosphorus  loads be reduced to an amount at least 20% below the predevelopment phosphorus  load on prior developed lands, and a requirement that control measures be  installed on a site to meet any applicable wasteload allocation are  added.  Water quantity requirements include both channel protection and  flood protection criteria.
    This action would also establish the minimum criteria and  ordinance requirements (where applicable) for a Virginia Soil and Water  Conservation Board authorized qualifying local program (Part III A) or for a  board-authorized department-administered local stormwater management program  (Part III B) which include, but are not limited to, administration, plan  review, issuance of coverage under the General Virginia Stormwater Management  Program Permit for Discharges of Stormwater from Construction Activities,  inspection, enforcement, reporting, and recordkeeping.  Part III D  establishes the procedures the board will utilize in authorizing a locality to  administer a qualifying local program.  Part III C establishes the  criteria the department will utilize in reviewing a locality's administration  of a qualifying local program.
    Finally, this proposed action would make changes to  definitions in Part I, which is applicable to the full body of the VSMP regulations.   Unnecessary definitions are proposed to be deleted, needed definitions are  proposed to be added, and many existing definitions are proposed to be updated.
    Part I 
  Definitions, Purpose, and Applicability 
    4VAC50-60-10. Definitions.
    The following words and terms used in this chapter have the  following meanings unless the context clearly indicates otherwise.
    "Act" means the Virginia Stormwater Management  Act, Article 1.1 (§ 10.1-603.1 et seq.) of Chapter 6 of Title 10.1 of the Code  of Virginia.
    "Adequate channel" means a channel watercourse  or wetland that will convey the designated frequency storm event without  overtopping the channel bank nor its banks or causing erosive  damage to the channel bed or, banks, or overbank  sections of the same.
    "Administrator" means the Administrator of the  United States Environmental Protection Agency or an authorized representative.
    "Applicable standards and limitations" means all  state, interstate, and federal standards and limitations to which a discharge  or a related activity is subject under the Clean Water Act (CWA) (33 USC § 1251  et seq.) and the Act, including effluent limitations, water quality standards,  standards of performance, toxic effluent standards or prohibitions, best  management practices, and standards for sewage sludge use or disposal under §§  301, 302, 303, 304, 306, 307, 308, 403 and 405 of CWA.
    "Approval authority" means the Virginia Soil and  Water Conservation Board or their designee.
    "Approved program" or "approved state"  means a state or interstate program that has been approved or authorized by EPA  under 40 CFR Part 123 (2000).
    "Aquatic bench" means a 10- to 15-foot wide  bench around the inside perimeter of a permanent pool that ranges in depth from  zero to 12 inches. Vegetated with emergent plants, the bench augments pollutant  removal, provides habitats, conceals trash and water level fluctuations, and  enhances safety.
    "Average land cover condition" means a measure  of the average amount of impervious surfaces within a watershed, assumed to be  16%. Note that a locality may opt to calculate actual watershed-specific values  for the average land cover condition based upon 4VAC50-60-110.
    "Average monthly discharge limitation" means the  highest allowable average of daily discharges over a calendar month, calculated  as the sum of all daily discharges measured during a calendar month divided by  the number of daily discharges measured during that month.
    "Average weekly discharge limitation" means the  highest allowable average of daily discharges over a calendar week, calculated  as the sum of all daily discharges measured during a calendar week divided by  the number of daily discharges measured during that week.
    "Best management practice (BMP)" or  "BMP" means schedules of activities, prohibitions of practices,  including both a structural or nonstructural practice, maintenance procedures,  and other management practices to prevent or reduce the pollution of surface  waters and groundwater systems from the impacts of land-disturbing activities.  BMPs also include treatment requirements, operating procedures, and practices  to control plant site runoff, spillage or leaks, sludge or waste disposal, or  drainage from raw material storage.
    "Bioretention basin" means a water quality BMP  engineered to filter the water quality volume through an engineered planting  bed, consisting of a vegetated surface layer (vegetation, mulch, ground cover),  planting soil, and sand bed, and into the in-situ material.
    "Bioretention filter" means a bioretention basin  with the addition of a sand filter collector pipe system beneath the planting  bed.
    "Board" means the Virginia Soil and Water  Conservation Board.
    "Bypass" means the intentional diversion of waste  streams from any portion of a treatment facility.
    "Channel" means a natural stream or manmade waterway  watercourse with defined bed and banks that conducts continuously or  periodically flowing water.
    "Constructed wetlands" means areas intentionally  designed and created to emulate the water quality improvement function of  wetlands for the primary purpose of removing pollutants from stormwater.
    "Comprehensive stormwater management plan" means  a plan, which may be integrated with other land use plans or regulations, that  specifies how the water quality and quantity components of stormwater are to be  managed on the basis of an entire watershed or a portion thereof. The plan may  also provide for the remediation of erosion, flooding, and water quality and  quantity problems caused by prior development.
    "Construction activity" means any clearing, grading  or excavation associated with large construction activity or associated with  small construction activity.
    "Contiguous zone" means the entire zone established  by the United States under Article 24 of the Convention on the Territorial Sea  and the Contiguous Zone (37 FR 11906).
    "Continuous discharge" means a discharge which  occurs without interruption throughout the operating hours of the facility,  except for infrequent shutdowns for maintenance, process changes, or other  similar activities.
    "Control measure" means any best management  practice or other method used to prevent or reduce the discharge of pollutants  to surface waters.
    "Co-operator" means an operator to of  a VSMP permit that is only responsible for permit conditions relating to the  discharge for which it is the operator.
    "CWA" means the federal Clean Water Act (33 USC §  1251 et seq.), formerly referred to as the Federal Water Pollution Control Act  or Federal Water Pollution Control Act Amendments of 1972, Public Law 92-500,  as amended by Public Law 95-217, Public Law 95-576, Public Law 96-483, and  Public Law 97-117, or any subsequent revisions thereto.
    "CWA and regulations" means the Clean Water Act  (CWA) and applicable regulations promulgated thereunder. For the purposes of  this chapter, it includes state program requirements.
    "Daily discharge" means the discharge of a  pollutant measured during a calendar day or any 24-hour period that reasonably  represents the calendar day for purposes of sampling. For pollutants with  limitations expressed in units of mass, the daily discharge is calculated as  the total mass of the pollutant discharged over the day. For pollutants with  limitations expressed in other units of measurement, the daily discharge is  calculated as the average measurement of the pollutant over the day.
    "Department" means the Department of Conservation  and Recreation.
    "Development" means a tract of land developed or  to be developed as a unit under single ownership or unified control which is to  be used for any business or industrial purpose or is to contain three or more  residential dwelling units land disturbance and the resulting landform  associated with the construction of residential, commercial, industrial,  institutional, recreation, transportation, or utility facilities or structures.
    "Direct discharge" means the discharge of a  pollutant.
    "Director" means the Director of the Department of  Conservation and Recreation or his designee.
    "Discharge," when used without qualification, means  the discharge of a pollutant.
    "Discharge of a pollutant" means:
    1. Any addition of any pollutant or combination of pollutants  to surface waters from any point source; or 
    2. Any addition of any pollutant or combination of pollutants  to the waters of the contiguous zone or the ocean from any point source other  than a vessel or other floating craft which is being used as a means of  transportation.
    This definition includes additions of pollutants into surface  waters from: surface runoff that is collected or channeled by man; discharges  through pipes, sewers, or other conveyances owned by a state, municipality, or  other person that do not lead to a treatment works; and discharges through  pipes, sewers, or other conveyances, leading into privately owned treatment  works. This term does not include an addition of pollutants by any indirect  discharger.
    "Discharge Monitoring Report" or "DMR"  means the form supplied by the department, or an equivalent form developed by  the operator and approved by the board, for the reporting of self-monitoring  results by operators.
    "Draft permit" means a document indicating the  board's tentative decision to issue or deny, modify, revoke and reissue,  terminate, or reissue a permit. A notice of intent to terminate a permit, and a  notice of intent to deny a permit are types of draft permits. A denial of a  request for modification, revocation and reissuance, or termination is not a  draft permit. A proposed permit is not a draft permit.
    "Drainage area" means a land and water area on a  land-disturbing site from which runoff flows to a common outlet point.
    "Effluent limitation" means any restriction imposed  by the board on quantities, discharge rates, and concentrations of pollutants  which are discharged from point sources into surface waters, the waters of the  contiguous zone, or the ocean.
    "Effluent limitations guidelines" means a  regulation published by the administrator under § 304(b) of the CWA to adopt or  revise effluent limitations.
    "Environmental Protection Agency (EPA)" or  "EPA" means the United States Environmental Protection Agency.
    "Existing permit" means for the purposes of this  chapter a permit issued by the permit-issuing authority and currently held by a  permit applicant.
    "Existing source" means any source that is not a  new source or a new discharger.
    "Facilities or equipment" means buildings,  structures, process or production equipment or machinery that form a permanent  part of a new source and that will be used in its operation, if these  facilities or equipment are of such value as to represent a substantial  commitment to construct. It excludes facilities or equipment used in connection  with feasibility, engineering, and design studies regarding the new source or  water pollution treatment for the new source.
    "Facility or activity" means any VSMP point source  or treatment works treating domestic sewage or any other facility or activity  (including land or appurtenances thereto) that is subject to regulation under  the VSMP program.
    "Flood fringe" is the portion of the floodplain  outside the floodway, usually associated with standing rather than flowing  water, which is covered by floodwater during the 100-year discharge.
    "Flooding" means a volume of water that is too  great to be confined within the banks or walls of the stream, water body or  conveyance system and that overflows onto adjacent lands, thereby  causing or threatening damage.
    "Floodplain" means any land area adjoining a  channel, river, stream, or other water body that is susceptible to being  inundated by water. It includes the floodway and flood fringe areas.
    "Floodway" means the channel of a river or other  watercourse and the adjacent land areas, usually associated with flowing water,  that must be reserved in order to discharge the base flood without cumulatively  increasing the water surface elevation more than one foot or as otherwise  designated by the Federal Emergency Management Agency.
    "General permit" means a VSMP permit authorizing a  category of discharges under the CWA and the Act within a geographical area.
    "Grassed swale" means an earthen conveyance  system which is broad and shallow with erosion resistant grasses and check  dams, engineered to remove pollutants from stormwater runoff by filtration  through grass and infiltration into the soil.
    "Hazardous substance" means any substance  designated under the Code of Virginia and 40 CFR Part 116 (2000) pursuant to §  311 of the CWA.
    "Hydrologic Unit Code" or "HUC" means a  watershed unit established in the most recent version of Virginia's 6th Order  National Watershed Boundary Dataset.
    "Illicit discharge" means any discharge to a  municipal separate storm sewer that is not composed entirely of stormwater,  except discharges pursuant to a VPDES or VSMP permit (other than the VSMP  permit for discharges from the municipal separate storm sewer), discharges  resulting from fire fighting activities, and discharges identified by and in  compliance with 4VAC50-60-1220 C 2.
    "Impervious cover" means a surface composed of any  material that significantly impedes or prevents natural infiltration of water  into soil. Impervious surfaces include, but are not limited to, conventional  roofs, buildings, streets, parking areas, and any conventional concrete,  asphalt, or compacted gravel surface that is or may become compacted.
    "Incorporated place" means a city, town, township,  or village that is incorporated under the Code of Virginia.
    "Indian country" means (i) all land within the  limits of any Indian reservation under the jurisdiction of the United States  government, notwithstanding the issuance of any patent, and including  rights-of-way running through the reservation; (ii) all dependent Indian  communities with the borders of the United States whether within the originally  or subsequently acquired territory thereof, and whether within or without the  limits of a state; and (iii) all Indian allotments, the Indian titles to which  have not been extinguished, including rights-of-way running through the same. 
    "Indirect discharger" means a nondomestic  discharger introducing "pollutants" to a "publicly owned  treatment works (POTW)."
    "Infiltration facility" means a stormwater  management facility that temporarily impounds runoff and discharges it via  infiltration through the surrounding soil. While an infiltration facility may  also be equipped with an outlet structure to discharge impounded runoff, such  discharge is normally reserved for overflow and other emergency conditions.  Since an infiltration facility impounds runoff only temporarily, it is normally  dry during nonrainfall periods. Infiltration basin, infiltration trench,  infiltration dry well, and porous pavement shall be considered infiltration  facilities.
    "Inspection" means an on-site review of the  project's compliance with the permit, the local stormwater management program,  and any applicable design criteria, or an on-site review to obtain information  or conduct surveys or investigations necessary in the enforcement of the Act  and this chapter.
    "Interstate agency" means an agency of two or more  states established by or under an agreement or compact approved by Congress, or  any other agency of two or more states having substantial powers or duties  pertaining to the control of pollution as determined and approved by the  administrator under the CWA and regulations.
    "Karst features" means sinkholes, sinking and  losing streams, caves, large flow springs, and other such landscape features  found in karst areas.
    "Land disturbance" or "land-disturbing  activity" means a manmade change to the land surface that potentially  changes its runoff characteristics including any clearing, grading, or  excavation associated with a construction activity regulated pursuant to the federal  Clean Water Act CWA, the Act, and this chapter.
    "Large construction activity" means construction  activity including clearing, grading and excavation, except operations that  result in the disturbance of less than five acres of total land area. Large  construction activity also includes the disturbance of less than five acres of  total land area that is a part of a larger common plan of development or sale  if the larger common plan will ultimately disturb five acres or more.
    "Large municipal separate storm sewer system" means  all municipal separate storm sewers that are either:
    1. Located in an incorporated place with a population of  250,000 or more as determined by the 1990 decennial census by the Bureau of  Census (40 CFR Part 122 Appendix F (2000));
    2. Located in the counties listed in 40 CFR Part 122 Appendix  H (2000), except municipal separate storm sewers that are located in the  incorporated places, townships or towns within such counties;
    3. Owned or operated by a municipality other than those  described in subdivision 1 or 2 of this definition and that are designated by  the board as part of the large or medium municipal separate storm sewer system  due to the interrelationship between the discharges of the designated storm  sewer and the discharges from municipal separate storm sewers described under  subdivision 1 or 2 of this definition. In making this determination the board  may consider the following factors:
    a. Physical interconnections between the municipal separate  storm sewers;
    b. The location of discharges from the designated municipal  separate storm sewer relative to discharges from municipal separate storm  sewers described in subdivision 1 of this definition;
    c. The quantity and nature of pollutants discharged to surface  waters;
    d. The nature of the receiving surface waters; and
    e. Other relevant factors.
    4. The board may, upon petition, designate as a large  municipal separate storm sewer system, municipal separate storm sewers located  within the boundaries of a region defined by a stormwater management regional  authority based on a jurisdictional, watershed, or other appropriate basis that  includes one or more of the systems described in this definition.
    "Linear development project" means a land-disturbing  activity that is linear in nature such as, but not limited to, (i) the  construction of electric and telephone utility lines, and natural gas  pipelines; (ii) construction of tracks, rights-of-way, bridges, communication  facilities and other related structures of a railroad company; and (iii)  highway construction projects.
    "Local stormwater management program" or  "local program" means a statement of the various methods  employed by a locality or the department to manage the quality and  quantity of runoff resulting from land-disturbing activities and shall include  such items as local ordinances, permit requirements, policies and guidelines,  technical materials, plan review, inspection, enforcement, and  evaluation consistent with the Act and this chapter. The ordinance shall  include provisions to require the control of after-development stormwater  runoff rate of flow, the proper maintenance of stormwater management facilities,  and minimum administrative procedures.
    "Locality" means a county, city, or town.
    "Major facility" means any VSMP facility or  activity classified as such by the regional administrator in conjunction with  the board.
    "Major modification" means, for the purposes of  this chapter, the modification or amendment of an existing permit before its  expiration that is not a minor modification as defined in this regulation.
    "Major municipal separate storm sewer outfall (or  major outfall)" or "major outfall" means a municipal  separate storm sewer outfall that discharges from a single pipe with an inside  diameter of 36 inches or more or its equivalent (discharge from a single  conveyance other than circular pipe which is associated with a drainage area of  more than 50 acres); or for municipal separate storm sewers that receive  stormwater from lands zoned for industrial activity (based on comprehensive  zoning plans or the equivalent), with an outfall that discharges from a single  pipe with an inside diameter of 12 inches or more or from its equivalent  (discharge from other than a circular pipe associated with a drainage area of  two acres or more).
    "Manmade" means constructed by man.
    "Manmade stormwater conveyance system" means a  pipe, ditch, vegetated swale, or other conveyance constructed by man.
    "Maximum daily discharge limitation" means the  highest allowable daily discharge.
    "Maximum extent practicable" or "MEP"  means the technology-based discharge standard for municipal separate storm  sewer systems established by CWA § 402(p). MEP is achieved, in part, by  selecting and implementing effective structural and nonstructural best  management practices (BMPs) and rejecting ineffective BMPs and replacing them  with effective best management practices (BMPs). MEP is an iterative standard,  which evolves over time as urban runoff management knowledge increases. As  such, the operator's MS4 program must continually be assessed and modified to  incorporate improved programs, control measures, BMPs, etc., to attain  compliance with water quality standards.
    "Medium municipal separate storm sewer system"  means all municipal separate storm sewers that are either:
    1. Located in an incorporated place with a population of  100,000 or more but less than 250,000 as determined by the 1990 decennial census  by the Bureau of Census (40 CFR Part 122 Appendix G (2000)); 
    2. Located in the counties listed in 40 CFR Part 122 Appendix  I (2000), except municipal separate storm sewers that are located in the  incorporated places, townships or towns within such counties;
    3. Owned or operated by a municipality other than those  described in subdivision 1 or 2 of this definition and that are designated by  the board as part of the large or medium municipal separate storm sewer system  due to the interrelationship between the discharges of the designated storm  sewer and the discharges from municipal separate storm sewers described under  subdivision 1 or 2 of this definition. In making this determination the board  may consider the following factors:
    a. Physical interconnections between the municipal separate  storm sewers;
    b. The location of discharges from the designated municipal  separate storm sewer relative to discharges from municipal separate storm  sewers described in subdivision 1 of this definition;
    c. The quantity and nature of pollutants discharged to surface  waters;
    d. The nature of the receiving surface waters; or
    e. Other relevant factors.
    4. The board may, upon petition, designate as a medium  municipal separate storm sewer system, municipal separate storm sewers located  within the boundaries of a region defined by a stormwater management regional  authority based on a jurisdictional, watershed, or other appropriate basis that  includes one or more of the systems described in subdivisions 1, 2 and 3 of  this definition.
    "Minor modification" means, for the purposes of  this chapter, minor modification or amendment of an existing permit before its  expiration as specified in 4VAC50-60-640. Minor modification for the purposes  of this chapter also means other modifications and amendments not requiring  extensive review and evaluation including, but not limited to, changes in EPA  promulgated test protocols, increasing monitoring frequency requirements,  changes in sampling locations, and changes to compliance dates within the  overall compliance schedules. A minor permit modification or amendment does not  substantially alter permit conditions, substantially increase or decrease the  amount of surface water impacts, increase the size of the operation, or reduce  the capacity of the facility to protect human health or the environment.
    "Municipal separate storm sewer" means a conveyance  or system of conveyances otherwise known as a municipal separate storm sewer  system, including roads with drainage systems, municipal streets, catch basins,  curbs, gutters, ditches, manmade channels, or storm drains:
    1. Owned or operated by a federal, state, city, town, county,  district, association, or other public body, created by or pursuant to state  law, having jurisdiction or delegated authority for erosion and sediment  control and stormwater management, or a designated and approved management  agency under § 208 of the CWA that discharges to surface waters;
    2. Designed or used for collecting or conveying stormwater;
    3. That is not a combined sewer; and
    4. That is not part of a publicly owned treatment works.
    "Municipal separate storm sewer system" or  "MS4" means all separate storm sewers that are defined as  "large" or "medium" or "small" municipal separate  storm sewer systems or designated under 4VAC50-60-380 A 1.
    "Municipal Separate Storm Sewer System Management  Program" or "MS4 Program" means a management program covering  the duration of a permit for a municipal separate storm sewer system that  includes a comprehensive planning process that involves public participation  and intergovernmental coordination, to reduce the discharge of pollutants to  the maximum extent practicable, to protect water quality, and to satisfy the  appropriate water quality requirements of the CWA and regulations and the Virginia  Stormwater Management Act and attendant regulations, using management  practices, control techniques, and system, design and engineering methods, and  such other provisions that are appropriate.
    "Municipality" means a city, town, county,  district, association, or other public body created by or under state law and  having jurisdiction over disposal of sewage, industrial wastes, or other  wastes, or an Indian tribe or an authorized Indian tribal organization, or a  designated and approved management agency under § 208 of the CWA.
    "National Pollutant Discharge Elimination System (NPDES)"  or "NPDES" means the national program for issuing, modifying,  revoking and reissuing, terminating, monitoring and enforcing permits, and  imposing and enforcing pretreatment requirements under §§ 307, 402, 318, and  405 of the CWA. The term includes an approved program.
    "Natural channel design concepts" means the  utilization of engineering analysis and fluvial geomorphic processes to create,  rehabilitate, restore, or stabilize an open conveyance system for the purpose  of creating or recreating a stream that conveys its bankfull storm event within  its banks and allows larger flows to access its floodplain.
    "Natural stormwater conveyance system" means the  main channel of a natural stream, in combination with the floodway and flood  fringe, which compose the floodplain.   
    "Natural stream" means a tidal or nontidal  watercourse that is part of the natural topography. It usually maintains a  continuous or seasonal flow during the year and is characterized as being  irregular in cross-section with a meandering course. Constructed channels such  as drainage ditches or swales shall not be considered natural streams.  
    "New discharger" means any building, structure,  facility, or installation:
    1. From which there is or may be a discharge of pollutants;
    2. That did not commence the discharge of pollutants at a  particular site prior to August 13, 1979;
    3. Which is not a new source; and
    4. Which has never received a finally effective VPDES or VSMP  permit for discharges at that site.
    This definition includes an indirect discharger that  commences discharging into surface waters after August 13, 1979. It also  includes any existing mobile point source (other than an offshore or coastal  oil and gas exploratory drilling rig or a coastal oil and gas developmental  drilling rig) such as a seafood processing rig, seafood processing vessel, or  aggregate plant, that begins discharging at a site for which it does not have a  permit; and any offshore or coastal mobile oil and gas exploratory drilling rig  or coastal mobile oil and gas developmental drilling rig that commences the  discharge of pollutants after August 13, 1979.
    "New permit" means, for the purposes of this  chapter, a permit issued by the permit-issuing authority to a permit applicant  that does not currently hold and has never held a permit of that type, for that  activity, at that location.
    "New source," means any building, structure,  facility, or installation from which there is or may be a discharge of pollutants,  the construction of which commenced:
    1. After promulgation of standards of performance under § 306  of the CWA that are applicable to such source; or
    2. After proposal of standards of performance in accordance  with § 306 of the CWA that are applicable to such source, but only if the  standards are promulgated in accordance with § 306 of the CWA within 120 days  of their proposal.
    "Nonpoint source pollution" means pollution such as  sediment, nitrogen and phosphorous, hydrocarbons, heavy metals, and toxics  whose sources cannot be pinpointed but rather are washed from the land surface  in a diffuse manner by stormwater runoff.
    "Nonpoint source pollutant runoff load" or  "pollutant discharge" means the average amount of a particular  pollutant measured in pounds per year, delivered in a diffuse manner by  stormwater runoff.
    "Operator" means the owner or operator of any  facility or activity subject to regulation under the VSMP program. In the  context of stormwater associated with a large or small construction activity,  operator means any person associated with a construction project that meets  either of the following two criteria: (i) the person has direct operational  control over construction plans and specifications, including the ability to  make modifications to those plans and specifications or (ii) the person has  day-to-day operational control of those activities at a project that are  necessary to ensure compliance with a stormwater pollution prevention plan for  the site or other permit conditions (i.e., they are authorized to direct  workers at a site to carry out activities required by the stormwater pollution  prevention plan or comply with other permit conditions). In the context of  stormwater discharges from Municipal Separate Storm Sewer Systems (MS4s), operator  means the operator of the regulated MS4 system. 
    "Outfall" means, when used in reference to  municipal separate storm sewers, a point source at the point where a municipal  separate storm sewer discharges to surface waters and does not include open conveyances  connecting two municipal separate storm sewers, or pipes, tunnels or other  conveyances which connect segments of the same stream or other surface waters  and are used to convey surface waters.
    "Overburden" means any material of any nature,  consolidated or unconsolidated, that overlies a mineral deposit, excluding  topsoil or similar naturally occurring surface materials that are not disturbed  by mining operations.
    "Owner" means the Commonwealth or any of its  political subdivisions including, but not limited to, sanitation district  commissions and authorities, and any public or private institution,  corporation, association, firm or company organized or existing under the laws  of this or any other state or country, or any officer or agency of the United  States, or any person or group of persons acting individually or as a group  that owns, operates, charters, rents, or otherwise exercises control over or is  responsible for any actual or potential discharge of sewage, industrial wastes,  or other wastes or pollutants to state waters, or any facility or  operation that has the capability to alter the physical, chemical, or  biological properties of state waters in contravention of § 62.1-44.5 of the  Code of Virginia, the Act and this chapter.
    "Peak flow rate" means the maximum instantaneous  flow from a prescribed design storm at a particular location.
    "Percent impervious" means the impervious area  within the site divided by the area of the site multiplied by 100.
    "Permit" means an approval issued by the permit-issuing  authority for the initiation of a land-disturbing activity or for stormwater  discharges from an MS4. Permit does not include any permit that has not yet  been the subject of final permit-issuing authority action, such as a draft  permit or a proposed permit.
    "Permit-issuing authority" means the board, the  department, or a locality that is delegated authority by the board to issue,  deny, revoke, terminate, or amend stormwater permits under the provisions of  the Act and this chapter with a qualifying local program.
    "Permittee" means the person or locality to which  the permit is issued, including any operator whose construction site is covered  under a construction general permit.
    "Person" means any individual, corporation,  partnership, association, state, municipality, commission, or political  subdivision of a state, governmental body (including but not limited to a  federal, state, or local entity), any interstate body or any other legal  entity.
    "Planning area" means a designated portion of the  parcel on which the land development project is located. Planning areas shall  be established by delineation on a master plan. Once established, planning  areas shall be applied consistently for all future projects.
    "Point of discharge" means a location at which  stormwater runoff is released.
    "Point source" means any discernible, confined, and  discrete conveyance including, but not limited to, any pipe, ditch, channel,  tunnel, conduit, well, discrete fissure, container, rolling stock, concentrated  animal feeding operation, landfill leachate collection system, vessel, or other  floating craft from which pollutants are or may be discharged. This term does  not include return flows from irrigated agriculture or agricultural stormwater  runoff.
    "Pollutant" means dredged spoil, solid waste,  incinerator residue, filter backwash, sewage, garbage, sewage sludge,  munitions, chemical wastes, biological materials, radioactive materials (except  those regulated under the Atomic Energy Act of 1954, as amended (42 USC § 2011  et seq.)), heat, wrecked or discarded equipment, rock, sand, cellar dirt and  industrial, municipal, and agricultural waste discharged into water. It does  not mean:
    1. Sewage from vessels; or
    2. Water, gas, or other material that is injected into a well  to facilitate production of oil or gas, or water derived in association with  oil and gas production and disposed of in a well if the well used either to  facilitate production or for disposal purposes is approved by the board and if  the board determines that the injection or disposal will not result in the  degradation of ground or surface water resources.
    "Pollutant discharge" means the average amount  of a particular pollutant measured in pounds per year or other standard  reportable unit as appropriate, delivered in a diffuse manner by stormwater  runoff.
    "Pollution" means such alteration of the physical,  chemical or biological properties of any state waters as will or is likely to  create a nuisance or render such waters (a) harmful or detrimental or injurious  to the public health, safety or welfare, or to the health of animals, fish or  aquatic life; (b) unsuitable with reasonable treatment for use as present or  possible future sources of public water supply; or (c) unsuitable for  recreational, commercial, industrial, agricultural, or other reasonable uses,  provided that (i) an alteration of the physical, chemical, or biological  property of state waters, or a discharge or deposit of sewage, industrial  wastes or other wastes to state waters by any owner which by itself is not sufficient  to cause pollution, but which, in combination with such alteration of or  discharge or deposit to state waters by other owners, is sufficient to cause  pollution; (ii) the discharge of untreated sewage by any owner into state  waters; and (iii) contributing to the contravention of standards of water  quality duly established by the State Water Control Board, are  "pollution" for the terms and purposes of this chapter.
    "Post-development" "Postdevelopment"  refers to conditions that reasonably may be expected or anticipated to exist  after completion of the land development activity on a specific site or tract  of land.
    "Pre-development" "Predevelopment"  refers to the conditions that exist at the time that plans for the land  development of a tract of land are approved by submitted to the  plan approval authority. Where phased development or plan approval occurs  (preliminary grading, roads and utilities, etc.), the existing conditions at  the time prior to the first item being approved or permitted submitted  shall establish pre-development predevelopment conditions.
    "Prior developed lands" means land that has been  previously utilized for residential, commercial, industrial, institutional,  recreation, transportation or utility facilities or structures, and that will  have the impervious areas associated with those uses altered during a  land-disturbing activity.
    "Privately owned treatment works (PVOTW)" or  "PVOTW" means any device or system that is (i) used to treat  wastes from any facility whose operator is not the operator of the treatment  works and (ii) not a POTW.
    "Proposed permit" means a VSMP permit prepared  after the close of the public comment period (and, when applicable, any public  hearing and administrative appeals) that is sent to EPA for review before final  issuance. A proposed permit is not a draft permit.
    "Publicly owned treatment works (POTW)" or  "POTW" means a treatment works as defined by § 212 of the  CWA that is owned by a state or municipality (as defined by § 502(4) of  the CWA). This definition includes any devices and systems used in the storage,  treatment, recycling, and reclamation of municipal sewage or industrial wastes  of a liquid nature. It also includes sewers, pipes, and other conveyances only  if they convey wastewater to a POTW treatment plant. The term also means the  municipality as defined in § 502(4) of the CWA, that has jurisdiction over  the indirect discharges to and the discharges from such a treatment works.
    "Qualifying local stormwater management program"  or "qualifying local program" means a local program that is  administered by a locality that has been authorized by the board to issue  coverage under the VSMP General Permit for Discharges of Stormwater from  Construction Activities (4VAC50-60-1170).
    "Recommencing discharger" means a source that  recommences discharge after terminating operations.
    "Regional administrator" means the Regional  Administrator of Region III of the Environmental Protection Agency or the  authorized representative of the regional administrator.
    "Regional (watershed-wide) stormwater management  facility" or "regional facility" means a facility or series of  facilities designed to control stormwater runoff from a specific watershed,  although only portions of the watershed may experience land development.
    "Regional (watershed-wide) stormwater management  plan" or "regional plan" means a document containing material  describing how runoff from open space, existing development and future planned  development areas within a watershed will be controlled by coordinated design  and implementation of regional stormwater management facilities.
    "Restored stormwater conveyance system" means a  stormwater conveyance system that has been designed and constructed using  natural channel design concepts, including the main channel, floodway, and  flood fringe.
    "Revoked permit" means, for the purposes of this  chapter, an existing permit that is terminated by the board before its  expiration.
    "Runoff coefficient" means the fraction of total  rainfall that will appear at a conveyance as runoff. 
    "Runoff" or "stormwater runoff" means  that portion of precipitation that is discharged across the land surface or  through conveyances to one or more waterways.
    "Sand filter" means a contained bed of sand that  acts to filter the first flush of runoff. The runoff is then collected beneath  the sand bed and conveyed to an adequate discharge point or infiltrated into  the in-situ soils.
    "Runoff characteristics" include, but are not  limited to, velocity, peak flow rate, volume, time of concentration, and flow  duration, and their influence on channel morphology including sinuosity,  channel cross-sectional area, and channel slope.
    "Runoff volume" means the volume of water that  runs off the site of a land-disturbing activity from a prescribed design storm.
    "Schedule of compliance" means a schedule of  remedial measures included in a permit, including an enforceable sequence of  interim requirements (for example, actions, operations, or milestone events)  leading to compliance with the Act, the CWA and regulations.
    "Secretary" means the Secretary of the Army, acting  through the Chief of Engineers.
    "Severe property damage" means substantial physical  damage to property, damage to the treatment facilities that causes them to  become inoperable, or substantial and permanent loss of natural resources that  can reasonably be expected to occur in the absence of a bypass. Severe property  damage does not mean economic loss caused by delays in production.
    "Shallow marsh" means a zone within a stormwater  extended detention basin that exists from the surface of the normal pool to a  depth of six to 18 inches, and has a large surface area and, therefore,  requires a reliable source of baseflow, groundwater supply, or a sizeable  drainage area, to maintain the desired water surface elevations to support  emergent vegetation.
    "Significant materials" means, but is not limited  to: raw materials; fuels; materials such as solvents, detergents, and plastic  pellets; finished materials such as metallic products; raw materials used in  food processing or production; hazardous substances designated under § 101(14)  of CERCLA (42 USC § 9601(14)); any chemical the facility is required to report  pursuant to § 313 of Title III of SARA (42 USC § 11023); fertilizers;  pesticides; and waste products such as ashes, slag and sludge that have the  potential to be released with stormwater discharges.
    "Single jurisdiction" means, for the purposes of  this chapter, a single county or city. The term county includes incorporated  towns which are part of the county.
    "Site" means the land or water area where any  facility or activity is physically located or conducted, a parcel of land being  developed, or a designated planning area of a parcel in which the  land development project is located. Areas channelward of mean low water in  tidal Virginia shall not be considered part of a site.
    "Site hydrology" means the movement of water on,  across, through and off the site as determined by parameters including, but not  limited to, soil types, soil permeability, vegetative cover, seasonal water  tables, slopes, land cover, and impervious cover.
    "Small construction activity" means:
    1. Construction activities including clearing, grading, and  excavating that results in land disturbance of equal to or greater than one  acre, or equal to or greater than 2,500 square feet in all areas of the  jurisdictions designated as subject to the Chesapeake Bay Preservation Area  Designation and Management Regulations adopted pursuant to the Chesapeake Bay  Preservation Act, and less than five acres. Small construction activity also  includes the disturbance of less than one acre of total land area that is part  of a larger common plan of development or sale if the larger common plan will  ultimately disturb equal to or greater than one and less than five acres. Small  construction activity does not include routine maintenance that is performed to  maintain the original line and grade, hydraulic capacity, or original purpose  of the facility. The board may waive the otherwise applicable requirements in a  general permit for a stormwater discharge from construction activities that  disturb less than five acres where stormwater controls are not needed based on  a "total maximum daily load" (TMDL) approved or established by EPA  that addresses the pollutant(s) of concern or, for nonimpaired waters that do  not require TMDLs, an equivalent analysis that determines allocations for small  construction sites for the pollutant(s) of concern or that determines that such  allocations are not needed to protect water quality based on consideration of  existing in-stream concentrations, expected growth in pollutant contributions  from all sources, and a margin of safety. For the purpose of this subdivision,  the pollutant(s) of concern include sediment or a parameter that addresses sediment  (such as total suspended solids, turbidity or siltation) and any other  pollutant that has been identified as a cause of impairment of any water body  that will receive a discharge from the construction activity. The operator must  certify to the board that the construction activity will take place, and  stormwater discharges will occur, within the drainage area addressed by the  TMDL or equivalent analysis.
    2. Any other construction activity designated by the either  the board or the EPA regional administrator, based on the potential for  contribution to a violation of a water quality standard or for significant  contribution of pollutants to surface waters.
    "Small municipal separate storm sewer system" or  "small MS4" means all separate storm sewers that are (i) owned or  operated by the United States, a state, city, town, borough, county, parish,  district, association, or other public body (created by or pursuant to state  law) having jurisdiction over disposal of sewage, industrial wastes,  stormwater, or other wastes, including special districts under state law such  as a sewer district, flood control district or drainage district, or similar  entity, or an Indian tribe or an authorized Indian tribal organization, or a  designated and approved management agency under § 208 of the CWA that  discharges to surface waters and (ii) not defined as "large" or  "medium" municipal separate storm sewer systems or designated under  4VAC50-60-380 A 1. This term includes systems similar to separate storm sewer  systems in municipalities, such as systems at military bases, large hospital or  prison complexes, and highway and other thoroughfares. The term does not  include separate storm sewers in very discrete areas, such as individual  buildings.
    "Source" means any building, structure, facility,  or installation from which there is or may be a discharge of pollutants.
    "Stable" means, in the context of channels, a  channel that has developed an established dimension, pattern, and profile such  that over time, these features are maintained.
    "State" means the Commonwealth of Virginia.
    "State/EPA agreement" means an agreement between  the regional administrator and the state that coordinates EPA and state  activities, responsibilities and programs including those under the CWA and the  Act.
    "State project" means any land development project  that is undertaken by any state agency, board, commission, authority or any  branch of state government, including state-supported institutions of higher  learning.
    "State Water Control Law" means Chapter 3.1 (§ 62.1-44.2  et seq.) of Title 62.1 of the Code of Virginia.
    "State waters" means all water, on the surface and  under the ground, wholly or partially within or bordering the Commonwealth or  within its jurisdiction, including wetlands.
    "Stormwater" means precipitation that is discharged  across the land surface or through conveyances to one or more waterways and  that may include stormwater runoff, snow melt runoff, and surface runoff and  drainage.
    "Stormwater conveyance system" means any of the  following, either within or downstream of the land-disturbing activity: (i) a  manmade stormwater conveyance system, (ii) a natural stormwater conveyance  system, or (iii) a restored stormwater conveyance system. 
    "Stormwater detention basin" or "detention  basin" means a stormwater management facility that temporarily impounds  runoff and discharges it through a hydraulic outlet structure to a downstream  conveyance system. While a certain amount of outflow may also occur via  infiltration through the surrounding soil, such amounts are negligible when  compared to the outlet structure discharge rates and are, therefore, not  considered in the facility's design. Since a detention facility impounds runoff  only temporarily, it is normally dry during nonrainfall periods.
    "Stormwater discharge associated with construction  activity" means a discharge of pollutants in stormwater runoff from areas  where land-disturbing activities (e.g., clearing, grading, or excavation);  construction materials or equipment storage or maintenance (e.g., fill piles,  borrow area, concrete truck washout, fueling); or other industrial stormwater  directly related to the construction process (e.g., concrete or asphalt batch  plants) are located.
    "Stormwater discharge associated with large construction  activity" means the discharge of stormwater from large construction  activities.
    "Stormwater discharge associated with small construction  activity" means the discharge of stormwater from small construction  activities.
    "Stormwater extended detention basin" or  "extended detention basin" means a stormwater management facility  that temporarily impounds runoff and discharges it through a hydraulic outlet  structure over a specified period of time to a downstream conveyance system for  the purpose of water quality enhancement or stream channel erosion control.  While a certain amount of outflow may also occur via infiltration through the  surrounding soil, such amounts are negligible when compared to the outlet  structure discharge rates and, therefore, are not considered in the facility's  design. Since an extended detention basin impounds runoff only temporarily, it  is normally dry during nonrainfall periods.
    "Stormwater extended detention basin-enhanced"  or "extended detention basin-enhanced" means an extended detention  basin modified to increase pollutant removal by providing a shallow marsh in  the lower stage of the basin.
    "Stormwater management facility" means a device  that controls stormwater runoff and changes the characteristics of that runoff  including, but not limited to, the quantity and quality, the period of release  or the velocity of flow.
    "Stormwater management plan" means a document  document(s) containing material for describing how existing runoff  characteristics will be maintained by a land-disturbing activity and methods  for complying with the requirements of the local program or this chapter.
    "Stormwater Management Program" means a program  established by a locality that is consistent with the requirements of the Virginia  Stormwater Management Act, this chapter and associated guidance documents.
    "Stormwater management standards" means the  minimum criteria for stormwater management programs and land-disturbing  activities as set out in Part II (4VAC50-60-40 et seq.) of this chapter.
    "Stormwater Pollution Prevention Plan" (SWPPP) or  "plan" means a document that is prepared in accordance with good  engineering practices and that identifies potential sources of pollution that  may reasonably be expected to affect the quality of stormwater discharges from  the construction site or its associated land-disturbing activities. In addition  the document shall describe and ensure the implementation of best management  practices, and shall include, but not be limited to the inclusion of, or the  incorporation by reference of, an erosion and sediment control plan, a  post-construction stormwater management plan, a spill prevention control and  countermeasure (SPCC) plan, and other practices that will be used to reduce  pollutants in stormwater discharges from land-disturbing activities and to assure  compliance with the terms and conditions of this chapter. All plans  incorporated by reference into the SWPPP shall be enforceable under the permit  issued.
    "Stormwater retention basin" or "retention  basin" means a stormwater management facility that includes a permanent  impoundment, or normal pool of water, for the purpose of enhancing water  quality and, therefore, is normally wet, even during nonrainfall periods. Storm  runoff inflows may be temporarily stored above this permanent impoundment for  the purpose of reducing flooding, or stream channel erosion.
    "Stormwater retention basin I" or  "retention basin I" means a retention basin with the volume of the  permanent pool equal to three times the water quality volume.
    "Stormwater retention basin II" or "retention  basin II" means a retention basin with the volume of the permanent pool  equal to four times the water quality volume.
    "Stormwater retention basin III" or  "retention basin III" means a retention basin with the volume of the  permanent pool equal to four times the water quality volume with the addition  of an aquatic bench.
    "Subdivision" means the same as defined in § 15.2-2201 of the Code of Virginia.
    "Surface waters" means:
    1. All waters that are currently used, were used in the past,  or may be susceptible to use in interstate or foreign commerce, including all  waters that are subject to the ebb and flow of the tide;
    2. All interstate waters, including interstate wetlands;
    3. All other waters such as intrastate lakes, rivers, streams  (including intermittent streams), mudflats, sandflats, wetlands, sloughs,  prairie potholes, wet meadows, playa lakes, or natural ponds the use,  degradation, or destruction of which would affect or could affect interstate or  foreign commerce including any such waters:
    a. That are or could be used by interstate or foreign  travelers for recreational or other purposes;
    b. From which fish or shellfish are or could be taken and sold  in interstate or foreign commerce; or
    c. That are used or could be used for industrial purposes by  industries in interstate commerce.
    4. All impoundments of waters otherwise defined as surface  waters under this definition;
    5. Tributaries of waters identified in subdivisions 1 through  4 of this definition;
    6. The territorial sea; and
    7. Wetlands adjacent to waters (other than waters that are  themselves wetlands) identified in subdivisions 1 through 6 of this definition.
    Waste treatment systems, including treatment ponds or lagoons  designed to meet the requirements of the CWA and the law, are not surface  waters. Surface waters do not include prior converted cropland. Notwithstanding  the determination of an area's status as prior converted cropland by any other  agency, for the purposes of the Clean Water Act, the final authority regarding  the Clean Water Act jurisdiction remains with the EPA.
    "Total dissolved solids" means the total dissolved  (filterable) solids as determined by use of the method specified in 40 CFR Part  136 (2000).
    "Total maximum daily load" or "TMDL"  means the sum of the individual wasteload allocations for point sources, load  allocations (LAs) for nonpoint sources, natural background loading and a margin  of safety. TMDLs can be expressed in terms of either mass per time, toxicity,  or other appropriate measure. The TMDL process provides for point versus  nonpoint source trade-offs.
    "Toxic pollutant" means any pollutant listed as  toxic under § 307(a)(1) of the CWA or, in the case of sludge use or disposal  practices, any pollutant identified in regulations implementing § 405(d) of the  CWA.
    "Unstable" means, in the context of channels, a  channel that is not stable.
    "Upset" means an exceptional incident in which  there is unintentional and temporary noncompliance with technology based permit  effluent limitations because of factors beyond the reasonable control of the  operator. An upset does not include noncompliance to the extent caused by  operational error, improperly designed treatment facilities, inadequate  treatment facilities, lack of preventive maintenance, or careless or improper  operation.
    "Variance" means any mechanism or provision under §  301 or § 316 of the CWA or under 40 CFR Part 125 (2000), or in the applicable  effluent limitations guidelines that allows modification to or waiver of the  generally applicable effluent limitation requirements or time deadlines of the  CWA. This includes provisions that allow the establishment of alternative  limitations based on fundamentally different factors or on § 301(c), §  301(g), § 301(h), § 301(i), or § 316(a) of the CWA.
    "Vegetated filter strip" means a densely  vegetated section of land engineered to accept runoff as overland sheet flow  from upstream development. It shall adopt any natural vegetated form, from  grassy meadow to small forest. The vegetative cover facilitates pollutant  removal through filtration, sediment deposition, infiltration and absorption,  and is dedicated for that purpose.
    "Virginia Pollutant Discharge Elimination System (VPDES)  permit" or "VPDES permit" means a document issued by the State  Water Control Board pursuant to the State Water Control Law authorizing, under  prescribed conditions, the potential or actual discharge of pollutants from a  point source to surface waters and the use or disposal of sewage sludge.
    "Virginia Stormwater Management Act" or  "Act" means Article 1.1 (§ 10.1-603.1 et seq.) of Chapter 6 of Title  10.1 of the Code of Virginia.
    "Virginia Stormwater Management Handbook" means  a collection of pertinent information that provides general guidance for  compliance with the Act and associated regulations and is developed by the  department with advice from a stakeholder advisory committee.
    "Virginia Stormwater Management Program (VSMP)"  or "VSMP" means the Virginia program for issuing, modifying,  revoking and reissuing, terminating, monitoring and enforcing permits, and  imposing and enforcing requirements pursuant to the federal Clean Water Act  CWA, the Virginia Stormwater Management Act, this chapter, and  associated guidance documents.
    "Virginia Stormwater Management Program (VSMP)  permit" or "VSMP permit" means a document issued by the  permit-issuing authority pursuant to the Virginia Stormwater Management Act and  this chapter authorizing, under prescribed conditions, the potential or actual  discharge of pollutants from a point source to surface waters. Under the approved  state program, a VSMP permit is equivalent to a NPDES permit.
    "VSMP application" or "application" means  the standard form or forms, including any additions, revisions or modifications  to the forms, approved by the administrator and the board for applying for a  VSMP permit.
    "Wasteload allocation" or "wasteload" or  "WLA" means the portion of a receiving surface water's loading or  assimilative capacity allocated to one of its existing or future point sources  of pollution. WLAs are a type of water quality-based effluent limitation.
    "Water quality standards" or "WQS" means  provisions of state or federal law that consist of a designated use or uses for  the waters of the Commonwealth and water quality criteria for such waters based  on such uses. Water quality standards are to protect the public health or  welfare, enhance the quality of water, and serve the purposes of the State  Water Control Law (§ 62.1-44.2 et seq. of the Code of Virginia), the Virginia  Stormwater Management Act (§ 10.1-603.1 et seq. of the Code of Virginia),  and the federal Clean Water Act CWA (33 USC § 1251 et seq.). 
    "Water quality volume" means the volume equal to  the first 1/2 inch of runoff multiplied by the impervious surface of the land  development project.
    "Watershed" means a defined land area drained by a  river or stream, karst system, or system of connecting rivers or streams  such that all surface water within the area flows through a single outlet. In  karst areas, the karst feature to which the water drains may be considered the  single outlet for the watershed.
    "Wetlands" means those areas that are inundated or  saturated by surface or groundwater at a frequency and duration sufficient to  support, and that under normal circumstances do support, a prevalence of  vegetation typically adapted for life in saturated soil conditions. Wetlands  generally include swamps, marshes, bogs, and similar areas.
    "Whole effluent toxicity" means the aggregate toxic  effect of an effluent measured directly by a toxicity test.
    4VAC50-60-20. Purposes. 
    The purposes of this chapter are to provide a framework for  the administration, implementation and enforcement of the Virginia  Stormwater Management Act (Act) and to delineate the procedures and  requirements to be followed in connection with VSMP permits issued by the board  or its designee pursuant to the Clean Water Act (CWA) and the Virginia  Stormwater Management Act, while at the same time providing flexibility for  innovative solutions to stormwater management issues. The chapter also  establishes the board's procedures for the authorization of a qualifying local  program, board and department oversight authorities for an authorized  qualifying local program, the board's procedures for utilization by the  department in administering a local program in localities where no qualifying  local program is authorized, and the components of a stormwater management  program including but not limited to stormwater management standards.
    4VAC50-60-30. Applicability. 
    This chapter is applicable to: 
    1. Every private, local, state, or federal entity that  establishes a stormwater management program or a MS4 program; 
    2. The department in its oversight of locally administered  programs or in its administration of a local program;
    2. 3. Every state agency project regulated under  the Act and this chapter; and 
    3. 4. Every land-disturbing activity regulated  under § 10.1-603.8 of the Code of Virginia unless otherwise exempted in  § 10.1-603.8 B. 
    Part II 
  Stormwater Management Program Technical Criteria 
    4VAC50-60-40. Applicability Authority and  applicability. 
    This part specifies technical criteria for every  stormwater management program and land-disturbing activity. 
    Pursuant to the Virginia Stormwater Management Act (§ 10.1-603.2  et seq. of the Code of Virginia), the board is required to take actions  ensuring the general health, safety, and welfare of the citizens of the  Commonwealth as well as protecting the quality and quantity of state waters  from the potential harm of unmanaged stormwater. In addition to other authority  granted to the board under the Stormwater Management Act, the board is  authorized pursuant to §§ 10.1-603.2:1 and 10.1-603.4 to adopt regulations that  specify minimum technical criteria for stormwater management programs in  Virginia, to establish statewide standards for stormwater management from  land-disturbing activities, and to protect properties, the quality and quantity  of state waters, the physical integrity of stream channels, and other natural  resources.
    In accordance with the board's authority, this part establishes  the minimum technical criteria and stormwater management standards that shall  be employed by a state agency in accordance with an implementation schedule set  by the board, or by a qualifying local program or department-administered local  stormwater management program that has been approved by the board, to protect  the quality and quantity of state waters from the potential harm of unmanaged  stormwater runoff resulting from land-disturbing activities.
    For those localities required to adopt a local stormwater  management program pursuant to § 10.1-603.3 of the Code of Virginia, until a  local program is approved by the board, the technical criteria required shall  be that found at 4VAC50-60-1180 through 4VAC50-60-1190. 
    4VAC50-60-50. General. (Repealed.)
    A. Determination of flooding and channel erosion impacts  to receiving streams due to land-disturbing activities shall be measured at  each point of discharge from the land disturbance and such determination shall  include any runoff from the balance of the watershed which also contributes to  that point of discharge. 
    B. The specified design storms shall be defined as either  a 24-hour storm using the rainfall distribution recommended by the U.S.  Department of Agriculture's Natural Resources Conservation Service (NRCS) when  using NRCS methods or as the storm of critical duration that produces the  greatest required storage volume at the site when using a design method such as  the Modified Rational Method. 
    C. For purposes of computing runoff, all pervious lands in  the site shall be assumed prior to development to be in good condition (if the  lands are pastures, lawns, or parks), with good cover (if the lands are woods),  or with conservation treatment (if the lands are cultivated); regardless of  conditions existing at the time of computation. 
    D. Construction of stormwater management facilities or  modifications to channels shall comply with all applicable laws and  regulations. Evidence of approval of all necessary permits shall be presented. 
    E. Impounding structures that are not covered by the  Impounding Structure Regulations (4VAC50-20) shall be engineered for structural  integrity during the 100-year storm event. 
    F. Pre-development and post-development runoff rates shall  be verified by calculations that are consistent with good engineering  practices. 
    G. Outflows from a stormwater management facility or  stormwater conveyance system, shall be discharged to an adequate channel. 
    H. Proposed residential, commercial, or industrial  subdivisions shall apply these stormwater management criteria to the land  disturbance as a whole. Individual lots in new subdivisions shall not be  considered separate land-disturbing activities, but rather the entire  subdivision shall be considered a single land development project. Hydrologic  parameters shall reflect the ultimate land disturbance and shall be used in all  engineering calculations. 
    I. All stormwater management facilities shall have an  inspection and maintenance plan that identifies the owner and the responsible  party for carrying out the inspection and maintenance plan. 
    J. Construction of stormwater management impoundment  structures within a Federal Emergency Management Agency (FEMA) designated  100-year floodplain shall be avoided to the extent possible. When this is  unavoidable, all stormwater management facility construction shall be in  compliance with all applicable regulations under the National Flood Insurance  Program, 44 CFR Part 59. 
    K. Natural channel characteristics shall be preserved to  the maximum extent practicable. 
    L. Land-disturbing activities shall comply with the  Virginia Erosion and Sediment Control Law (§ 10.1-560 et seq. of the Code of  Virginia) and attendant regulations. 
    M. Flood control and stormwater management facilities that  drain or treat water from multiple development projects or from a significant  portion of a watershed may be allowed in Resource Protection Areas defined in  the Chesapeake Bay Preservation Act, provided that (i) the local government has  conclusively established that the location of the facility within the Resource  Protection Area is the optimum location; (ii) the size of the facility is the  minimum necessary to provide necessary flood control, stormwater treatment, or  both; and, (iii) the facility must be consistent with a stormwater management  program that has been approved by the board. 
    4VAC50-60-53. General requirements.
    The physical, chemical, biological, and hydrologic  characteristics and the water quality and quantity of the receiving state  waters shall be maintained, protected, or improved in accordance with the  requirements of this part. Objectives include, but are not limited to,  supporting state designated uses and water quality standards. All control  measures used shall be employed in a manner that minimizes impacts on receiving  state waters.
    4VAC50-60-56. Applicability of other laws and regulations.
    Nothing in this chapter shall be construed as limiting the  applicability of other laws and regulations, including, but not limited to, the  CWA, Virginia Stormwater Management Act, Virginia Erosion and Sediment Control  Law, and the Chesapeake Bay Preservation Act, except as provided in §  10.1-603.3 I of the Code of Virginia and all applicable regulations adopted in  accordance with those laws, or the rights of other federal agencies, state  agencies, or local governments to impose more stringent technical criteria or  other requirements as allowed by law.
    4VAC50-60-60. Water quality. (Repealed.)
    A. Compliance with the water quality criteria may be  achieved by applying the performance-based criteria or the technology-based  criteria to either the site or a planning area. 
    B. Performance-based criteria. For land-disturbing  activities, the calculated post-development nonpoint source pollutant runoff  load shall be compared to the calculated pre-development load based upon the  average land cover condition or the existing site condition. A BMP shall be  located, designed, and maintained to achieve the target pollutant removal  efficiencies specified in Table 1 to effectively reduce the pollutant load to  the required level based upon the following four applicable land development  situations for which the performance criteria apply: 
    1. Situation 1 consists of land-disturbing activities where  the existing percent impervious cover is less than or equal to the average land  cover condition and the proposed improvements will create a total percent  impervious cover which is less than the average land cover condition. 
    Requirement: No reduction in the after disturbance  pollutant discharge is required. 
    2. Situation 2 consists of land-disturbing activities where  the existing percent impervious cover is less than or equal to the average land  cover condition and the proposed improvements will create a total percent  impervious cover which is greater than the average land cover condition. 
    Requirement: The pollutant discharge after disturbance  shall not exceed the existing pollutant discharge based on the average land  cover condition. 
    3. Situation 3 consists of land disturbing activities where  the existing percent impervious cover is greater than the average land cover  condition. 
    Requirement: The pollutant discharge after disturbance  shall not exceed (i) the pollutant discharge based on existing conditions less  10% or (ii) the pollutant discharge based on the average land cover condition,  whichever is greater. 
    4. Situation 4 consists of land disturbing activities where  the existing percent impervious cover is served by an existing stormwater  management BMP that addresses water quality. 
    Requirement: The pollutant discharge after disturbance  shall not exceed the existing pollutant discharge based on the existing percent  impervious cover while served by the existing BMP. The existing BMP shall be  shown to have been designed and constructed in accordance with proper design  standards and specifications, and to be in proper functioning condition. 
    C. Technology-based criteria. For land-disturbing  activities, the post-developed stormwater runoff from the impervious cover  shall be treated by an appropriate BMP as required by the post-developed  condition percent impervious cover as specified in Table 1. The selected BMP  shall be located, designed, and maintained to perform at the target pollutant  removal efficiency specified in Table 1. Design standards and specifications  for the BMPs in Table 1 that meet the required target pollutant removal  efficiency will be available at the department. 
    Table 1*
           | Water Quality BMP*
 | Target Phosphorus Removal    Efficiency
 | Percent Impervious Cover
 | 
       | Vegetated filter strip
 Grassed Swale
 | 10%
 15%
 | 16-21%
 | 
       | Constructed wetlands
 Extended detention (2 x WQ Vol)
 Retention basin I (3 x WQ Vol)
 | 20%
 35%
 40%
 | 22-37%
 | 
       | Bioretention basin
 Bioretention filter
 Extended detention-enhanced
 Retention basin II (4 x WQ Vol)
 Infiltration (1 x WQ Vol)
 | 50%
 50%
 50%
 50%
 50%
 | 38-66%
 | 
       | Sand filter
 Infiltration (2 x WQ Vol)
 Retention basin III (4 x WQ Vol    with aquatic bench)
 | 65%
 65%
 65%
 | 67-100%
 | 
  
    *Innovative or alternate BMPs not included in this table may  be allowed at the discretion of the local program administrator or the  department. Innovative or alternate BMPs not included in this table which  target appropriate nonpoint source pollution other than phosphorous may be  allowed at the discretion of the local program administrator or the department.
    4VAC50-60-63. Water quality criteria requirements.
    In order to protect the quality of state waters and to  control nonpoint source pollution, the following minimum technical criteria and  statewide standards for stormwater management shall be applied to the site of a  land-disturbing activity. The local program shall have discretion to allow for  application of the criteria to each drainage area of the site. However, where a  site drains to more than one HUC, the pollutant load reduction requirements  shall be applied independently within each HUC unless reductions are achieved  in accordance with a comprehensive watershed stormwater management plan in  accordance with 4VAC50-60-96.
    1. New development. The total phosphorus load of new  development projects shall not exceed 0.28 pounds per acre per year, as  calculated pursuant to 4VAC50-60-65.
    2. Development on prior developed lands. The total  phosphorus load of projects occurring on prior developed lands shall be reduced  to an amount at least 20% below the predevelopment total phosphorus load.  However, the total phosphorus load shall not be required to be reduced to below  0.28 pounds per acre per year unless a more stringent standard has been  established by a qualifying local program.
    3. Compliance with 4VAC50-60-65 shall constitute compliance  with subdivisions 1 and 2 of this section.
    4. TMDL. In addition to the above requirements, if a  specific WLA for a pollutant has been established in a TMDL and is assigned to  stormwater discharges from a construction activity, necessary control measures  must be implemented by the operator to meet the WLA in accordance with the  requirements established in the General Permit for Discharges of Stormwater  from Construction Activities or an individual permit, which address both  construction and postconstruction discharges.
    4VAC50-60-65. Water quality compliance.
    A. Compliance with the water quality criteria set out in  subdivisions 1 and 2 of 4VAC50-60-63 shall be determined by utilizing the  Virginia Runoff Reduction Method or another methodology that is demonstrated by  the qualifying local program to achieve equivalent or more stringent results  and is approved by the board.
    B. The BMPs listed in Table 1 or the BMPs available on the  Virginia Stormwater BMP Clearinghouse website shall be utilized as necessary to  effectively reduce the phosphorus load in accordance with the Virginia Runoff  Reduction Method. Design specifications for the BMPs listed in Table 1 can be  found at http://www.vwrrc.vt.edu/swc.
           | TABLE 1 BMP Pollutant Removal Efficiencies
 | 
       | Practice | Removal of Total Phosphorus    by Runoff Volume Reduction (RR, as %) (based upon 1 inch of rainfall --90%    storm) | Removal of Total Phosphorus    by Treatment -- Pollutant Concentration Reduction (PR, as %) | Total Removal of Total    Phosphorus (TR, as %) | 
       | Green Roof 1 | 45 | 0 | 45 | 
       | Green Roof 2 | 60 | 0 | 60 | 
       | Rooftop Disconnection 1 | 25 | 0 | 25 | 
       | Rooftop Disconnection 2 | 50 | 0 | 50 | 
       | Rain Tanks/Cisterns 1
 | actual volume x .75 | 0 | actual volume x .75 | 
       | Soil Amendments 1 | 50 | 0 | 50 | 
       | Soil Amendments 2 | 75 | 0 | 75 | 
       | Permeable Pavement 1 | 45 | 25 | 59 | 
       | Permeable Pavement 2 | 75 | 25 | 81 | 
       | Grass Channel 1 | 10 | 15 | 23 | 
       | Grass Channel 2 | 20 | 15 | 32 | 
       | Bioretention 1 | 40 | 25 | 55 | 
       | Bioretention 2 | 80 | 50 | 90 | 
       | Infiltration 1 | 50 | 25 | 63 | 
       | Infiltration 2 | 90 | 25 | 93 | 
       | Dry Swale 1 | 40 | 20 | 52 | 
       | Dry Swale 2 | 60 | 40 | 76 | 
       | Wet Swale 1 | 0 | 20 | 20 | 
       | Wet Swale 2 | 0 | 40 | 40 | 
       | Sheet Flow to Conserved    Open Space 1 | 0 | 50 | 50 | 
       | Sheet Flow to Conserved    Open Space 2 | 0 | 75 | 75 | 
       | Extended Detention Pond 1
 | 0 | 15 | 15 | 
       | Extended Detention Pond 2
 | 15 | 15 | 28 | 
       | Filtering Practice 1 | 0 | 60 | 60 | 
       | Filtering Practice 2 | 0 | 65 | 65 | 
       | Constructed Wetland 1 | 0 | 50 | 50 | 
       | Constructed Wetland 2 | 0 | 75 | 75 | 
       | Wet Pond 1 | 0 | 50 | 50 | 
       | Wet Pond 2 | 0 | 75 | 75 | 
  
    C. BMPs differing from those listed in Table 1 shall be  reviewed and approved by the director in accordance with procedures established  by the BMP Clearinghouse Committee and approved by the board.
    D. A qualifying local program may establish use  limitations on specific BMPs following the submission of the proposed use  limitation and written justification to the department.
    E. Where the land-disturbing activity only occurs on a  portion of the site, the local program may review the stormwater management  plan based upon the portion of the site that is proposed to be developed,  provided that the local program has established guidance for such a review.  Such portion shall be deemed to include any area left undeveloped pursuant to  any local requirement or proffer accepted by a locality. Any such guidance  shall be provided to the department.
    F. If a comprehensive watershed stormwater management plan  has been adopted pursuant to 4VAC50-60-96 for the watershed within which a  project is located, then the qualifying local program may allow offsite  controls in accordance with the plan to achieve the postdevelopment pollutant  load water quality technical criteria set out in subdivisions 1 and 2 of  4VAC50-60-63. Such offsite controls shall achieve the required pollutant  reductions either completely offsite in accordance with the plan or in a  combination of onsite and offsite controls.
    G. Where no plan exists pursuant to subsection F of this  section, offsite controls may be used to meet the postdevelopment pollutant  load water quality technical criteria set out in subdivisions 1 and 2 of  4VAC50-60-63 provided:
    1. The local program allows for offsite controls;
    2. The applicant demonstrates to the satisfaction of the  local program that offsite reductions equal to or greater than those that would  otherwise be required for the site are achieved;
    3. The applicant demonstrates to the satisfaction of the  local program that the development's runoff and the runoff from any offsite  treatment area shall be controlled in accordance with 4VAC50-60-66;
    4. Offsite controls must be located within the same HUC or  the adjacent downstream HUC to the land-disturbing site; and
    5. The applicant demonstrates to the satisfaction of the  local program that the right to utilize the offsite control area and any  necessary easements has been obtained and maintenance agreements for the  stormwater management facilities have been established pursuant to  4VAC50-60-124.
    H. Alternatively, the local program may waive the  requirements of subdivisions 1 and 2 of 4VAC50-60-63 through the granting of an  exception pursuant to 4VAC50-60-122.
    4VAC50-60-66. Water quantity.
    A. Channel protection and flood protection shall be  addressed in accordance with the minimum standards set out in this section,  which are established pursuant to the requirements of subdivision 7 of §  10.1-603.4 of the Code of Virginia.
    B. Channel protection. Concentrated stormwater flow from  the site and offsite contributing areas shall be released into a stormwater  conveyance system and shall meet one of the following criteria as demonstrated by  use of accepted hydrologic and hydraulic methodologies:
    1. Concentrated stormwater flow to manmade stormwater  conveyance systems. The point of discharge releases stormwater into a manmade  stormwater conveyance system that, following the land-disturbing activity,  conveys the postdevelopment peak flow rate from the two-year 24-hour storm  without causing erosion of the system.
    2. Concentrated stormwater flow to restored stormwater  conveyance systems. The point of discharge releases stormwater into a stormwater  conveyance system that (i) has been restored and is functioning as designed or  (ii) will be restored. The applicant must demonstrate that the runoff following  the land-disturbing activity, in combination with other existing stormwater  runoff, will not exceed the design of the restored stormwater conveyance system  nor result in instability of the system.
    3. Concentrated stormwater flow to stable natural  stormwater conveyance systems. The point of discharge releases stormwater into  a natural stormwater conveyance system that is stable and, following the  land-disturbing activity, (i) will not become unstable as a result of the  discharge from the one-year 24-hour storm, and (ii) provides a peak flow rate  from the one-year 24-hour storm calculated as follows or in accordance with  another methodology that is demonstrated by the local program to achieve  equivalent results and is approved by the board:
    QDeveloped* RVDeveloped ≤ QPre-Developed  * RVPre-Developed, where
    QDeveloped = The allowable peak flow rate of  runoff from the developed site.
    QPre-Developed = The peak flow rate of runoff  from the site in the predeveloped condition.
    RVPre-Developed = The volume of runoff from the  site in the predeveloped condition.
    RVDeveloped = The volume of runoff from the  developed site.
    4. Concentrated stormwater flow to unstable natural  stormwater conveyance systems. Where the point of discharge releases stormwater  into a natural stormwater conveyance system that is unstable, stormwater runoff  following a land-disturbing activity shall be released into a channel at or  below a peak flow rate (QDeveloped) based on the one-year 24-hour  storm, calculated as follows or in accordance with another methodology that is  demonstrated by the local program to achieve equivalent or more stringent  results and is approved by the board:
    QDeveloped* RVDeveloped ≤ QForested  * RVForested, where
    QDeveloped = The allowable peak flow rate from  the developed site.
    QForested = The peak flow rate from the site in  a forested condition.
    RVForested = The volume of runoff from the site  in a forested condition.
    RVDeveloped = The volume of runoff from the  developed site.
    C. Flood protection. Concentrated stormwater flow shall be  released into a stormwater conveyance system and shall meet one of the following  criteria as demonstrated by use of accepted hydrologic and hydraulic  methodologies:
    1. Concentrated stormwater flow to manmade stormwater  conveyance systems. The point of discharge releases stormwater into a manmade  stormwater conveyance system that, following the land-disturbing activity,  confines the postdevelopment peak flow rate from the 10-year 24-hour storm  within the manmade stormwater conveyance system.
    2. Concentrated stormwater flow to restored stormwater  conveyance systems. The point of discharge releases stormwater into a  stormwater conveyance system that (i) has been restored and is functioning as  designed or (ii) will be restored. The applicant must demonstrate that the peak  flow rate from the 10-year 24-hour storm following the land-disturbing activity  will be confined within the system.
    3. Concentrated stormwater flow to natural stormwater  conveyance systems. The point of discharge releases stormwater into a natural  stormwater conveyance system that currently does not flood during the 10-year  24-hour storm and, following the land-disturbing activity, confines the  postdevelopment peak flow rate from the 10-year 24-hour storm within the  system.
    4. Concentrated stormwater flow to natural stormwater  conveyance systems where localized flooding exists during the 10-year 24-hour  storm. The point of discharge releases a postdevelopment peak flow rate for the  10-year 24-hour storm that shall not exceed the predevelopment peak flow rate  from the 10-year 24-hour storm based on forested conditions. 
    5. A local program may adopt alternate flood protection  design criteria that (i) achieve equivalent or more stringent results, (ii) are  based upon geographic, land use, topographic, geologic, or other downstream  conveyance factors, and (iii) are approved by the board.
    D. One percent rule. If either of the following criteria  are met, subsections A and B of this section do not apply:
    1. Based on area. Prior to any land disturbance, the site's  contributing drainage area to a point of discharge from the site is less than  or equal to 1.0% of the total watershed area draining to that point of  discharge; or
    2. Based on peak flow rate. Based on the postdevelopment  land cover conditions prior to the implementation of any stormwater quantity  control measures, the development of the site results in an increase in the  peak flow rate from the one-year 24-hour storm that is less than 1.0% of the  existing peak flow rate from the one-year 24-hour storm generated by the total  watershed area draining to that point of discharge.
    E. Increased volumes of sheet flow resulting from pervious  or disconnected impervious areas, or from physical spreading of concentrated  flow through level spreaders, must be identified and evaluated for potential  impacts on down gradient properties or resources. Increased volumes of sheet  flow that will cause or contribute to erosion, sedimentation, or flooding of  down gradient properties or resources shall be diverted to a detention facility  or a stormwater conveyance system that conveys the runoff without causing down  gradient erosion, sedimentation, or flooding. If all runoff from the site is  sheet flow and the conditions of this subsection are met, no further water  quantity controls are required.
    F. For purposes of computing predevelopment runoff from prior  developed sites, all pervious lands on the site shall be assumed to be in good  hydrologic condition in accordance with the U.S. Department of Agriculture's  Natural Resources Conservation Service (NRCS) standards, regardless of  conditions existing at the time of computation. Predevelopment runoff  calculations utilizing other hydrologic conditions may be utilized provided  that it is demonstrated to and approved by the local program that actual site  conditions warrant such considerations.
    G. Predevelopment runoff characteristics and site  hydrology shall be verified by site inspections, topographic surveys, available  soil mapping or studies, and calculations consistent with good engineering  practices in accordance with guidance provided in the Virginia Stormwater  Management Handbook and by the qualifying local program.
    H. Except where the compliance options under subdivisions B  4 and C 4 of this section are utilized, flooding and channel erosion impacts to  stormwater conveyance systems shall be analyzed for each point of discharge in  accordance with channel analysis guidance provided in Technical Bulletin # 1,  Stream Channel Erosion Control, or in accordance with more stringent channel  analysis guidance established by the qualifying local program and provided to  the department. Such analysis shall include estimates of runoff from the  developed site and the entire upstream watershed that contributes to that point  of discharge. Good engineering practices and calculations in accordance with  department guidance shall be used to evaluate postdevelopment runoff  characteristics and site hydrology, and flooding and channel erosion impacts.
    If the downstream owner or owners refuse to give  permission to access the property for the collection of data, evidence of this  refusal shall be given and arrangements made satisfactory to the local program  to provide an alternative method for the collection of data to complete the  analysis, such as through the use of photos, aerial surveys, "as  built" plans, topographic maps, soils maps, and any other relevant  information.
    4VAC50-60-70. Stream channel erosion. (Repealed.)
    A. Properties and receiving waterways downstream of any  land-disturbing activity shall be protected from erosion and damage due to  changes in runoff rate of flow and hydrologic characteristics, including but  not limited to, changes in volume, velocity, frequency, duration, and peak flow  rate of stormwater runoff in accordance with the minimum design standards set  out in this section. 
    B. The permit-issuing authority shall require compliance  with subdivision 19 of 4VAC50-30-40 of the Erosion and Sediment Control  Regulations, promulgated pursuant to Article 4 (§ 10.1-560 et seq.) of Chapter  5 of Title 10.1 of the Code of Virginia. 
    C. The permit-issuing authority may determine that some  watersheds or receiving stream systems require enhanced criteria in order to  address the increased frequency of bankfull flow conditions (top of bank)  brought on by land-disturbing activities. Therefore, in lieu of the reduction  of the two-year post-developed peak rate of runoff as required in subsection B  of this section, the land development project being considered shall provide  24-hour extended detention of the runoff generated by the one-year, 24-hour  duration storm. 
    D. In addition to subsections B and C of this section  permit-issuing authorities, by local ordinance may, or the board by state  regulation may, adopt more stringent channel analysis criteria or design  standards to ensure that the natural level of channel erosion, to the maximum  extent practicable, will not increase due to the land-disturbing activities.  These criteria may include, but are not limited to, the following: 
    1. Criteria and procedures for channel analysis and  classification. 
    2. Procedures for channel data collection. 
    3. Criteria and procedures for the determination of the  magnitude and frequency of natural sediment transport loads. 
    4. Criteria for the selection of proposed natural or  man-made channel linings. 
    4VAC50-60-72. Design storms and hydrologic methods.
    A. Unless otherwise specified, the prescribed design  storms are the one-year, two-year, and 10-year 24-hour storms using the  site-specific rainfall precipitation frequency data recommended by the U.S.  National Oceanic and Atmospheric Administration (NOAA) Atlas 14. Partial  duration time series shall be used for the precipitation data.
    B. All hydrologic analyses shall be based on the existing  watershed characteristics and the ultimate development condition of the subject  project.
    C. The U.S. Department of Agriculture's Natural Resources  Conservation Service (NRCS) synthetic 24-hour rainfall distribution and models,  including, but not limited to TR-55 and TR-20; hydrologic and hydraulic methods  developed by the U.S. Army Corps of Engineers; or other standard hydrologic and  hydraulic methods, shall be used to conduct the analyses described in this part.  
    D. The local program may allow for the use of the Rational  Method for evaluating peak discharges or the Modified Rational Method for  evaluating volumetric flows to stormwater conveyances with drainage areas of  200 acres or less.
    4VAC50-60-74. Stormwater harvesting.
    In accordance with § 10.1-603.4 of the Code of Virginia,  stormwater harvesting is encouraged for the purposes of landscape irrigation  systems, fire protection systems, flushing water closets and urinals, and other  water handling systems to the extent such systems are consistent with federal,  state, and local regulatory authorities.
    4VAC50-60-76. Linear development projects.
    Unless exempt pursuant to § 10.1-603.8 B of the Code of  Virginia, linear development projects shall control postdevelopment stormwater  runoff in accordance with a site-specific stormwater management plan or a  comprehensive watershed stormwater management plan developed in accordance with  these regulations.
    4VAC50-60-80. Flooding. (Repealed.)
    A. Downstream properties and waterways shall be protected  from damages from localized flooding due to changes in runoff rate of flow and  hydrologic characteristics, including but not limited to, changes in volume,  velocity, frequency, duration, and peak flow rate of stormwater runoff in  accordance with the minimum design standards set out in this section. 
    B. The 10-year post-developed peak rate of runoff from the  development site shall not exceed the 10-year pre-developed peak rate of  runoff. 
    C. In lieu of subsection B of this section, localities  may, by ordinance, adopt alternate design criteria based upon geographic, land  use, topographic, geologic factors or other downstream conveyance factors as  appropriate. 
    D. Linear development projects shall not be required to  control post-developed stormwater runoff for flooding, except in accordance  with a watershed or regional stormwater management plan. 
    4VAC50-60-85. Stormwater management impoundment structures  or facilities.
    A. Construction of stormwater management impoundment  structures or facilities within tidal or nontidal wetlands and perennial  streams is not recommended.
    B. Construction of stormwater management impoundment  structures or facilities within a Federal Emergency Management Agency (FEMA)  designated 100-year floodplain is not recommended. 
    C. Stormwater management wet ponds and extended detention  ponds that are not covered by the Impounding Structure Regulations (4VAC50-20)  shall be engineered for structural integrity and spillway design for the 100-year  storm event.
    D. Construction of stormwater management impoundment  structures or facilities may occur in karst areas only after a geological study  of the area has been conducted to determine the presence or absence of karst  features that may be impacted by stormwater runoff and BMP placement.
    E. Discharge of stormwater runoff to a karst feature shall  meet the water quality criteria set out in 4VAC50-60-63 and the water quantity  criteria set out in 4VAC50-60-66. Permanent stormwater management impoundment  structures or facilities shall only be constructed in karst features after  completion of a geotechnical investigation that identifies any necessary  modifications to the BMP to ensure its structural integrity and maintain its  water quality and quantity efficiencies. The person responsible for the  land-disturbing activity is encouraged to screen for known existence of  heritage resources in the karst features. Any Class V Underground Injection  Control Well registration statements for stormwater discharges to improved  sinkholes shall be included in the SWPPP.
    4VAC50-60-90. Regional (watershed-wide) stormwater  management plans. (Repealed.)
    This section enables localities to develop regional  stormwater management plans. State agencies intending to develop large tracts  of land such as campuses or prison compounds are encouraged to develop regional  plans where practical. 
    The objective of a regional stormwater management plan is  to address the stormwater management concerns in a given watershed with greater  economy and efficiency by installing regional stormwater management facilities  versus individual, site-specific facilities. The result will be fewer  stormwater management facilities to design, build and maintain in the affected  watershed. It is also anticipated that regional stormwater management  facilities will not only help mitigate the impacts of new development, but may  also provide for the remediation of erosion, flooding or water quality problems  caused by existing development within the given watershed. 
    If developed, a regional plan shall, at a minimum, address  the following: 
    1. The specific stormwater management issues within the  targeted watersheds. 
    2. The technical criteria in 4VAC50-60-40 through  4VAC50-60-80 as needed based on subdivision 1 of this section. 
    3. The implications of any local comprehensive plans,  zoning requirements, local ordinances pursuant to the Chesapeake Bay  Preservation Area Designation and Management Regulations adopted pursuant to  the Chesapeake Bay Preservation Act, and other planning documents. 
    4. Opportunities for financing a watershed plan through  cost sharing with neighboring agencies or localities, implementation of  regional stormwater utility fees, etc. 
    5. Maintenance of the selected stormwater management facilities.  
    6. Future expansion of the selected stormwater management  facilities in the event that development exceeds the anticipated level. 
    4VAC50-60-93. Stormwater management plan development.
    A. A stormwater management plan for a land-disturbing  activity shall apply these stormwater management technical criteria to the  entire land-disturbing activity.
    B. Individual lots or planned phases of developments shall  not be considered separate land-disturbing activities, but rather the entire  development shall be considered a single land-disturbing activity.
    C. The stormwater management plan shall consider all  sources of surface runoff and all sources of subsurface and groundwater flows  converted to surface runoff.
    4VAC50-60-96. Comprehensive watershed stormwater management  plans.
    A. Local programs may develop comprehensive watershed  stormwater management plans to be approved by the department that meet the  water quality objectives, quantity objectives, or both of this chapter: 
    1. Such plans shall ensure that offsite reductions equal to  or greater than those that would be required on each contributing  land-disturbing site are achieved within the same HUC or within another locally  designated watershed. Pertaining to water quantity objectives, the plan may  provide for implementation of a combination of channel improvement, stormwater  detention, or other measures that are satisfactory to the local program to  prevent downstream erosion and flooding.
    2. If the land use assumptions upon which the plan was  based change or if any other amendments are deemed necessary by the local  program, the local program shall provide plan amendments to the board for  review and approval.
    3. During the plan's implementation, the local program  shall account for nutrient reductions accredited to the BMPs specified in the  plan.
    4. State and federal agencies may participate in  comprehensive watershed stormwater management plans where practicable and  permitted by the local program. 
    B. If the qualifying local program allows for a pro rata  fee in accordance with § 15.2-2243 of the Code of Virginia, then the reductions  required for a site by this chapter may be achieved by the payment of a pro  rata fee sufficient to fund improvements necessary to adequately achieve those  requirements in accordance with that section of the Code of Virginia and this  chapter.
    Part III 
  Local Programs 
    4VAC50-60-100. Applicability. (Repealed.)
    This part specifies technical criteria, minimum ordinance  requirements, and administrative procedures for all localities operating local  stormwater management programs. 
    Part III A 
  Local Programs 
    4VAC50-60-102. Authority and applicability.
    If a locality has adopted a local stormwater management  program in accordance with the Virginia Stormwater Management Act  (§ 10.1-603.2 et seq. of the Code of Virginia) and the board has deemed  such program adoption consistent with the Virginia Stormwater Management Act  and these regulations in accordance with § 10.1-603.3 F of the Code of  Virginia, the board may authorize a locality to administer a qualifying local  program. Pursuant to § 10.1-603.4, the board is required to establish  standards and procedures for such an authorization.
    This part specifies the minimum technical criteria and the  local government ordinance requirements for a local program to be considered a  qualifying local program. Such criteria include but are not limited to  administration, plan review, issuance of coverage under the Virginia Stormwater  Management Program (VSMP) General Permit for Discharges of Stormwater from Construction  Activities, inspection, and enforcement.
    4VAC50-60-104. Technical criteria for qualifying local  programs.
    A. All qualifying local programs shall require compliance  with the provisions of Part II (4VAC50-60-40 et seq.) of this chapter unless an  exception is granted pursuant to 4VAC50-60-122 and shall comply with the  requirements of 4VAC50-60-460 L.
    B. When a locality operating a qualifying local program  has adopted requirements more stringent than those imposed by this chapter in  accordance with § 10.1-603.7 of the Code of Virginia or implemented a  comprehensive stormwater management plan, the department shall consider such  requirements in its review of state projects within that locality in accordance  with Part IV (4VAC50-60-160 et seq.) of this chapter.
    C. Nothing in this part shall be construed as authorizing  a locality to regulate, or to require prior approval by the locality for, a  state project.
    4VAC50-60-106. Qualifying local program administrative  requirements.
    A. A qualifying local program shall provide for the  following:
    1. Identification of the authority authorizing coverage  under the VSMP General Permit for Discharges of Stormwater from Construction  Activities, the plan reviewing authority, the plan approving authority, the  inspection authority, and the enforcement authority;
    2. Technical criteria to be used in the qualifying local  program;
    3. Procedures for the submission and approval of plans;
    4. Inspection and monitoring of land-disturbing activities  covered by a permit for compliance;
    5. Procedures or policies for long-term inspection and  maintenance of stormwater management facilities; and
    6. Enforcement.
    B. A locality shall adopt an ordinance(s) that  incorporates the components set out in subsection A of this section and consent  to follow procedures provided by the department for the issuance, denial,  revocation, termination, reissuance, transfer, or modifications of coverage  under the VSMP General Permit for Discharges of Stormwater from Construction  Activities.
    C. A qualifying local program shall report to the  department information related to the administration and implementation of the  qualifying local program in accordance with 4VAC50-60-126.
    D. A qualifying local program may require the submission  of a reasonable performance bond or other financial surety and provide for the  release of such sureties in accordance with the criteria set forth in §  10.1-603.8 of the Code of Virginia.
    4VAC50-60-108. Qualifying local program stormwater  management plan review.
    A. A qualifying local program shall require stormwater  management plans to be submitted for review and be approved prior to  commencement of land-disturbing activities.
    B. A qualifying local program shall approve or disapprove  a stormwater management plan and required accompanying information according to  the following:
    1. Stormwater management plan review shall begin upon  submission of a complete plan. A complete plan shall include the following  elements:
    a. The location of all points of stormwater discharge,  receiving surface waters or karst features into which the stormwater  discharges, and predevelopment and postdevelopment conditions for drainage  areas, including final drainage patterns and changes to existing contours;
    b. Contact information including the name, address, and  telephone number of the property owner and the tax reference number and parcel  number of the property or properties affected;
    c. A narrative that includes a description of current site  conditions and proposed development and final site conditions, including proposed  stormwater management facilities and the mechanism, including an identification  of financially responsible parties, through which the facilities will be  operated and maintained during and after construction activity;
    d. The location and the design of the proposed stormwater  management facilities;
    e. Information identifying the hydrologic characteristics  and structural properties of soils utilized with the installation of stormwater  management facilities;
    f. Hydrologic and hydraulic computations of the  predevelopment and postdevelopment runoff conditions for the required design  storms;
    g. Good engineering practices and calculations verifying  compliance with the water quality and quantity requirements of this chapter;
    h. A map or maps of the site that depicts the topography of  the site and includes:
    (1) All contributing drainage areas; 
    (2) Receiving surface waters or karst features into which  stormwater will be discharged;
    (3) Existing streams, ponds, culverts, ditches, wetlands,  and other water bodies;
    (4) Soil types, geologic formations, forest cover, and  other vegetative areas;
    (5) Current land use including existing structures, roads,  and locations of known utilities and easements;
    (6) Sufficient information on adjoining parcels to assess  the impacts of stormwater from the site;
    (7) The limits of clearing and grading, and the proposed  drainage patterns on the site;
    (8) Proposed buildings, roads, parking areas, utilities,  and stormwater management facilities; and
    (9) Proposed land use with tabulation of the percentage of  surface area to be adapted to various uses, including but not limited to  planned locations of utilities, roads, and easements.
    i. 50% of the required fee in accordance with  4VAC50-60-820, and the required fee form must have been submitted.
    2. Elements of the stormwater management plans shall be  appropriately sealed and signed by a professional in adherence to all minimum  standards and requirements pertaining to the practice of that profession in  accordance with Chapter 4 (§ 54.1-400 et seq.) of Title 54.1 of the Code of  Virginia and attendant regulations.
    3. Completeness of a plan and required accompanying  information shall be determined by the qualifying local program, and the  applicant shall be notified of any determination, within 15 calendar days of  receipt.
    a. If within those 15 days the plan is deemed to be  incomplete based on the criteria set out in this subsection, the applicant  shall be notified in writing of the reasons the plan is deemed incomplete.
    b. If a determination of completeness is made and  communicated to the applicant within the 15 calendar days, an additional 60  calendar days from the date of the communication will be allowed for the review  of the plan.
    c. If a determination of completeness is not made and  communicated to the applicant within the 15 calendar days, the plan shall be  deemed complete as of the date of submission and a total of 60 calendar days  from the date of submission will be allowed for the review of the plan.
    d. The qualifying local program shall act within 45 days on  any plan that has been previously disapproved and resubmitted.
    4. During the review period, the plan shall be approved or  disapproved and the decision communicated in writing to the person responsible  for the land-disturbing activity or his designated agent. If the plan is not  approved, the reasons for not approving the plan shall be provided in writing.  Approval or denial shall be based on the plan's compliance with the  requirements of this chapter and of the qualifying local program.
    5. If a plan meeting all requirements of this chapter and  of the qualifying local program is submitted and no action is taken within the  time specified above, the plan shall be deemed approved.
    C. Notwithstanding the requirements of subsection A of  this section, if allowed by the qualifying local program, an initial stormwater  management plan may be submitted for review and approval when it is accompanied  by an erosion and sediment control plan, preliminary stormwater design for the  current and future site work, fee form, and 50% of the fee required by  4VAC50-60-820. Such plans shall be limited to the initial clearing and grading  of the site unless otherwise allowed by the qualifying local program. Approval  by the qualifying local program of an initial plan does not supersede the need  for the submittal and approval of a complete stormwater management plan and the  updating of the SWPPP prior to the commencement of activities beyond initial  clearing and grading and other activities approved by the local program. The  initial plan shall include information detailed in subsection B of this section   to the extent required by the qualifying local program and such other  information as may be required by the qualifying local program.
    D. Each approved plan may be modified in accordance with  the following:
    1. Modifications to an approved stormwater management plan  shall be allowed only after review and written approval by the qualifying local  program. The qualifying local program shall have 60 calendar days to respond in  writing either approving or disapproving such requests.
    2. Based on an inspection, the qualifying local program may  require amendments to the approved stormwater management plan to address the  noted deficiencies and notify the permittee of the required modifications.
    4VAC50-60-110. Technical criteria for local programs. (Repealed.)
    A. All local stormwater management programs shall comply  with the general technical criteria as outlined in 4VAC50-60-50. 
    B. All local stormwater management programs which contain  provisions for stormwater runoff quality shall comply with 4VAC50-60-60. A  locality may establish criteria for selecting either the site or a planning  area on which to apply the water quality criteria. A locality may opt to  calculate actual watershed specific or locality wide values for the average  land cover condition based upon: 
    1. Existing land use data at time of local Chesapeake Bay  Preservation Act Program or department stormwater management program adoption,  whichever was adopted first; 
    2. Watershed or locality size; and 
    3. Determination of equivalent values of impervious cover  for nonurban land uses which contribute nonpoint source pollution, such as  agriculture, forest, etc. 
    C. All local stormwater management programs which contain  provisions for stream channel erosion shall comply with 4VAC50-60-70. 
    D. All local stormwater management programs must contain  provisions for flooding and shall comply with 4VAC50-60-80. 
    E. All local stormwater management programs which contain  provisions for watershed or regional stormwater management plans shall comply  with 4VAC50-60-110. 
    F. A locality that has adopted more stringent requirements  or implemented a regional (watershed-wide) stormwater management plan may  request, in writing, that the department consider these requirements in its  review of state projects within that locality. 
    G. Nothing in this part shall be construed as authorizing  a locality to regulate, or to require prior approval by the locality for, a  state project. 
    4VAC50-60-112. Qualifying local program authorization of  coverage under the VSMP General Permit for Discharges of Stormwater from  Construction Activities.
    A. Coverage shall be authorized by the qualifying local  program under the VSMP General Permit for Discharges of Stormwater from  Construction Activities in accordance with the following:
    1. The applicant must have an approved initial stormwater  management plan or an approved stormwater management plan for the  land-disturbing activity.
    2. The applicant must have submitted proposed  right-of-entry agreements or easements from the owner for purposes of  inspection and maintenance and proposed maintenance agreements, including  inspection schedules, in accordance with 4VAC50-60-124.
    3. The applicant must have an approved registration  statement for the VSMP General Permit for Discharges of Stormwater from  Construction Activities.
    4. The applicant must have submitted the required fee form  and total fee required by 4VAC50-60-820.
    5. Applicants submitting registration statements deemed to  be incomplete must be notified within 15 working days of receipt by the  qualifying local program that the registration statement is not complete and be  notified (i) of what material needs to be submitted to complete the  registration statement, and (ii) that the land-disturbing activity does not  have coverage under the VSMP General Permit for Discharges of Stormwater from  Construction Activities.
    B. Coverage or termination of coverage shall be authorized  through a standardized database or other method provided by the department.  Such database shall include, at a minimum, permit number, operator name,  activity name, acres disturbed, date of permit coverage, and site address and  location as well as date of termination.
    C. Coverage information pertaining to the VSMP General  Permit for Discharges of Stormwater from Construction Activities shall be  reported to the department in accordance with 4VAC50-60-126 by the qualifying  local program.
    D. The applicant shall be notified of authorization of  permit coverage by the qualifying local program.
    4VAC50-60-114. Inspections.
    A. The qualifying local program or its designee shall  inspect the land-disturbing activity during construction for compliance with  the VSMP General Permit for Discharges of Stormwater from Construction  Activities.
    B. The person responsible for the development project or  their designated agent shall submit to a qualifying local program a  construction record drawing for permanent stormwater management facilities,  appropriately sealed, and signed by a professional in accordance with all  minimum standards and requirements pertaining to the practice of that  profession pursuant to Chapter 4 (§ 54.1-400 et seq.) of Title 54.1 of the Code  of Virginia and attendant regulations, certifying that the stormwater  management facilities have been constructed in accordance with the approved  plan.  The qualifying local program shall have the construction record  drawing and certification on file prior to the release of the portion of the  performance bond or surety associated with the stormwater management facility.
    C. The owners of stormwater management facilities shall be  required to conduct inspections in accordance with an inspection schedule in a  recorded maintenance agreement, and shall submit written inspection and  maintenance reports to the qualifying local program upon request. Such reports,  if consistent with a board-approved inspection program established in  subsection D of this section, may be utilized by the qualifying local program  if the inspection is conducted by a person who is licensed as a professional  engineer, architect, certified landscape architect, or land surveyor pursuant  to Article 1 (§ 54.1-400 et seq.) of Chapter 4 of Title 54.1 or who holds a  certificate of competence from the board. The reports, if so utilized, must be  kept on file with the qualifying local program
    D. A qualifying local program shall establish an  inspection program that ensures that the stormwater management facilities are  being maintained as designed. Any inspection program shall be:
    1. Approved by the board prior to implementation;
    2. Established in writing;
    3. Based on a system of priorities that takes into  consideration the purpose and type of the facility, ownership and the existence  of a recorded maintenance agreement and inspection schedule, the contributing  drainage area, and downstream conditions;
    4. Demonstrated to be an enforceable inspection program  that meets the intent of the regulations and ensures that each stormwater  management facility is inspected by the qualifying local program or its  designee, not to include the owner, except as provided in subsection C of this  section, at least every five years; and
    5. Documented by inspection records.
    E. Inspection reports shall be generated and kept on file  in accordance with 4VAC50-60-126 for all stormwater management facilities  inspected by the qualifying local program.
    4VAC50-60-116. Qualifying local program enforcement.
    A. A qualifying local program may incorporate the  following components:
    1. Informal and formal administrative enforcement  procedures including:
    a. Verbal warnings and inspection reports;
    b. Notices of corrective action;
    c. Consent special orders and civil charges in accordance  with subdivision 7 of § 10.1-603.2:1 and § 10.1-603.14 D 2 of the Code of  Virginia;
    d. Notices to comply in accordance with § 10.1-603.11 of  the Code of Virginia;
    e. Special orders in accordance with subdivision 7 of §  10.1-603.2:1 of the Code of Virginia;
    f. Emergency special orders in accordance with subdivision  7 of § 10.1-603.2:1 of the Code of Virginia; and
    g. Public notice and comment periods pursuant to 4VAC50-60-660.
    2. Civil and criminal judicial enforcement procedures  including:
    a. Schedule of civil penalties set out in subsection D of  this section;
    b. Criminal penalties in accordance with § 10.1-603.14 B  and C of the Code of Virginia; and
    c. Injunctions in accordance with §§ 10.1-603.12:4,  10.1-603.2:1 and 10.1-603.14 D 1 of the Code of Virginia.
    B. A qualifying local program shall develop policies and  procedures that outline the steps to be taken regarding enforcement actions  under the Stormwater Management Act and attendant regulations and the local  ordinance.
    C. A qualifying local program may utilize the department's  Stormwater Management Enforcement Manual as guidance in establishing policies  and procedures.
    D. A court may utilize as guidance the following Schedule  of Civil Penalties set by the board in accordance with § 10.1-603.14 A of the  Code of Virginia. The range contained within the schedule reflects the degree  of harm caused by the violation, which is site-specific and may vary greatly  from case to case, as may the economic benefit of noncompliance to the  violator. Each day of violation of each requirement shall constitute a separate  offense. Assignment of the degree of harm is a qualitative decision subject to  the court's discretion. The court has the discretion to impose a maximum  penalty of $32,500 per violation per day in accordance with § 10.1-603.14  A of the Code of Virginia.
     
     
         
                 | 1. Gravity-based Component | Marginal | Moderate | Serious |   | 
       | Violations* and Frequency of Occurrence **   | $$ x occurrences | $$ x occurrences | $$ x occurrences | SUBTOTAL | 
       | No Permit Registration (each month w/o coverage = 1    occurrence) | 500 x ____ | 1,000 x ____ | 2,000 x ____ |     | 
       | No SWPPP (No SWPPP components including E&S Plan) (each month of land-disturbing without SWPPP = 1    occurrence) | 1,000 x ____ | 1,500 x ____ | 2,000 x ____ |   | 
       | Incomplete SWPPP | 300 x ____ | 500 x ____ | 1,000 x ____ |   | 
       | SWPPP not on site  | 100 x ____ | 300 x ____ | 500 x ____ |   | 
       | No approved Erosion and Sediment Control Plan | 500 x ____ | 1,000 x ____ | 2,000 x ____ |   | 
       | Failure to install stormwater BMPs or erosion and    sediment ("E&S") controls  | 300 x ____ | 500 x ____ | 1,000 x ____ |   | 
       | Stormwater BMPs or E&S controls improperly installed    or maintained  | 250 x ____ | 500 x ____ | 750 x ____ |   | 
       | Operational deficiencies (e.g., failure to initiate    stabilization measures as soon as practicable; unauthorized discharges of    stormwater; failure to implement control measures for construction debris) | 1,000 x ____   | 2,000 x ____ | 5,000 x ____ |   | 
       | Failure to conduct required inspections  | 500 x ____ | 2,000 x____ | 3,000 x ____ |   | 
       | Incomplete, improper or missed inspections (e.g.,    inspections not conducted by qualified personnel; site inspection reports do    not include date, weather information, location of discharge, or are not    certified, etc.) | 300 x____ | 500 x ___ | 1,000 x ____ |   | 
       |   | Subtotal #1 |   | 
       | 2. Estimated Economic Benefit of Noncompliance (if    applicable) | Subtotal #2 |   | 
       | 3. Recommended civil penalty | Total (#1 and #2) |   | 
       | * Each stormwater BMP or E&S control that is either    not installed or improperly installed or maintained is a separate violation. ** The frequency of occurrence is per event unless    otherwise noted. | 
  
         
          E. Pursuant to subdivision 2 of § 10.1-603.2:1 of the Code  of Virginia, authorization to administer a qualifying local program shall not  remove from the board the authority to enforce the provisions of the Virginia  Stormwater Management Act and attendant regulations.
    F. Pursuant to § 10.1-603.14 A of the Code of Virginia,  amounts recovered by a qualifying local program shall be paid into the treasury  of the locality in which the violation occurred and are to be used for the  purpose of minimizing, preventing, managing, or mitigating pollution of the  waters of the locality and abating environmental pollution therein in such  manner as the court may, by order, direct. 
    4VAC50-60-118. Hearings.
    A qualifying local program shall ensure that any permit  applicant or permittee shall have a right to a hearing pursuant to  § 10.1-603.12:6 of the Code of Virginia and shall ensure that all hearings  held under this chapter shall be conducted in accordance with  § 10.1-603.12:7 of the Code of Virginia or as otherwise provided by law.
    4VAC50-60-120. Requirements for local program and ordinance.  (Repealed.)
    A. At a minimum, the local stormwater management program  and implementing ordinance shall meet the following: 
    1. The ordinance shall identify the plan-approving  authority and other positions of authority within the program, and shall  include the regulations and technical criteria to be used in the program. 
    2. The ordinance shall include procedures for submission  and approval of plans, issuance of permits, monitoring and inspections of land  development projects. The party responsible for conducting inspections shall be  identified. The local program authority shall maintain, either on-site or in  local program files, a copy of the approved plan and a record of all  inspections for each land development project. 
    B. The department shall periodically review each  locality's stormwater management program, implementing ordinance, and  amendments. Subsequent to this review, the department shall determine if the  program and ordinance are consistent with the state stormwater management  regulations and notify the locality of its findings. To the maximum extent  practicable the department will coordinate the reviews with other local  government program reviews to avoid redundancy. The review of a local program  shall consist of the following: 
    1. A personal interview between department staff and the  local program administrator or his designee; 
    2. A review of the local ordinance and other applicable  documents; 
    3. A review of plans approved by the locality and  consistency of application; 
    4. An inspection of regulated activities; and 
    5. A review of enforcement actions. 
    C. Nothing in this chapter shall be construed as limiting  the rights of other federal and state agencies from imposing stricter technical  criteria or other requirements as allowed by law. 
    4VAC50-60-122. Qualifying local program exceptions.
    A. A qualifying local program may grant exceptions to the  provisions of Part II (4VAC50-60-40 et seq.) of this chapter through an  administrative process. A request for an exception, including the reasons for  making the request, shall be submitted in writing to the qualifying local  program. An exception may be granted provided that (i) the exception is the  minimum necessary to afford relief, (ii) reasonable and appropriate conditions  shall be imposed as necessary upon any exception granted so that the intent of  the Act and this chapter are preserved, (iii) granting the exception will not  confer on the permittee any special privileges that are denied to other  permittees who present similar circumstances, and (iv) exception requests are  not based upon conditions or circumstances that are self-imposed or  self-created.
    B. Economic hardship alone is not sufficient reason to  grant an exception from the requirements of this chapter.
    C. Under no circumstance shall the qualifying local  program grant an exception to the requirement that the land-disturbing activity  obtain a permit.
    D. A record of all exceptions granted shall be maintained  by the qualifying local program and reported to the department in accordance  with 4VAC50-60-126.
    4VAC50-60-124. Qualifying local program stormwater  management facility maintenance.
    A. Responsibility for the operation and maintenance of  stormwater management facilities in accordance with this chapter, unless  assumed by a governmental agency, shall remain with the property owner or other  legally established entity and shall pass to any successor. The government  entity implementing the qualifying local program shall be a party to each  maintenance agreement. Such maintenance agreement shall include a schedule for  inspections by the owner, and, in addition to ensuring that each facility is  maintained as designed, shall ensure that the designed flow and drainage  patterns from the site to a permanent facility are maintained. Such agreements  may also contain provisions specifying that, where maintenance or repair of a  stormwater management facility located on the owner's property is neglected, or  the stormwater management facility becomes a public health or safety concern  and the owner has failed to perform the necessary maintenance and repairs after  receiving notice from the locality, the qualifying local program may perform  the necessary maintenance and repairs and recover the costs from the owner. In  the specific case of a public health or safety danger, the agreement may provide  that the written notice may be waived by the locality.
    B. The qualifying local program shall be notified of any  transfer or conveyance of ownership or responsibility for maintenance of a  stormwater management facility.
    C. The qualifying local program shall require  right-of-entry agreements or easements from the property owner for purposes of  inspection and maintenance.
    4VAC50-60-126. Qualifying local program report and  recordkeeping.
    A. On a fiscal year basis (July 1 to June 30), a  qualifying local program shall report to the department by October 1 of each  year in a format provided by the department.  The information to be  provided shall include the following:
    1. Information on each permanent stormwater management  facility completed during the fiscal year to include type of stormwater  management facility, coordinates, acres treated, and the surface waters or  karst features into which the stormwater management facility will discharge;
    2. Number of VSMP General Permit for Discharges of  Stormwater from Construction Activities projects inspected and the total number  of inspections by acreage categories determined by the department during the  fiscal year;
    3. Number and type of enforcement actions during the fiscal  year; and
    4. Number of exceptions applied for and the number granted  or denied during the fiscal year.
    B. A qualifying local program shall make information set  out in subsection A of this section available to the department upon request.
    C. A qualifying local program shall keep records in  accordance with the following:
    1. Permit files shall be kept for three years after permit  termination. After three years, the permit file shall be delivered to the  department by October 1 of each year.
    2. Stormwater maintenance facility inspection reports shall  be kept for five years from the date of inspection. 
    3. Stormwater maintenance agreements, design standards and  specifications, postconstruction surveys, and maintenance records shall be  maintained in perpetuity.
    Part III B 
  Department of Conservation and Recreation Administered Local Programs 
    4VAC50-60-128. Authority and applicability.
    In the absence of a qualifying local program, the  department, in accordance with an adoption and implementation schedule set by  the board and upon board approval, shall administer the local stormwater  management program in a locality in accordance with § 10.1-603.3 C of the Code  of Virginia. This part specifies the minimum technical criteria for a  department-administered local stormwater management program in accordance with  the Virginia Stormwater Management Act (§ 10.1-603.2 et seq. of the Code of  Virginia), and the standards and criteria established in these regulations by  the board pursuant to its authority under that article. Such criteria include  but are not limited to administration, plan review, issuance of coverage under  the Virginia Stormwater Management Program (VSMP) General Permit for Discharges  of Stormwater from Construction Activities, issuance of individual permits,  inspection, enforcement, and education and outreach components.
    4VAC50-60-130. Administrative procedures: stormwater  management plans. (Repealed.)
    A. Localities shall approve or disapprove stormwater  management plans according to the following: 
    1. A maximum of 60 calendar days from the day a complete  stormwater management plan is accepted for review will be allowed for the  review of the plan. During the 60-day review period, the locality shall either  approve or disapprove the plan and communicate its decision to the applicant in  writing. Approval or denial shall be based on the plan's compliance with the  locality's stormwater management program. 
    2. A disapproval of a plan shall contain the reasons for  disapproval. 
    B. Each plan approved by a locality shall be subject to  the following conditions: 
    1. The applicant shall comply with all applicable  requirements of the approved plan, the local program, this chapter and the Act,  and shall certify that all land clearing, construction, land development and  drainage will be done according to the approved plan. 
    2. The land development project shall be conducted only  within the area specified in the approved plan. 
    3. The locality shall be allowed, after giving notice to  the owner, occupier or operator of the land development project, to conduct  periodic inspections of the project. 
    4. The person responsible for implementing the approved  plan shall conduct monitoring and submit reports as the locality may require to  ensure compliance with the approved plan and to determine whether the plan  provides effective stormwater management. 
    5. No changes may be made to an approved plan without  review and written approval by the locality. 
    4VAC50-60-132. Technical criteria.
    A. The department-administered local stormwater management  programs shall require compliance with the provisions of Part II (4VAC50-60-40  et seq.) of this chapter unless an exception is granted pursuant to  4VAC50-60-142 D and shall comply with the requirements of 4VAC50-60-460 L.
    B. When reviewing a federal project, the department shall  apply the provisions of this chapter.
    C. Nothing in this chapter shall be construed as limiting  the rights of other federal and state agencies to impose stricter technical  criteria or other requirements as allowed by law.
    4VAC50-60-134. Administrative authorities.
    A. The department is the permit-issuing authority, plan  approving authority, and the enforcement authority.
    B. The department or its designee is the plan reviewing  authority and the inspection authority.
    C. The department shall assess and collect fees.
    D. The department may require the submission of a  reasonable performance bond or other financial surety in accordance with the  criteria set forth in § 10.1-603.8 of the Code of Virginia prior to the  issuance of coverage under the VSMP General Permit for Discharges of Stormwater  from Construction Activities and in accordance with the following:
    1. The amount of the installation performance security  shall be the total estimated construction cost of the stormwater management  BMPs approved under the stormwater management plan, plus 25%;
    2. The performance security shall contain forfeiture  provisions for failure, after proper notice, to complete work within the time  specified, or to initiate or maintain appropriate actions that may be required  in accordance with the approved stormwater management plan;
    3. Upon failure by the applicant to take such action as  required, the department may act and may collect from the applicant the  difference should the amount of the reasonable cost of such action exceed the  amount of the security held; and
    4. Within 60 days of the completion of the requirements and  conditions of the VSMP General Permit for Discharges of Stormwater from  Construction Activities and the department's acceptance of the Notice of  Termination, such bond, cash escrow, letter of credit, or other legal  arrangement shall be refunded to the applicant.
    4VAC50-60-136. Stormwater management plan review.
    A. Stormwater management plans shall be reviewed and  approved by the department prior to commencement of land-disturbing activities.
    B. The department shall approve or disapprove a stormwater  management plan and required accompanying information according to the criteria  set out for a qualifying local program in 4VAC50-60-108 B.
    C. The department shall not accept initial stormwater management  plans.
    D. Each approved stormwater management plan may be  modified in accordance with the criteria set out for a qualifying local program  in 4VAC50-60-108 D.
    4VAC50-60-138. Issuance of coverage under the VSMP General  Permit for Discharges of Stormwater from Construction Activities.
    The department shall issue coverage under the VSMP General  Permit for Discharges of Stormwater from Construction Activities in accordance  with the following:
    1. The applicant must have a department-approved stormwater  management plan for the land-disturbing activity.
    2. The applicant must have submitted a complete  registration statement for the VSMP General Permit for Discharges of Stormwater  from Construction Activities in accordance with Part VII (4VAC50-60-360 et seq.)  of this chapter and the requirements of the VSMP General Permit for Discharges  of Stormwater from Construction Activities, which acknowledges that a SWPPP has  been developed and will be implemented, and the registration statement must  have been reviewed and approved prior to the commencement of land disturbance.
    3. The applicant must have submitted the required fee form  and fee for the registration statement seeking coverage under the VSMP General  Permit for Discharges of Stormwater from Construction Activities.
    4. Applicants submitting registration statements deemed to  be incomplete must be notified within 15 working days of receipt by the  department that the registration statement is not complete and be notified (i)  of what material needs to be submitted to complete the registration statement,  and (ii) that the land-disturbing activity does not have coverage under the  VSMP General Permit for Discharges of Stormwater from Construction Activities.
    5. The applicant shall be notified of authorization of permit  coverage by the department.
    6. Individual permits for qualifying land-disturbing  activities may be issued at the discretion of the board or its designee  pursuant to 4VAC50-60-410 B 3.
    4VAC50-60-140. Administrative procedures: exceptions. (Repealed.)
    A. A request for an exception shall be submitted, in  writing, to the locality. An exception from the stormwater management  regulations may be granted, provided that: (i) exceptions to the criteria are  the minimum necessary to afford relief and (ii) reasonable and appropriate  conditions shall be imposed as necessary upon any exception granted so that the  intent of the Act and this chapter are preserved. 
    B. Economic hardship is not sufficient reason to grant an  exception from the requirements of this chapter. 
    4VAC50-60-142. Inspections, enforcement, hearings,  exceptions, and stormwater management facility maintenance.
    A. Inspections shall be conducted by the department in  accordance with 4VAC50-60-114.
    B. Enforcement actions shall be conducted by the department  in accordance with 4VAC50-60-116. The department's Stormwater Management  Enforcement Manual shall serve as guidance to be utilized in enforcement  actions under the Stormwater Management Act and attendant regulations. Any  amounts assessed by a court as a result of a summons issued by the board or the  department shall be paid into the state treasury and deposited by the State  Treasurer into the Virginia Stormwater Management Fund established pursuant to  § 10.1-603.4:1 of the Code of Virginia.
    C. Hearings shall be conducted by the department in  accordance with 4VAC50-60-118.
    D. Exceptions may be granted by the department in  accordance with 4VAC50-60-122.
    E. Stormwater management facility maintenance shall be  conducted in accordance with 4VAC50-60-124.
    4VAC50-60-150. Administrative procedures: maintenance and  inspections. (Repealed.)
    A. Responsibility for the operation and maintenance of  stormwater management facilities, unless assumed by a governmental agency,  shall remain with the property owner and shall pass to any successor or owner.  If portions of the land are to be sold, legally binding arrangements shall be  made to pass the basic responsibility to successors in title. These  arrangements shall designate for each project the property owner, governmental agency,  or other legally established entity to be permanently responsible for  maintenance. 
    B. In the case of developments where lots are to be sold,  permanent arrangements satisfactory to the locality shall be made to ensure  continued performance of this chapter. 
    C. A schedule of maintenance inspections shall be  incorporated into the local ordinance. Ordinances shall provide that in cases  where maintenance or repair is neglected, or the stormwater management facility  becomes a danger to public health or safety, the locality has the authority to  perform the work and to recover the costs from the owner. 
    D. Localities may require right-of-entry agreements or  easements from the applicant for purposes of inspection and maintenance. 
    E. Periodic inspections are required for all stormwater  management facilities. Localities shall either: 
    1. Provide for inspection of stormwater management  facilities on an annual basis; or 
    2. Establish an alternative inspection program which  ensures that stormwater management facilities are functioning as intended. Any  alternative inspection program shall be: 
    a. Established in writing; 
    b. Based on a system of priorities that, at a minimum,  considers the purpose of the facility, the contributing drainage area, and  downstream conditions; and 
    c. Documented by inspection records. 
    F. During construction of the stormwater management  facilities, localities shall make inspections on a regular basis. 
    G. Inspection reports shall be maintained as part of a  land development project file. 
    4VAC50-60-154. Reporting and recordkeeping.
    A. The department shall maintain a current database of  permit coverage information for all projects that includes permit number,  operator name, activity name, acres disturbed, date of permit coverage, and  site address and location.
    B. On a fiscal year basis (July 1 to June 30), a local  program shall report to the department by October 1 in accordance with  4VAC50-60-126 A.
    C. On a fiscal year basis (July 1 to June 30), the  department shall compile information provided by local programs.
    D. Records shall be maintained by the department in  accordance with 4VAC50-60-126 C.
    Part III C 
  Department of Conservation and Recreation Procedures for Review of  Qualifying Local Programs 
    4VAC50-60-156. Authority and applicability.
    This part specifies the criteria that the department will  utilize in reviewing a locality's administration of a qualifying local program  pursuant to § 10.1-603.12 of the Code of Virginia following the board's  approval of such program in accordance with the Virginia Stormwater Management  Act and these regulations.
    4VAC50-60-157. Stormwater management program review.
    A. The department shall review each board-approved  qualifying local program at least once every five years on a review schedule  approved by the board. The department may review a qualifying local program on  a more frequent basis if deemed necessary by the board and shall notify the  local government if such review is scheduled.
    B. The review of a board-approved qualifying local program  shall consist of the following:
    1. An interview between department staff and the qualifying  local program administrator or his designee;
    2. A review of the local ordinance(s) and other applicable  documents;
    3. A review of a subset of the plans approved by the qualifying  local program and consistency of application including exceptions granted;
    4. An accounting of the receipt and of the expenditure of  fees received;
    5. An inspection of regulated activities; and
    6. A review of enforcement actions and an accounting of  amounts recovered through enforcement actions.
    C. To the extent practicable, the department will  coordinate the reviews with other local government program reviews to avoid  redundancy.
    D. The department shall provide its recommendations to the  board within 90 days of the completion of a review. Such recommendations shall  be provided to the locality in advance of the meeting.
    E. The board shall determine if the qualifying local  program and ordinance are consistent with the Act and state stormwater management  regulations and notify the qualifying local program of its findings.
    F. If the board determines that the deficiencies noted in  the review will cause the qualifying local program to be out of compliance with  the Stormwater Management Act and its attendant regulations, the board shall  notify the qualifying local program concerning the deficiencies and provide a  reasonable period of time for corrective action to be taken. If the qualifying  local program agrees to the corrective action recommended by the board, the  qualifying local program will be considered to be conditionally compliant with  the Stormwater Management Act and its attendant regulations until a subsequent  finding is issued by the board. If the qualifying local program fails to take  the corrective action within the specified time, the board may take action  pursuant to § 10.1-603.12 of the Code of Virginia.
    Part III D 
  Virginia Soil and Water Conservation Board Authorization for Qualifying  Local Programs 
    4VAC50-60-158. Authority and applicability.
    Subdivision 1 of § 10.1-603.4 of the Code of Virginia  requires that the board establish standards and procedures for authorizing a  locality to administer a stormwater management program. In accordance with that  requirement, and with the further authority conferred upon the board by the  Virginia Stormwater Management Act (§ 10.1-603.2 et seq. of the Code of  Virginia), this part specifies the procedures the board will utilize in  authorizing a locality to administer a qualifying local program.
    4VAC50-60-159. Authorization procedures for qualifying local  programs.
    A. A locality required to adopt a program in accordance  with § 10.1-603.3 A of the Code of Virginia or those electing to seek  authorization to administer a qualifying local program must submit to the board  an application package which, at a minimum, contains the following:
    1. The local program ordinance(s);
    2. A funding and staffing plan based on the projected  permitting fees; and
    3. The policies and procedures, including but not limited  to, agreements with Soil and Water Conservation Districts, adjacent localities,  or other entities, for the administration, plan review, permit issuance,  inspection, and enforcement components of the program.
    B. Upon receipt of an application package, the board or  its designee shall have 20 calendar days to determine the completeness of the  application package. If an application package is deemed to be incomplete based  on the criteria set out in subsection A of this section, the board or its  designee must identify in writing the reasons the application package is deemed  deficient.
    C. Upon receipt of a complete application package, the  board or its designee shall have 90 calendar days for the review of the  application package. During the 90-day review period, the board or its designee  shall either approve or disapprove the application, or notify the locality of a  time extension for the review, and communicate its decision to the locality in  writing. If the application is not approved, the reasons for not approving the  application shall be provided to the locality in writing. Approval or denial  shall be based on the application's compliance with the Virginia Stormwater  Management Act and these regulations.
    D. A locality required to adopt a qualifying local program  in accordance with § 10.1-603.3 A of the Code of Virginia shall submit a complete  application package for the board's review pursuant to a schedule set by the  board in accordance with § 10.1-603.3 and shall adopt a qualifying local  program consistent with the Act and this chapter within the timeframe  established pursuant to § 10.1-603.3.
    E. A locality not required to adopt a qualifying local  program in accordance with § 10.1-603.3 A but electing to adopt a qualifying  local program shall notify the board in accordance with the following:
    1. A locality electing to adopt a qualifying local program  may notify the board of its intention within six months of the effective date  of these regulations. Such locality shall submit a complete application package  for the board's review pursuant to a schedule set by the board and shall adopt a  qualifying local program within the timeframe established by the board.
    2. A locality electing to adopt a qualifying local program  that does not notify the board within the initial six-month period of its  intention may thereafter notify the board at any regular meeting of the board.  Such notification shall include a proposed schedule for adoption of a  qualifying local program within a timeframe agreed upon by the board.
    F. The department shall administer the responsibilities of  the Act and this chapter in any locality in which a qualifying local program  has not been adopted. The department shall develop a schedule, to be approved  by the board, for adoption and implementation of the requirements of this  chapter in such localities. Such schedule may include phases of implementation  and shall be based upon considerations including the typical number of  permitted projects located within a locality, total number of acres disturbed  by such permitted projects, and such other considerations as may be deemed  necessary by the board.
    DOCUMENTS INCORPORATED BY REFERENCE (4VAC50-60)
    Illicit Discharge Detection and Elimination – A Guidance  Manual for Program Development and Technical Assessments, EPA Cooperative  Agreement X-82907801-0, October 2004, by Center for Watershed Protection and  Robert Pitt, University of Alabama, available on the Internet at  http://www.cwp.org/idde_verify.htm.
    Getting in Step – A Guide for Conducting Watershed Outreach  Campaigns, EPA-841-B-03-002, December 2003, U.S. Environmental Protection  Agency, Office of Wetlands, Oceans, and Watersheds, available on the Internet  at http://www.epa.gov/owow/watershed/outreach/documents/getnstep.pdf, or may be  ordered from National Service Center for Environmental Publications, telephone  1-800-490-9198.
    Municipal Stormwater Program Evaluation Guidance,  EPA-833-R-07-003, January 2007 (field test version), U.S. Environmental  Protection Agency, Office of Wastewater Management, available on the Internet  at http://cfpub.epa.gov/npdes/docs.cfm?program_id=6&view=allprog&sort=name#ms4_guidance,  or may be ordered from National Technical Information Service, 5285 Port Royal  Road, Springfield, VA 22161, telephone 1-800-553-6847 or (703) 605-6000.
    Technical Bulletin #1 - Stream Channel Erosion Control,  Virginia Department of Conservation and Recreation, 2000.
    Technical Memorandum – The Runoff Reduction Method, April  2008, and beta-version addendum, September 2008.
    Virginia Runoff Reduction Method Worksheet, September  2008.
    VA.R. Doc. No. R08-587; Filed June 2, 2009, 2:36 p.m. 
TITLE 8. EDUCATION
STATE BOARD OF EDUCATION
Final Regulation
        REGISTRAR'S NOTICE:  Pursuant to § 2.2-4007.06 of the Code of Virginia, the final regulations  published in 25:16 VA.R. 2872-2968 April 13, 2009, were suspended in order to  solicit additional public comments. Notice of the suspension was published in  25:16 VA.R. 2968 April 13, 2009. On May 28, 2009, the Board of Education  readopted the previously published final regulations without change. Therefore,  pursuant to § 2.2-4031 A of the Code of Virginia, the text of the final  regulations is not set out. Refer to 25:16 VA.R. 2872-2968 April 13, 2009, for  the full text of the final regulations that becomes effective on July 7, 2009.
         Titles of Regulations: 8VAC20-80. Regulations Governing  Special Education Programs for Children with Disabilities in Virginia (repealing 8VAC20-80-10 through  8VAC20-80-190).
    8VAC20-81. Regulations Governing Special Education Programs  for Children with Disabilities in Virginia (adding 8VAC20-81-10 through 8VAC20-81-340).
    Statutory Authority: §§ 22.1-16 and 22.1-214 of the  Code of Virginia; 20 USC § 1400 et seq.; 34 CFR Part 300.
    Effective Date: July 7, 2009. 
    Agency Contact: Melissa Smith, Coordinator of  Administrative Services, Department of Education, P.O. Box 2120, Richmond, VA  23218-2120, telephone (804) 371-0524, or email melissa.smith@doe.virginia.gov.
    Summary:
    This action represents the Board of Education's readoption  of the final regulations on May 28, 2009, with no changes from its adoption at  the September 28, 2008, Board of Education meeting. Refer to 25:16 VA.R.  2872-2968 April 13, 2009, for the full text of the final regulations that  becomes effective on July 7, 2009.
    The Board of Education is repealing the text of the current  regulations (8VAC20-80) and promulgating new regulations (8VAC20-81). There are  a number of substantive changes in the regulations, including the following  areas: (i) functions of the Virginia Department of Education (VDOE); (ii)  responsibilities of local school divisions and state-operated programs; (iii)  qualifications for educational interpreters; (iv) child find; (v) eligibility  determinations; (vi) development, review and revision of a student's  individualized education program (IEP); (vii) parentally placed private school  students; (viii) discipline; (ix) procedural safeguards, including the  appointment of surrogate parents and dispute resolution; (x) local educational  agency administration and governance; (xi) funding; and (xii) requirements  regarding highly qualified personnel.
    In response to public comments received, several provisions  that were proposed to be significantly revised or deleted have been retained,  including provisions regarding parental consent for the termination of special  education and related services and the current administration of the due  process system.
    Summary of Public Comments and Agency's Response: A  summary of comments made by the public and the agency's response may be  obtained from the promulgating agency or viewed at the office of the Registrar  of Regulations. 
    VA.R. Doc. No. R07-95; Filed June 3, 2009, 10:50 a.m. 
TITLE 8. EDUCATION
STATE BOARD OF EDUCATION
Final Regulation
        REGISTRAR'S NOTICE:  Pursuant to § 2.2-4007.06 of the Code of Virginia, the final regulations  published in 25:16 VA.R. 2872-2968 April 13, 2009, were suspended in order to  solicit additional public comments. Notice of the suspension was published in  25:16 VA.R. 2968 April 13, 2009. On May 28, 2009, the Board of Education  readopted the previously published final regulations without change. Therefore,  pursuant to § 2.2-4031 A of the Code of Virginia, the text of the final  regulations is not set out. Refer to 25:16 VA.R. 2872-2968 April 13, 2009, for  the full text of the final regulations that becomes effective on July 7, 2009.
         Titles of Regulations: 8VAC20-80. Regulations Governing  Special Education Programs for Children with Disabilities in Virginia (repealing 8VAC20-80-10 through  8VAC20-80-190).
    8VAC20-81. Regulations Governing Special Education Programs  for Children with Disabilities in Virginia (adding 8VAC20-81-10 through 8VAC20-81-340).
    Statutory Authority: §§ 22.1-16 and 22.1-214 of the  Code of Virginia; 20 USC § 1400 et seq.; 34 CFR Part 300.
    Effective Date: July 7, 2009. 
    Agency Contact: Melissa Smith, Coordinator of  Administrative Services, Department of Education, P.O. Box 2120, Richmond, VA  23218-2120, telephone (804) 371-0524, or email melissa.smith@doe.virginia.gov.
    Summary:
    This action represents the Board of Education's readoption  of the final regulations on May 28, 2009, with no changes from its adoption at  the September 28, 2008, Board of Education meeting. Refer to 25:16 VA.R.  2872-2968 April 13, 2009, for the full text of the final regulations that  becomes effective on July 7, 2009.
    The Board of Education is repealing the text of the current  regulations (8VAC20-80) and promulgating new regulations (8VAC20-81). There are  a number of substantive changes in the regulations, including the following  areas: (i) functions of the Virginia Department of Education (VDOE); (ii)  responsibilities of local school divisions and state-operated programs; (iii)  qualifications for educational interpreters; (iv) child find; (v) eligibility  determinations; (vi) development, review and revision of a student's  individualized education program (IEP); (vii) parentally placed private school  students; (viii) discipline; (ix) procedural safeguards, including the  appointment of surrogate parents and dispute resolution; (x) local educational  agency administration and governance; (xi) funding; and (xii) requirements  regarding highly qualified personnel.
    In response to public comments received, several provisions  that were proposed to be significantly revised or deleted have been retained,  including provisions regarding parental consent for the termination of special  education and related services and the current administration of the due  process system.
    Summary of Public Comments and Agency's Response: A  summary of comments made by the public and the agency's response may be  obtained from the promulgating agency or viewed at the office of the Registrar  of Regulations. 
    VA.R. Doc. No. R07-95; Filed June 3, 2009, 10:50 a.m. 
TITLE 8. EDUCATION
STATE BOARD OF EDUCATION
Final Regulation
     
     
    Final Regulation
    Title of Regulation:  8VAC20-131. Regulations Establishing Standards for Accrediting Public Schools  in Virginia (amending 8VAC20-131-5, 8VAC20-131-30,  8VAC20-131-50, 8VAC20-131-60, 8VAC20-131-80, 8VAC20-131-100, 8VAC20-131-140,  8VAC20-131-210, 8VAC20-131-270, 8VAC20-131-280, 8VAC20-131-290, 8VAC20-131-300,  8VAC20-131-310, 8VAC20-131-325, 8VAC20-131-360). 
    Statutory Authority:  §§ 22.1-19 and 22.1-253.13:3 of the Code of Virginia.
    Effective Date: July 31, 2009.
    Agency Contact: Anne Wescott, Assistant Superintendent,  Policy and Communications, Department of Education, P.O. Box 2120, Richmond, VA  23218-2120, telephone (804) 225-2403, FAX (804) 225-2524, or email  anne.wescott@doe.virginia.gov.
    Summary:
    The amendments (i) establish requirements for the Standard  Technical and Advanced Technical Diplomas pursuant to Chapters 859 and 919 of  the 2007 Acts of Assembly; (ii) establish a graduation and completion index  where each school with a graduating class must achieve a minimum of 85  percentage points on the board's index in order to be rated Fully Accredited,  (iii) establish a new accreditation rating called "Provisionally  Accredited-Graduation Rate" to allow a phase-in period for achieving the  85 points needed on the graduation and completion index; (iv) prohibit schools  from administering to any student more than one test in any content area in  each year; (v) require two additional standard credits for the Advanced Studies  Diploma; (vi) beginning with seventh graders in the 2010-2011 academic year,  require schools to develop a personal Academic and Career Plan for each student  by the fall of the student's eighth-grade year; (vii) require that principals  notify the parents of students removed from class for disciplinary reasons for  two or more consecutive days; and (viii) add language to permit school  divisions to receive recognitions and rewards established for the Virginia  Index of Performance incentive program for accountability performance.
    Summary of Public Comments and Agency's Response: A  summary of comments made by the public and the agency's response may be  obtained from the promulgating agency or viewed at the office of the Registrar  of Regulations. 
    Part I 
  Definitions and Purpose 
    8VAC20-131-5. Definitions. 
    The following words and terms apply only to these regulations  and do not supersede those definitions used for federal reporting purposes or  for the calculation of costs related to the Standards of Quality (§ 22.1-253.13:1 et seq. of the Code of Virginia). When used in these regulations,  these words shall have the following meanings, unless the context clearly  indicates otherwise: 
    "Accreditation" means a process used by the  Virginia Department of Education (hereinafter "department") to  evaluate the educational performance of public schools in accordance with these  regulations. 
    "Additional test" means a test, including  substitute tests approved by the Board of Education that students may use in  lieu of a Standards of Learning test to obtain verified credit. 
    "Class period" means a segment of time in the  school day that is approximately 1/6 of the instructional day. 
    "Combined school" means a public school that  contains any combination of or all of the grade levels from kindergarten  through grade 12. This definition does not include those schools defined as  elementary, middle, or secondary schools. 
    "Elementary school" means a public school with any  grades kindergarten through five. 
    "Eligible students" means the total number of  students of school age enrolled in the school at a grade or course for which a  Standards of Learning test is required unless excluded under the provisions of  8VAC20-131-30 F and 8VAC20-131-280 D relative to limited English proficient  (LEP) students. 
    "Enrollment" means the act of complying with state  and local requirements relative to the registration or admission of a child for  attendance in a school within a local school division. This term also means  registration for courses within the student's home school or within related  schools or programs. 
    "First time" means the student has not been  enrolled in the school at any time during the current school year (for purposes  of 8VAC20-131-60 with reference to students who transfer in during the school  year). 
    "Four core areas" or "four core academic  areas" means English, mathematics, science, and history and social science  for purposes of testing for the Standards of Learning. 
    "Graduate" means a student who has earned a Board  of Education recognized diploma, which includes the Advanced Studies, Advanced  Technical, Standard, Standard Technical, Modified Standard, Special,  and General Achievement diplomas. 
    "Homebound instruction" means academic instruction  provided to students who are confined at home or in a health care facility for  periods that would prevent normal school attendance based upon certification of  need by a licensed physician or a licensed clinical psychologist. 
    "Locally awarded verified credit" means a verified  unit of credit awarded by a local school board in accordance with 8VAC20-131-110.  
    "Middle school" means a public school with any  grades 6 through 8. 
    "Planning period" means one class period per day or  the equivalent unencumbered of any teaching or supervisory duties. 
    "Recess" means a segment of free time exclusive of  time provided for meals during the standard school day in which students are  given a break from instruction. 
    "Reconstitution" means a process that may be used  to initiate a range of accountability actions to improve pupil performance,  curriculum, and instruction to address deficiencies that caused a school to be  rated Accreditation Denied that may include, but not be limited to,  restructuring a school's governance, instructional program, staff or student  population. 
    "School" means a publicly funded institution where  students are enrolled for all or a majority of the instructional day and: 
    1. Those students are reported in fall membership at the  institution; and 
    2. At a minimum, the institution meets the preaccreditation  eligibility requirements of these regulations as adopted by the Board of  Education. 
    "Secondary school" means a public school with any  grades 9 through 12. 
    "Standard school day" means a calendar day that  averages at least five and one-half instructional hours for students in grades  1 through 12, excluding breaks for meals and recess, and a minimum of three  instructional hours for students in kindergarten. 
    "Standard school year" means a school year of at  least 180 teaching days or a total of at least 990 teaching hours per year. 
    "Standard unit of credit" or "standard  credit" means credit awarded for a course in which the student  successfully completes 140 clock hours of instruction and the requirements of  the course. Local school boards may develop alternatives to the requirement for  140 clock hours of instruction as provided for in 8VAC20-131-110. 
    "Standards of Learning (SOL) tests" means those  criterion referenced assessments approved by the Board of Education for use in  the Virginia assessment program that measure attainment of knowledge and skills  required by the Standards of Learning. 
    "Student" means a person of school age as defined  by § 22.1-1 of the Code of Virginia, a child with disabilities as defined  in § 22.1-213 of the Code of Virginia, and a person with limited English  proficiency in accordance with § 22.1-5 of the Code of Virginia. 
    "Student periods" means the number of students a  teacher instructs per class period multiplied by the number of class periods  taught. 
    "Verified unit of credit" or "verified  credit" means credit awarded for a course in which a student earns a  standard unit of credit and achieves a passing score on a corresponding  end-of-course SOL test or an additional test approved by the Board of Education  as part of the Virginia assessment program. 
    "Virginia assessment program" means a system used  to evaluate student achievement that includes Standards of Learning tests and  additional tests that may be approved from time to time by the Board of Education.  
    Part III 
  Student Achievement 
    8VAC20-131-30. Student achievement expectations. 
    A. Each student should learn the relevant grade level/course  subject matter before promotion to the next grade. The division superintendent  shall certify to the Department of Education that the division's  promotion/retention policy does not exclude students from membership in a  grade, or participation in a course, in which SOL tests are to be administered.  Each school shall have a process, as appropriate, to identify and recommend  strategies to address the learning, behavior, communication, or development of  individual children who are having difficulty in the educational setting. 
    B. In kindergarten through eighth grade, where the  administration of Virginia assessment program tests are required by the Board  of Education, each student shall be expected to take the tests; students who  are accelerated should shall take the [ test  tests ] of the grade level enrolled or the tests for the grade  level of the content received in instruction. No student shall [ be  required to ] take more than one test in any [ single ]  content area in [ any tested grade each year ].  Schools shall use the Virginia assessment program test results in kindergarten  through eighth grade as part of a set of multiple criteria for determining the  promotion or retention of students. Students promoted to high school from  eighth grade should have attained basic mastery of the Standards of Learning in  English, history and social science, mathematics, and science and should be  prepared for high school work. Students shall not be required to retake the  Virginia assessment program tests unless they are retained in grade and have  not previously passed the related tests. 
    C. In kindergarten through grade 12, students may participate  in a remediation recovery program as established by the board in English  (Reading) or mathematics or both. 
    D. The board recommends that students in kindergarten through  grade 8 not be required to attend summer school or weekend remediation classes  solely based on failing a SOL test in science or history/social science. 
    E. Each student in middle and secondary schools shall take  all applicable end-of-course SOL tests following course instruction. Students  who achieve a passing score on an end-of-course SOL test shall be awarded a  verified unit of credit in that course in accordance with the provisions of  8VAC20-131-110. Students may earn verified units of credit in any courses for  which end-of-course SOL tests are available. Middle and secondary schools may  consider the student's end-of-course SOL test score in determining the  student's final course grade. However, no student who has failed an  end-of-course SOL test but passed the related course shall be prevented from  taking any other course in a content area and from taking the applicable  end-of-course SOL test. The board may approve additional tests to verify  student achievement in accordance with guidelines adopted for verified units of  credit described in 8VAC20-131-110. 
    F. Participation in the Virginia assessment program by  students with disabilities shall be prescribed by provisions of their  Individualized Education Program (IEP) or 504 Plan. All students with  disabilities shall be assessed with appropriate accommodations and alternate  assessments where necessary. 
    G. All students identified as limited English proficient  (LEP) shall participate in the Virginia assessment program. A school-based  committee shall convene and make determinations regarding the participation  level of LEP students in the Virginia assessment program. In kindergarten  through eighth grade, limited English proficient students may be granted a one-time  exemption from SOL testing in the areas of writing, science, and history and  social science. 
    H. Students identified as foreign exchange students taking  courses for credit shall be required to take the relevant Virginia assessment  program tests. Foreign exchange students who are auditing courses and who will  not receive a standard unit of credit for such courses shall not be required to  take the Standards of Learning tests for those courses. 
    8VAC20-131-50. Requirements for graduation. 
    A. The requirements for a student to earn a diploma and  graduate from a Virginia high school shall be those in effect when that student  enters the ninth grade for the first time. Students shall be awarded a diploma  upon graduation from a Virginia high school. 
    When students below the ninth grade successfully complete  courses offered for credit in grades 9 through 12, credit shall be counted  toward meeting the standard units required for graduation provided the courses  are equivalent in content and academic rigor as those courses offered at the  secondary level. To earn a verified unit of credit for these courses, students  must meet the requirements of 8VAC20-131-110. 
    The following requirements shall be the only requirements for  a diploma, unless a local school board has prescribed additional requirements  that have been approved by the Board of Education. All additional requirements  prescribed by local school boards that have been approved by the Board of  Education remain in effect until such time as the local school board submits a  request [ to the board ] to amend or discontinue them. 
    B. Requirements for a Standard Diploma. 
    1. Beginning with the ninth-grade [ classes class ]  of 2003-04 [ 2009-2010 2010-2011 ] and  beyond, students shall earn the required standard and verified units of credit  described in subdivision 2 of this subsection. 
    2. Credits required for graduation with a Standard Diploma. 
           | Discipline Area | Standard Units of Credit Required | Verified Credits Required | 
       | English | 4 | 2 | 
       | Mathematics1 | 3 | 1 | 
       | Laboratory Science2,6 | 3 | 1 | 
       | History and Social Sciences3,6 | 3 | 1 | 
       | Health and Physical Education | 2 |   | 
       | [ Foreign Language, ]    Fine Arts or Career and Technical Education [ 7 ]     | [ 12 ] |   | 
       | [ Foreign Language,]    Economics [orand ] Personal    Finance | 1 |   | 
       | Electives4 | 6[54 ]
 |   | 
       | Student Selected Test5 |   | 1 | 
       | Total | 22 | 6 | 
       | 1Courses completed to    satisfy this requirement shall be at or above the level of algebra and    shallinclude at least two [ different ] course    selections from among: Algebra I, Geometry, Algebra, Functions, and Data Analysis,    Algebra II, or other mathematics courses above the level ofalgebra and    geometryAlgebra II. The boardmayshall approveadditionalcourses to satisfy this requirement. 2Courses completed to    satisfy this requirement shall include course selections from at least two    different science disciplines: earth sciences, biology, chemistry, or physics    [ , or completion of the sequence of science courses required for the    International Baccalaureate Diploma ]. The board mayshall    approveadditionalcourses to satisfy this requirement. 3Courses completed to    satisfy this requirement shall include U.S. and Virginia History, U.S. and    Virginia Government, and one course in either world history or geography or    both. The board mayshall approveadditionalcourses to satisfy    this requirement. 4Courses to satisfy    this requirement shall include at least two sequential electives as required    by the Standards of Quality. 5A student may utilize    additional tests for earning verified credit in computer science, technology,    career and technical education, economics or other areas as prescribed    by the board in 8VAC20-131-110. 6Students who complete    a career and technical education program sequence and pass an examination or    occupational competency assessment in a career and technical education field    that confers certification or an occupational competency credential from a    recognized industry, or trade or professional association, or acquires a    professional license in a career and technical education field from the    Commonwealth of Virginia may substitute the certification, competency    credential, or license for (i) the student-selected verified credit and (ii)    either a science or history and social science verified credit when the    certification, license, or credential confers more than one verified credit.    The examination or occupational competency assessment must be approved by the    Board of Education as an additional test to verify student achievement. [ 7Pursuant to    § 22.1-253.13:4 of the Code of Virginia, credits earned for this requirement    shall include one credit in fine or performing arts or career and technical    education. ]  | 
  
    Students completing the requirements for the Standard Diploma  may be eligible to receive an honor deemed appropriate by the local school  board as described in subsection I K of this section. 
    C. Requirements for a Standard Technical Diploma. 
    [ 1. Beginning with the ninth-grade class of 2010-2011  and beyond, students shall earn the required standard and verified units of  credit described in subdivision 2 of this subsection. 
    2. ] Credits required for graduation with a  Standard Technical Diploma. 
           | Discipline Area | Standard Units of Credit    Required | Verified Credits Required | 
       | English | 4 | 2 | 
       | Mathematics1 | 3 | 1 | 
       | Laboratory Science2,5 | 3 | 1 | 
       | History and Social Sciences3,5 | 3 | 1 | 
       | Health and Physical Education | 2 |   | 
       | Fine Arts [ ,or ] Foreign    Language [, Economics or Personal Finance] | 1 |   | 
       | [ Economics and Personal Finance ]  | [ 1 ]  |   | 
       | Career and Technical Education4 | 4 |   | 
       | Electives | [ 21 ] |   | 
       | Student Selected6 |   | 1 | 
       | Total | 22 | 6 | 
       | 1Courses completed    to satisfy this requirement shall include at least three [ different ]    course selections from among: Algebra I, Geometry, Algebra Functions and    Data Analysis, or Algebra II or other mathematics courses above the level of    Algebra II. The board shall approve courses to satisfy this requirement. 2Courses completed    to satisfy this requirement shall include course selections from at least    three different science disciplines from among: earth sciences, biology,    chemistry, or physics, or completion of the sequence of science courses    required for the International Baccalaureate Diploma. The board shall approve    courses to satisfy this requirement. 3Courses completed    to satisfy this requirement shall include U.S. and Virginia History, U.S. and    Virginia Government, and one course in either world history or geography or    both. The board shall approve courses to satisfy this requirement. 4Courses completed    to satisfy this requirement must include a career concentration as approved    by the board. [ For concentrations that require less than four    courses students must complete additional courses that are related to the    student's career concentration.If a career concentration includes    a specific assessment approved by the board and the student is eligible to    take the assessment, then the student must take this assessment. ] 5Students who    complete a career and technical education program sequence and pass an    examination or occupational competency assessment in a career and technical    education field that confers certification or an occupational competency    credential from a recognized industry or trade or professional association or    acquires a professional license in a career and technical education field    from the Commonwealth of Virginia may substitute the certification competency    credential or license for (i) the student selected verified credit and (ii)    either a science or history and social science verified credit when the    certification license or credential confers more than one verified credit.  The    examination or occupational competency assessment must be approved by the    board as an additional test to verify student achievement. [ If    a career concentration includes a specific assessment approved by the board,    then the student must take this assessment.]  6A student may    utilize additional tests for earning verified credit in computer science, technology,    career and technical education, economics or other areas as prescribed by the    board in 8VAC20-131-110. | 
  
    Students completing the requirements for the Standard  Technical Diploma may be eligible to receive an honor deemed appropriate by the  local school board as described in subsection K of this section. 
    C. D. Requirements for an Advanced Studies  Diploma. [ (*Contingent upon passage of the VDOE legislative  proposal ] Any student who meets the requirements for both the  Advanced Studies and the Advanced Technical diploma may choose between these  two diplomas.) 
    [ 1. Beginning with the ninth-grade class of 2010-2011  and beyond, students shall earn the required standard and verified units of  credit described in subdivision 2 of this subsection. 
    2. ] Credits required for graduation with an  Advanced Studies Diploma. 
           | Discipline Area | Standard Units of Credit Required | Verified Credits Required | 
       | English | 4 | 2 | 
       | Mathematics1 | 4 | 2 | 
       | Laboratory Science2 | 4 | 2 | 
       | History and Social Sciences3 | 4 | 2 | 
       | Foreign Language4 | 3 |   | 
       | Health and Physical Education | 2 |   | 
       | Fine Arts or Career and Technical Education | 1 |   | 
       | Economics [ orand ] Personal    Finance | 1 |   | 
       | Electives | 23
 |   | 
       | Student Selected Test5 |   | 1 | 
       | Total | 2426
 | 9 | 
       | 1Courses completed to    satisfy this requirement shall be at or above the level of algebra and    shallinclude at least three different course selections from among:    Algebra I, Geometry, Algebra II, or other mathematics courses above the level    of Algebra II. The boardmayshall approveadditionalcourses to satisfy this requirement. 2Courses completed to    satisfy this requirement shall include course selections from at least three    different science disciplines from among: earth sciences, biology, chemistry,    or physics or completion of the sequence of science courses required for the    International Baccalaureate Diploma. The board mayshall    approve additional courses to satisfy this requirement. 3Courses completed to    satisfy this requirement shall include U.S. and Virginia History, U.S. and    Virginia Government, and two courses in either world history or geography or    both. The board mayshall approve additional courses to satisfy    this requirement. 4Courses completed to    satisfy this requirement shall include three years of one language or two    years of two languages. 5A student may utilize    additional tests for earning verified credit in computer science, technology,    career or technical education, economics or other areas as prescribed    by the board in 8VAC20-131-110. | 
  
    Students completing the requirements for the Advanced Studies  Diploma may be eligible to receive an honor deemed appropriate by the local  school board as described in subsection I K of this section. 
    E. Requirements for an Advanced Technical Diploma.  [ (*Contingent upon passage of the VDOE legislative proposal.) ]  Any student who meets the requirements for both the Advanced Studies and the  Advanced Technical diploma may choose between these two diplomas. 
    [ 1. Beginning with the ninth-grade class of 2010-2011  and beyond, students shall earn the required standard and verified units of  credit described in subdivision 2 of this subsection. 
    2. ] Credits required for graduation with an  Advanced Technical Diploma. 
           | Discipline Area | Standard Units of Credit Required | Verified Credits Required | 
       | English | 4 | 2 | 
       | Mathematics1 | 4 | 2 | 
       | Laboratory Science2 | 4 | 2 | 
       | History and Social Sciences3 | 4 | 2 | 
       | Foreign Language4 | 3 |   | 
       | Health and Physical Education | 2 |   | 
       | [ Economics and Personal Finance ]  | [ 1 ]  |   | 
       | Fine Arts or [ EconomicsCareer    and Technical Education ] | 1 |   | 
       | Career and Technical Education5 | [ 43 ] |   | 
       | Student Selected Test6 |   | 1 | 
       | Total | 26 | 9 | 
       | 1Courses completed    to satisfy this requirement shall include at least three different course    selections from among: Algebra I, Geometry, Algebra II, or other mathematics    courses above the level of Algebra II. The board shall approve courses to    satisfy this requirement. 2Courses completed    to satisfy this requirement shall include course selections from at least    three different science disciplines from among: earth sciences, biology,    chemistry, or physics or completion of the sequence of science courses    required for the International Baccalaureate Diploma. The board shall approve    courses to satisfy this requirement. 3Courses completed    to satisfy this requirement shall include U.S. and Virginia History, U.S. and    Virginia Government, and two courses in either world history or geography or    both. The board shall approve courses to satisfy this requirement. 4Courses completed    to satisfy this requirement shall include three years of one language or two    years of two languages.  5Courses    completed to satisfy this requirement must include a career concentration as    approved by the board. [ For concentrations that require less    than four courses, students must complete additional courses that are related    to the student's career concentration.] If a career    concentration includes a specific assessment approved by the board,    [ and the student is eligible to take the assessment, ] then    the student must take this assessment [to fulfill this    requirement]. 6A student may    utilize additional tests for earning verified credit in computer science,    technology, career or technical education, economics, or other areas as    prescribed by the board in 8VAC20-131-110. | 
  
    Students completing the requirements for the Advanced  Technical Diploma may be eligible to receive an honor deemed appropriate by the  local school board as described in subsection K of this section. 
    D. F. Requirements for the Modified Standard  Diploma. 
    1. Every student shall be expected to pursue a Standard  Diploma or, Standard Technical Diploma, Advanced Studies Diploma,  or Advanced Technical Diploma. The Modified Standard Diploma program is  intended for certain students at the secondary level who have a disability and  are unlikely to meet the credit requirements for a Standard Diploma.  Eligibility and participation in the Modified Standard Diploma program shall be  determined by the student's Individualized Education Program (IEP) team  including the student, where appropriate, at any point after the student's  eighth grade year. 
    2. The school must secure the informed written consent of the  parent/guardian and the student to choose this diploma program after review of  the student's academic history and the full disclosure of the student's  options. 
    3. The student who has chosen to pursue a Modified Standard  Diploma shall also be allowed to pursue the Standard Diploma, or Standard  Technical Diploma, Advanced Studies Diploma or Advanced Technical  Diploma at any time throughout that student's high school career, and the  student must not be excluded from courses and tests required to earn a Standard  or Advanced Studies Diploma. 
    4. Students pursuing the Modified Standard Diploma shall pass  literacy and numeracy competency assessments prescribed by the board. 
    5. Credits required for graduation with a Modified Standard  Diploma. 
           | Discipline Area | Standard Units of Credit Required | 
       | English | 4 | 
       | Mathematics1 | 3 | 
       | Science2 | 2 | 
       | History and Social Sciences3 | 2 | 
       | Health and Physical Education | 2 | 
       | Fine Arts or Career and Technical Education | 1 | 
       | Electives4 | 6 | 
       | Total | 20 | 
       | 1Courses completed to    satisfy this requirement shall include content from among applications of    algebra, geometry, personal finance, and [ probability and ]    statistics in courses that have been approved by the board. 2Courses completed    shall include content from at least two of the following: applications of    earth science, biology, chemistry, or physics in courses approved by the    board. 3Courses completed to    satisfy this requirement shall include one unit of credit in U.S. and    Virginia History and one unit of credit in U.S. and Virginia Government in    courses approved by the board. 4Courses to satisfy    this requirement shall include at least two sequential electives in the same    manner required for the Standard Diploma. | 
  
    6. The student must meet any additional criteria established  by the Board of Education. 
    E. G. In accordance with the requirements of  the Standards of Quality, students with disabilities who complete the  requirements of their Individualized Education Program (IEP) and do not meet  the requirements for other diplomas shall be awarded Special Diplomas. 
    F. H. In accordance with the requirements of  the Standards of Quality, students who complete prescribed programs of studies  defined by the local school board but do not qualify for Standard, Standard  Technical, Advanced Studies, Advanced Technical, Modified Standard,  Special, or General Achievement diplomas shall be awarded Certificates of  Program Completion. The requirements for Certificates of Program Completion are  developed by local school boards in accordance with the Standards of Quality.  Students receiving a general achievement diploma shall comply with 8VAC20-680,  Regulations Governing the General Achievement Diploma. 
    G. I. In accordance with the provisions of the  compulsory attendance law and 8VAC20-360, Regulations Governing General  Educational Development Certificates, students who do not qualify for diplomas  may earn a high school equivalency credential. 
    H. J. At a student's request, the local school  board shall communicate or otherwise make known to institutions of higher  education, potential employers, or other applicable third parties, in a manner  that the local school board deems appropriate, that a student has attained the  state's academic expectations by earning a Virginia diploma and that the value  of such a diploma is not affected in any way by the accreditation status of the  student's school. 
    I. K. Awards for exemplary student performance.  Students who demonstrate academic excellence and/or outstanding achievement may  be eligible for one or more of the following awards: 
    1. Students who complete the requirements for an Advanced  Studies Diploma or Advanced Technical Diploma with an average grade of  "B" or better, and successfully complete college-level coursework  that will earn the student at least nine transferable college credits in Advanced  Placement (AP), International Baccalaureate (IB), Cambridge, or dual enrollment  courses shall receive the Governor's Seal on the diploma. 
    2. Students who complete the requirements for a Standard  Diploma or, Standard Technical Diploma, Advanced Studies Diploma or  Advanced Technical Diploma with an average grade of "A" shall  receive a Board of Education Seal on the diploma. 
    3. The Board of Education's Career and Technical Education  Seal will be awarded to students who earn a Standard or Diploma,  Standard Technical Diploma, Advanced Studies Diploma or Advanced  Technical Diploma and complete a prescribed sequence of courses in a career  and technical education concentration or specialization that they choose and  maintain a "B" or better average in those courses; or (i) pass an  examination or an occupational competency assessment in a career and technical  education concentration or specialization that confers certification or  occupational competency credential from a recognized industry, trade or  professional association or (ii) acquire a professional license in that career  and technical education field from the Commonwealth of Virginia. The Board of  Education shall approve all professional licenses and examinations used to  satisfy these requirements. 
    4. The Board of Education's Seal of Advanced Mathematics and  Technology will be awarded to students who earn either a Standard or Diploma,  Standard Technical Diploma [ , ] Advanced Studies Diploma or  Advanced Technical Diploma and (i) satisfy all of the mathematics  requirements for the Advanced Studies Diploma or Advanced Technical Diploma  (four units of credit including Algebra II; two verified units of credit) with  a "B" average or better; and (ii) either (a) pass an examination in a  career and technical education field that confers certification from a  recognized industry, or trade or professional association; (b) acquire a  professional license in a career and technical education field from the  Commonwealth of Virginia; or (c) pass an examination approved by the board that  confers college-level credit in a technology or computer science area. The  Board of Education shall approve all professional licenses and examinations  used to satisfy these requirements. 
    5. The Board of Education's Seal for Excellence in Civics  Education will be awarded to students who earn either a Standard or Diploma,  Standard Technical Diploma, Advanced Studies Diploma [ , ]  or Advanced Technical Diploma and (i) complete Virginia and United  States History and Virginia and United States Government courses with a grade  of "B" or higher; (ii) have good attendance and no disciplinary  infractions as determined by local school board policies; and (iii) complete 50  hours of voluntary participation in community service or extracurricular  activities. Activities that would satisfy the requirements of clause (iii) of  this subdivision include: (a) volunteering for a charitable or religious  organization that provides services to the poor, sick or less fortunate; (b)  participating in Boy Scouts, Girl Scouts, or similar youth organizations; (c)  participating in JROTC; (d) participating in political campaigns or government  internships, or Boys State, Girls State, or Model General Assembly; or (e)  participating in school-sponsored extracurricular activities that have a civics  focus. Any student who enlists in the United States military prior to  graduation will be deemed to have met this community service requirement. 
    6. Students may receive other seals or awards for exceptional  academic, career and technical, citizenship, or other exemplary performance in  accordance with criteria defined by the local school board. 
    J. L. Students completing graduation  requirements in a summer school program shall be eligible for a diploma. The  last school attended by the student during the regular session shall award the  diploma unless otherwise agreed upon by the principals of the two schools. 
    K. M. Students who complete Advanced Placement  courses, college-level courses, or courses required for an International  Baccalaureate Diploma shall be deemed to have completed the requirements for  graduation under these standards provided they have earned the standard units  of credit and earned verified units of credit in accordance with the  requirements of subsections B and C of this section. 
    L. N. Students shall be counseled annually  regarding the opportunities for using additional tests for earning verified  credits as provided in accordance with the provisions of 8VAC20-131-110, and  the consequences of failing to fulfill the obligations to complete the  requirements for verified units of credit. 
    8VAC20-131-60. Transfer students. 
    A. The provisions of this section pertain generally to  students who transfer into Virginia high schools. Students transferring in  grades K-8 from Virginia public schools or nonpublic schools accredited by one  of the approved accrediting constituent members of the Virginia Council for  Private Education shall be given recognition for all grade-level work  completed. The academic record of students transferring from all other schools  shall be evaluated to determine appropriate grade placement in accordance with  policies adopted by the local school board. [ The State Testing  Identifier (STI) for students who transfer into a Virginia public school from another  Virginia public school shall be retained by the receiving school. ] 
    B. For the purposes of this section, the term  "beginning" means within the first 20 hours of instruction per  course. The term "during" means after the first 20 hours of  instruction per course. 
    C. Standard or verified units of credit earned by a student  in a Virginia public school shall be transferable without limitation regardless  of the accreditation status of the Virginia public school in which the credits  were earned. Virginia public schools shall accept standard and verified units  of credit from other Virginia public schools [ , Virginia's virtual  learning program, Virtual Virginia, ] and state-operated programs.  Standard units of credit also shall be accepted for courses satisfactorily  completed in accredited colleges and universities when prior written approval  of the principal has been granted or the student has been given credit by the  previous school attended. 
    D. A secondary school shall accept credits toward graduation  received from Virginia nonpublic schools accredited by one of the approved  accrediting constituent members of the Virginia Council for Private Education  (VCPE). The Board of Education will maintain contact with the VCPE and may  periodically review its accrediting procedures and policies as part of its  policies under this section. 
    Nothing in these standards shall prohibit a public school  from accepting standard units of credit toward graduation awarded to students  who transfer from all other schools when the courses for which the student  receives credit generally match the description of or can be substituted for  courses for which the receiving school gives standard credit, and the school  from which the child transfers certifies that the courses for which credit is  given meet the requirements of 8VAC20-131-110 A. 
    Students transferring into a Virginia public school shall be  required to meet the requirements prescribed in 8VAC20-131-50 to receive a  Standard, Standard Technical, Advanced Studies, Advanced Technical  or Modified Standard Diploma, except as provided by subsection G of this  section. To receive a Special Diploma or Certificate of Program Completion, a  student must meet the requirements prescribed by the Standards of Quality. 
    E. The academic record of a student transferring from other  Virginia public schools shall be sent directly to the school receiving the  student upon request of the receiving school in accordance with the provisions  of the 8VAC20-150, Management of the Student's Scholastic Record in the Public  Schools of Virginia. [ The State Testing Identifier (STI) for students  who transfer into a Virginia public school from another Virginia public school  shall be retained by the receiving school. ] 
    F. The academic record of a student transferring into  Virginia public schools from other than a Virginia public school shall be  evaluated to determine the number of standard units of credit that have been  earned, including credit from schools outside the United States, and the number  of verified units of credit needed to graduate in accordance with subsection G  of this section. Standard units of credit also shall be accepted for courses  satisfactorily completed in accredited colleges and universities when the  student has been given credit by the previous school attended. 
    Students transferring above the tenth grade from schools or  other education programs that do not require or give credit for health and  physical education shall not be required to take these courses to meet  graduation requirements. 
    G. Students entering a Virginia public high school for the  first time after the tenth grade shall earn as many credits as possible toward  the graduation requirements prescribed in 8VAC20-131-50. However, schools may  substitute courses required in other states in the same content area if the  student is unable to meet the specific content requirements of 8VAC20-131-50  without taking a heavier than normal course load in any semester, by taking  summer school, or by taking courses after the time when he otherwise would have  graduated. In any event, no such student shall earn fewer than the following  number of verified units, nor shall such students be required to take SOL tests  or additional tests as defined in 8VAC20-131-110 for verified units of credit  in courses previously completed at another school or program of study, unless  necessary to meet the requirements listed in subdivisions 1 and 2 of this  subsection: 
    1. For a Standard Diploma or Standard Technical Diploma:  
    a. Students entering a Virginia high school for the first time  during the ninth grade or at the beginning of the tenth grade shall earn credit  as prescribed in 8VAC20-131-50; 
    b. Students entering a Virginia high school for the first time  during the tenth grade or at the beginning of the eleventh grade shall earn a  minimum of four verified units of credit: one each in English, mathematics,  history, and science. Students who complete a career and technical education  program sequence may substitute a certificate, occupational competency  credential or license for either a science or history and social science  verified credit pursuant to 8VAC20-131-50; and 
    c. Students entering a Virginia high school for the first time  during the eleventh grade or at the beginning of the twelfth grade shall earn a  minimum of two verified units of credit: one in English and one of the  student's own choosing. 
    2. For an Advanced Studies Diploma or Advanced Technical  Diploma: 
    a. Students entering a Virginia high school for the first time  during the ninth grade or at the beginning of the tenth grade shall earn credit  as prescribed in 8VAC20-131-50; 
    b. Students entering a Virginia high school for the first time  during the tenth grade or at the beginning of the eleventh grade shall earn a  minimum of six verified units of credit: two in English and one each in  mathematics, history, and science and one of the student's own choosing; and 
    c. Students entering a Virginia high school for the first time  during the eleventh grade or at the beginning of the twelfth grade shall earn a  minimum of four verified units of credit: one in English and three of the  student's own choosing. 
    H. Students entering a Virginia high school for the first  time after the first semester of their eleventh grade year must meet the  requirements of subdivision [ G ] 1 c or [ G 2 ]  c of this  [ section subsection ]. Students  transferring after 20 instructional hours per course of their senior or twelfth  grade year shall be given every opportunity to earn a Standard, Advanced  Studies, or Modified Standard Diploma. If it is not possible for the student to  meet the requirements for a diploma, arrangements should be made for the  student's previous school to award the diploma. If these arrangements cannot be  made, a waiver of the verified unit of credit requirements may be available to  the student. The Department of Education may grant such waivers upon request by  the local school board in accordance with guidelines prescribed by the Board of  Education. 
    I. Any local school division receiving approval to increase  its course credit requirements for a diploma may not deny either the Standard,  Advanced Studies, or Modified Standard Diploma to any transfer student who has  otherwise met the requirements contained in these standards if the transfer  student can only meet the division's additional requirements by taking a  heavier than normal course load in any semester, by taking summer school, or by  taking courses after the time when he otherwise would have graduated. 
    J. The transcript of a student who graduates or transfers  from a Virginia secondary school shall conform to the requirements of  8VAC20-160, Regulations Governing Secondary School Transcripts. 
    K. The accreditation status of a high school shall not be  included on the student transcript provided to colleges, universities, or  employers. The board expressly states that any student who has met the  graduation requirements established in 8VAC20-131-50 and has received a  Virginia diploma holds a diploma that should be recognized as equal to any  other Virginia diploma of the same type, regardless of the accreditation status  of the student's high school. It is the express policy of the board that no student  shall be affected by the accreditation status of the student's school. The  board shall take appropriate action, from time to time, to ensure that no  student is affected by the accreditation status of the student's school. 
    [ 8VAC20-131-80. Instructional program in elementary  schools. 
    A. The elementary school shall provide each student a program  of instruction that corresponds to the Standards of Learning for English,  mathematics, science, and history/social science. In addition, each school  shall provide instruction in art, music, and physical education and health and  shall require students to participate in a program of physical fitness during  the regular school year in accordance with guidelines established by the Board  of Education. 
    B. In kindergarten through grade 3, reading, writing,  spelling, and mathematics shall be the focus of the instructional program.  Schools shall maintain, in a manner prescribed by the Board of Education,  an early skills and knowledge achievement record in reading and mathematics for  each student in grades kindergarten through grade 3 to monitor student progress  and to promote successful achievement on the third grade SOL tests. This record  shall be included with the student's records if the student transfers to a new  school. 
    C. To provide students with sufficient opportunity to learn,  a minimum of 75% of the annual instructional time of 990 hours shall be given  to instruction in the disciplines of English, mathematics, science, and  history/social science. Students who are not successfully progressing in early  reading proficiency or who are unable to read with comprehension the materials  used for instruction shall receive additional instructional time in reading,  which may include summer school. 
    D. Elementary schools are encouraged to provide instruction  in foreign languages. ] 
    [ 8VAC20-131-100. Instructional program in secondary  schools. 
    A. The secondary school shall provide each student a program  of instruction in the academic areas of English, mathematics, science, and history/social  science that enables each student to meet the graduation requirements described  in 8VAC20-131-50 and shall offer opportunities for students to pursue a program  of studies in foreign languages, fine arts, and career and technical areas  including: 
    1. Career and technical education choices that prepare the  student as a career and technical education program completer in one of three  or more occupational areas and that prepare the student for technical or  preprofessional postsecondary programs; 
    2. Coursework and experiences that prepare the student for  college-level studies including access to at least three Advanced Placement  (AP) courses, college-level courses for degree credit, International  Baccalaureate (IB) courses, Cambridge courses, or any combination thereof; 
    3. Preparation for college admissions tests; and 
    4. Opportunities to study and explore the fine arts and  foreign languages. 
    B. Minimum course offerings for each secondary school shall  provide opportunities for students to meet the graduation requirements stated  in 8VAC20-131-50 and must include: 
     
           | English | 4 | 
       | Mathematics | 4 | 
       | Science (Laboratory) | 4 | 
       | History and Social Sciences | 4 | 
       | Foreign Language | 3 | 
       | Electives | 43
 | 
       | Career and Technical Education | 11 | 
       | Fine Arts | 2 | 
       | Health and Physical Education | 2 | 
       | Economics and Personal Finance  | 1  | 
       | Total Units | 38 | 
  
    C. Classroom driver education may count for 36 class periods  of health education. Students shall not be removed from classes other than  health and physical education for the in-car phase of driver education. 
    D. Each school shall ensure that students who are unable to  read with comprehension the materials used for instruction receive additional  instruction in reading, which may include summer school.  ] 
    8VAC20-131-140. College and career preparation programs  and opportunities for postsecondary credit. 
    Each middle and secondary school shall provide for the early  identification and enrollment of students in a college preparation program with  a range of educational and academic experiences in and outside the classroom,  including an emphasis on experiences that will motivate disadvantaged and  minority students to attend college. 
    Beginning in the middle school years, students shall be  counseled on opportunities for beginning postsecondary education and  opportunities for obtaining industry certifications, occupational competency  credentials, or professional licenses in a career and technical education field  prior to high school graduation. Such opportunities shall include access to at  least three Advanced Placement courses or three college-level courses for  degree credit pursuant to 8VAC20-131-100. Students taking advantage of such  opportunities shall not be denied participation in school activities for which  they are otherwise eligible. Wherever possible, students shall be encouraged  and afforded opportunities to take college courses simultaneously for high  school graduation and college degree credit (dual enrollment), under the  following conditions: 
    1. Written approval of the high school principal prior to  participation in dual enrollment must be obtained; 
    2. The college must accept the student for admission to the  course or courses; and 
    3. The course or courses must be given by the college for  degree credits (no remedial courses will be accepted). 
    Schools that comply with this standard shall not be penalized  in receiving state appropriations. 
    Beginning with the [ 2009-2010  2010-2011 ] academic year, all [ middle ]  schools shall [ develop and maintain begin  development of ] a personal Academic and Career Plan for each  [ seventh- and eighth-grade that includes specific  components established by the Board of Education. Beginning with the 2010-2011  academic year, students seventh-grade student with completion by the fall  of the student's eighth-grade year. Students who transfer from other than a  Virginia public school into the eighth grade shall have the Plan developed as  soon as practicable following enrollment. Beginning with the 2011-2012 academic  year, students ] who transfer into a Virginia public school after  their eighth-grade year shall have an Academic and Career Plan developed upon  enrollment. The components of the Plan shall include, but not be limited to,  the student's [ educational goals and ] program  of study for high school graduation and a postsecondary career pathway based on  the student's academic and career interests. The Academic and Career Plan shall  be developed [ in accordance with guidelines established by the  Board of Education ] and signed by the student, student's parent or  guardian, and school official(s) designated by the principal. The Plan shall be  included in the student's record and shall be reviewed and updated, if  necessary, before the student enters the ninth and eleventh grades. The school  shall have met its obligation for parental involvement if it makes a good faith  effort to notify the parent or guardian of the responsibility for the  development and approval of the Plan. [ Any personal academic and  career plans prescribed by local school boards for students in grades 7 through  12 and in effect as of June 30, 2009, are approved to continue without further  action by the board. ] 
    Part V 
  School and Instructional Leadership 
    8VAC20-131-210. Role of the principal. 
    A. The principal is recognized as the instructional leader of  the school and is responsible for effective school management that promotes  positive student achievement, a safe and secure environment in which to teach  and learn, and efficient use of resources. As a matter of policy, the board,  through these standards, recognizes the critically important role of principals  to the success of public schools and the students who attend those schools and  recommends that local school boards provide principals with the maximum  authority available under law in all matters affecting the school including,  but not limited to, instruction and personnel, in a manner that allows the  principal to be held accountable in a fair and consistent manner for matters  under his direct control. 
    B. As the instructional leader, the principal is responsible  for ensuring that students are provided an opportunity to learn and shall: 
    1. Protect the academic instructional time from unnecessary  interruptions and disruptions and enable the professional teaching staff to  spend the maximum time possible in the teaching/learning process by keeping to  a minimum clerical responsibility and the time students are out of class; 
    2. Ensure that the school division's student code of conduct  is enforced and seek to maintain a safe and secure school environment; 
    3. Analyze the school's test scores annually, by grade and by  discipline, to: 
    a. Direct and require appropriate prevention, intervention,  and/or remediation to those students performing below grade level or not  passing the SOL tests; 
    b. Involve the staff of the school in identifying the types of  staff development needed to improve student achievement and ensure that the  staff participate in those activities; and 
    c. Analyze classroom practices and methods for improvement of  instruction; 
    4. Ensure that students' records are maintained and that  criteria used in making placement and promotion decisions, as well as any  instructional interventions used to improve the student's performance, are  included in the record; 
    5. Monitor and evaluate the quality of instruction, provide  staff development, provide support that is designed to improve instruction, and  seek to ensure the successful attainment of the knowledge and skills required  for students by the SOL tests; 
    6. Maintain records of students who drop out of school,  including their reasons for dropping out and actions taken to prevent these  students from dropping out; and 
    7. Notify the parents of rising eleventh-grade and  twelfth-grade students of: 
    a. The number of standard and verified units of credit  required for graduation; and 
    b. The remaining number of such units of credit the individual  student requires for graduation; and 
    8. Notify the [ parents parent or  guardian ] of students removed from class for disciplinary reasons  for two or more consecutive days in whole or in part. [ The school  shall have met its obligation if it makes a good faith effort to notify the  parent or guardian. ]
    C. As the school manager, the principal shall: 
    1. Work with staff to create an atmosphere of mutual respect  and courtesy and to facilitate constructive communication by establishing and  maintaining a current handbook of personnel policies and procedures; 
    2. Work with the community to involve parents and citizens in  the educational program and facilitate communication with parents by  maintaining and disseminating a current student handbook of policies and  procedures that includes the school division's standards of student conduct and  procedures for enforcement, along with other matters of interest to parents and  students; 
    3. Maintain a current record of licensure, endorsement, and  in-service training completed by staff; and 
    4. Maintain records of receipts and disbursements of all funds  handled. These records shall be audited annually by a professional accountant  approved by the local school board. 
    Part VII 
  School and Community Communications 
    8VAC20-131-270. School and community communications. 
    A. Each school shall promote communication and foster mutual  understanding with parents and the community. Each school shall: 
    1. Involve parents, citizens, community agencies, and  representatives from business and industry in developing, disseminating, and  explaining the biennial school plan; on advisory committees; in curriculum  studies; and in evaluating the educational program. 
    2. Provide annually to the parents and the community the  School Performance Report Card in a manner prescribed by the board. The  information contained therein will be for the most recent three-year period.  Such information shall include but not be limited to: 
    a. Virginia assessment program results [ including the  percentage of students tested, as well as the percentage of students not  tested by percentage of participation and proficiency and disaggregated  by student subgroups ].
    [ b. Performance of student subgroups on the Virginia  assessment program as appropriate.
    c. b. ] The accreditation rating [ awarded  to earned by ] the school. 
    [ d. c. ] Attendance rates for  students. 
    [ e. d. ] Information related to  school safety to include, but not limited to, incidents of [ physical  crime and ] violence [ (including fighting and other  serious offenses), possession of firearms, and possession of other weapons ].  
    [ f. e. ] Information related to  qualifications and [ experience educational attainment ]  of the teaching staff [ including the percentage of the school's  teachers endorsed in the area of their primary teaching assignment ]. 
    [ g. f. ] In addition, secondary  schools' School Performance Report Cards shall include the following: 
    (1) Advanced Placement (AP) information to include percentage  of students who take AP courses and percentage of [ those ]  students who take AP tests; 
    (2) International Baccalaureate (IB) and Cambridge course  information to include percentage of students who are enrolled in IB or  Cambridge programs and percentage of students who receive IB or Cambridge  Diplomas; 
    (3) College-level course information to include percentage of  students who take college-level courses including dual enrollment courses; 
    (4) [ Percentage Number and percentage ]  of (i) graduates by diploma type as prescribed by the Board of Education, (ii)  certificates awarded to the senior class including GED credentials, and (iii)  students who do not complete high school; 
    (5) [ Information on the The ] number  of students obtaining industry certifications, and passing state licensure  examinations and occupational competency assessments while still in high  school; and 
    (6) [ Percentage Number and percentage ]  of drop-outs. 
    3. Cooperate with business and industry in formulating career  and technical educational programs and conducting joint enterprises involving  personnel, facilities, training programs, and other resources. 
    4. Encourage and support the establishment and/or continuation  of a parent-teacher association or other organization and work cooperatively  with it. 
    B. At the beginning of each school year, each school shall  provide to its students' parents or guardians information on the availability  of and source for receiving: 
    1. The learning objectives developed in accordance with the  provisions of 8VAC20-131-70 to be achieved at their child's grade level or, in  high school, a copy of the syllabus for each of their child's courses, and a  copy of the school division promotion, retention, and remediation policies; 
    2. The Standards of Learning applicable to the child's grade  or course requirements and the approximate date and potential impact of the  child's next SOL testing; and 
    3. An annual notice to students in all grade levels of all  requirements for Standard, Standard Technical, Advanced Studies, Advanced  Technical and Modified Standard Diplomas, and the board's policies on  promotion and retention as outlined in 8VAC20-131-30. 
    The division superintendent shall report to the department  compliance with this subsection through the preaccreditation eligibility  procedures in 8VAC20-131-290. 
    Part VIII 
  School Accreditation 
    8VAC20-131-280. Expectations for school accountability. 
    A. Schools will be accredited annually based on compliance  with preaccreditation eligibility requirements and achievement of the school  accountability requirements of 8VAC20-131-300 C. 
    B. Each school shall be accredited based, primarily, on  achievement of the criteria established in 8VAC20-131-30 and in  8VAC20-131-50 as specified below: 
    1. The percentage of students passing the Virginia assessment  program tests in the four core academic areas administered in the school with  the accreditation rating calculated on a trailing three-year average that  includes the current year scores and the scores from the two most recent years  in each applicable academic area, or on the current year's scores, whichever is  higher. 
    2. The percentage of students graduating from or completing  high school based on a graduation and completion index prescribed by the Board  of Education. The accreditation rating of any school with a twelfth grade shall  be determined based on achievement of required SOL pass rates and percentage  points on the board's graduation and completion index. School accreditation  shall be determined by the school's current year index points or a trailing  three-year average of index points that includes the current year and the two  most recent years, whichever is higher. The Board of Education's graduation and  completion index shall include weighted points for diploma graduates (100  points), GED recipients (75 points), students not graduating but still in  school (70 points), and students earning certificates of program completion  [ (60 25 ] points). The Board of Education's  graduation and completion index shall account for all students in the  graduating class's ninth-grade cohort, plus students transferring in, minus  students transferring out and deceased students. Those students who are not  included in one of the preceding categories [ (i.e. students who  dropout) ] will also be included in the index.
    2. 3. The number of students who successfully  complete a remediation recovery program. 
    3. 4. Schools, with grade configurations that do  not house a grade or offer courses for which SOL tests or additional tests  approved by the Board of Education as outlined in 8VAC20-131-110 are  administered, will be paired with another school in the division housing one or  more of the grades in which SOL tests are administered. The pairing of such  schools will be made upon the recommendation of the local superintendent. The  schools should have a "feeder" relationship and the grades should be  contiguous. 
    C. Subject to the provisions of [ 8VAC20-131-330 8VAC20-131-350 ],  the governing school board of special purpose schools such as those provided  for in § 22.1-26 of the Code of Virginia, Governor's schools, special education  schools, alternative schools, or career and technical schools that serve as the  student's school of principal enrollment may seek approval of an alternative  accreditation plan from the Board of Education. Schools offering alternative  education programs and schools with [ an enrollment a  graduation cohort of ] 50 or fewer students [ in the  ninth grade cohort as defined by the graduation rate formula adopted  by the board ] may request that the  [ Board of  Education board ] approve an alternative accreditation  plan to meet the graduation and completion index benchmark. Special purpose  schools with alternative accreditation plans shall be evaluated on standards  appropriate to the programs offered in the school and approved by the board  prior to August 1 of the school year for which approval is requested. Any  student graduating from a special purpose school with a Standard, Advanced  Studies, or Modified Standard Diploma must meet the requirements prescribed in  8VAC20-131-50. 
    D. When calculating the passing rates on Virginia assessment  program tests for the purpose of school accreditation, the following tolerances  for limited English proficient (LEP) and transfer students will apply: 
    1. The scores of LEP students enrolled in Virginia public  schools fewer than 11 semesters may be removed from the calculation used for  the purpose of school accreditation required by 8VAC20-131-280 B and  8VAC20-131-300 C. Completion of a semester shall be based on school membership  days. Membership days are defined as the days the student is officially  enrolled in a Virginia public school, regardless of days absent or present. For  a semester to count as a completed semester, a student must have been in  membership for a majority of the membership days of the semester. These  semesters need not be consecutive. 
    2. In accordance with the provisions of 8VAC20-131-30, all  students who transfer into Virginia public schools are expected to take and  pass all applicable SOL tests in the content areas in which they receive  instruction. 
    3. All students who transfer within a school division shall  have their scores counted in the calculation of the school's accreditation  rating. Students who transfer into a Virginia school from home instruction, or  from another Virginia school division, another state, or another country, in  grades kindergarten through 8 shall be expected to take all applicable SOL  tests or additional tests approved by the board as outlined in 8VAC20-131-110.  If the transfer takes place after the 20th instructional day following the  opening of school, the scores on these tests may be used in calculating school  accreditation ratings. 
    4. Students who transfer into a Virginia middle or high school  from home instruction, or from another state or country, and enroll in a course  for which there is an end-of-course SOL test, shall be expected to take the  test or additional tests for that course approved by the board as outlined in  8VAC20-131-110. If the transfer takes place after 20 instructional hours per  course have elapsed following the opening of school or beginning of the  semester, if applicable, the scores on those tests may be used in calculating  school accreditation ratings in the year the transfer occurs. 
    5. Students who enroll on the first day of school and  subsequently transfer to a school outside of the division for a total amount of  instructional time equal to or exceeding 50% of a current school year or  semester, whether the transfer was a singular or multiple occurrence, and  return during the same school year shall be expected to take any applicable SOL  test. The scores of those tests may be used in calculating the school  accreditation rating in the year in which the transfers occur. 
    6. The board may alter the inclusions and exclusions from  the accreditation calculations by providing adequate notice to local school  boards. 
    E. The Board of Education may adopt special provisions  related to the administration and use of any Virginia assessment program test  in a content area as applied to these regulations. The Board of  Education may adopt special provisions related to the administration and use of  the graduation and completion index, as prescribed by the board. The Board of  Education may also alter the inclusions and exclusions from the accreditation  calculations by providing adequate notice to local school boards. [ The  board may add new tests or discontinue the use of existing tests in the  Virginia Assessment Program by providing adequate notice to local school  boards. ]
    F. As a prerequisite to the awarding of an accreditation  rating as defined in 8VAC20-131-300, each new or existing school shall  document, in a manner prescribed by the board, the following: (i) the  division's promotion/retention policies developed in accordance with the  requirements of 8VAC20-131-30, (ii) compliance with the requirements to offer  courses that will allow students to complete the graduation requirements in  8VAC20-131-50, (iii) the ability to offer the instructional program prescribed  in 8VAC20-131-70 through 8VAC20-131-100, (iv) the leadership and staffing  requirements of 8VAC20-131-210 through 8VAC20-131-240, and (v) the facilities  and safety provisions of 8VAC20-131-260. The division superintendent shall  report to the department compliance with this subsection through the  preaccreditation eligibility procedures in 8VAC20-131-290. 
    8VAC20-131-290. Procedures for certifying accreditation  eligibility. 
    A. Schools will be accredited under these standards annually  based, in part, on compliance with the preaccreditation eligibility  requirements described in 8VAC20-131-280 F. 
    B. To be eligible for accreditation, the principal of each  school and the division superintendent shall report to the Department of Education:  
    1. The extent to which each school continues to meet standards  reported as met in the previous year described in 8VAC20-131-280 F. 
    2. That the SOL have been fully incorporated into the school  division's curriculum in all accreditation-eligible schools and the SOL  material is being taught to all students eligible to take the SOL tests. This  shall be certified by each school division superintendent as part of the  preaccreditation eligibility determination process. 
    3. Actions taken to correct any noncompliance issues cited in  the previous year. 
    4. Compliance with 8VAC20-131-270 B. 
    The principal of each school and the division superintendent  shall submit preaccreditation eligibility reports in a manner prescribed by the  board to the Department of Education. Failure to submit the reports on time  will constitute grounds for denying accreditation to the school. 
    C. In keeping with provisions of the Standards of Quality,  and in conjunction with the six-year long-range comprehensive  plan of the division, each school shall prepare and implement a biennial school  plan which shall be available to students, parents, staff, and the public. Each  biennial school plan shall be evaluated as part of the development of the next  biennial plan. Schools may use other plans to satisfy the requirement for the  biennial plan with prior written approval from the Department of Education. 
    D. With the approval of the local school board, local schools  seeking to implement experimental or innovative programs, or both, that are not  consistent with these standards shall submit a waiver request, on forms  provided, to the board for evaluation and approval prior to implementation. The  request must include the following: 
    1. Purpose and objectives of the experimental/innovative  programs; 
    2. Description and duration of the programs; 
    3. Anticipated outcomes; 
    4. Number of students affected; 
    5. Evaluation procedures; and 
    6. Mechanisms for measuring goals, objectives, and student  academic achievement. 
    Except as specified below, the board may grant, for a period  up to five years, a waiver of these regulations that are not mandated by state  or federal law or designed to promote health or safety. The board may grant all  or a portion of the request. Waivers of requirements in 8VAC20-131-30,  8VAC20-131-50, 8VAC20-131-70, and 8VAC20-131-280 through 8VAC20-131-340 shall  not be granted, and no waiver may be approved for a program which would violate  the provisions of the Standards of Quality. 
    8VAC20-131-300. Application of the standards. 
    A. Schools that meet the preaccreditation eligibility  requirements prescribed in 8VAC20-131-280 F shall be assigned one of the  following ratings as described in this section: 
    1. Fully Accredited; 
    2. Accredited with Warning in (specified academic area or  [ areas) areas and/or in achievement of the minimum threshold  for the graduation and completion index) ]; 
    3. Accreditation Denied; 
    4. Conditionally Accredited; 
    5. Accreditation Withheld/Improving School Near  Accreditation (rating shall not be awarded after academic year ending in 2007,  based on tests administered in 2005-2006). Provisionally Accredited-Graduation  Rate.
    B. Compliance with the student academic achievement  expectations shall be documented to the board directly through the reporting of  the results of student performance on SOL tests and other alternative means of  assessing student academic achievement as outlined in 8VAC20-131-110. [ To  facilitate accurate reporting of the graduation and completion index, the State  Testing Identifier (STI) for students who transfer into a Virginia public  school from another Virginia public school shall be retained by the receiving  school. ] Compliance with other provisions of these regulations will  be documented in accordance with procedures prescribed by the Board of  Education. 
    C. Accreditation ratings defined. Accreditation ratings  awarded in an academic year are based upon Virginia assessment program scores  from the academic year immediately prior to the year to which the accreditation  rating applies. Accreditation ratings are defined as follows: 
    1. Fully accredited. 
    a. With tests administered in the academic year 2005-2006  for the accreditation ratings awarded for academic year 2006-2007, a school  will be rated Fully Accredited when its eligible students meet the pass rate of  70% in each of the four core academic areas, except the pass rates required  shall be 75% in third-grade and fifth-grade English and 50% in third-grade  science and history/social science. 
    b. a. With tests administered in the academic  years 2006-2007, 2007-2008, [ and ] 2008-2009 [ , and  2009-2010 ] for the accreditation ratings awarded for academic years  2007-2008, 2008-2009, [ and ] 2009-2010 [ , and  2010-2011 ] respectively, a school will be rated Fully Accredited when  its eligible students meet the pass rate of 70% in each of the four core  academic areas except, the pass rates required shall be 75% in third-grade  through fifth-grade English and 50% in third-grade science and history/social  science. 
    c. b. For schools housing grade configurations  where multiple pass rates apply, the results of the tests may be combined in  each of the four core academic areas for the purpose of calculating the  school's accreditation rating provided the school chooses to meet the higher  pass rate. 
    d. c. With tests administered beginning in the  academic year 2009-10 [ 2009-2010 2010-2011 ]  for the accreditation ratings awarded for school year 2010-11 [ 2010-2011  2011-2012 ] and beyond, a school will be rated Fully Accredited when  its eligible students meet the pass rate of 75% in English and the pass rate of  70% in mathematics, science, and history and social science. Additionally,  each school with a graduating class shall achieve a minimum of [ 80  85 ] percentage points on the Board of Education's graduation and  completion index, as described in 8VAC20-131-280 B 2, to be rated Fully  Accredited. 
    e. d. For accreditation purposes, the pass rate  will be calculated as single rates for each of the four core academic areas by  combining all scores of all tests administered in each subject area. 
    2. Accredited with Warning (in specific academic area or  areas) areas and/or in achievement of the minimum threshold for the  graduation and completion index). A school will be Accredited with Warning  (in specific academic area or areas) areas and/or in achievement of  the minimum threshold for the graduation and completion index) if it has  failed to achieve Fully Accredited status. Such a school may remain in the  Accredited with Warning status for no more than three consecutive years. 
    3. Accreditation Denied. Based on a school's academic  performance during academic years ending in 2006 and beyond and/or  achievement of the minimum threshold for the graduation and completion index,  a school shall be rated Accreditation Denied if it fails to meet the  requirements to be rated Fully Accredited [ or Provisionally Accredited-Graduation  Rate ], for the preceding three consecutive years or for three  consecutive years anytime thereafter. 
    In any school division in which one-third or more of the  schools have been rated Accreditation Denied, the superintendent shall be evaluated  by the local school board with a copy of such evaluation submitted to the Board  of Education no later than December 1 of each year in which such condition  exists. In addition, the Board of Education may take action against the local  school board as permitted by the Standards of Quality due to the failure of the  local board to maintain accredited schools. 
    4. Accreditation Withheld/Improving School Near  Accreditation. A school that has never met the requirements to be rated Fully  Accredited by the academic year ending in 2006 and subject to being awarded a  rating of Accreditation Denied may apply to the board for this accreditation  designation for 2006-2007. To be eligible, the school must meet each of the  following criteria: 
    a. With assessments administered in 2005-2006, at least 70%  of its students must have passed the applicable English SOL tests except at  third and fifth grade where the requirement is 75%. 
    b. With assessments administered in 2005-2006, a combined  pass rate of 60% of its students must have passed the Virginia assessment  program tests in the other three core academic areas. 
    c. In each academic area in which the pass rate is below  the rate required to be rated Fully Accredited, the school's pass rate must  have increased by at least 25 percentage points as compared to the pass rates  on tests taken during the academic year ending in 1999. 
    This rating shall not be awarded after the 2006-2007  academic year. 
    5. 4. Conditionally Accredited. New schools that  are comprised of students from one or more existing schools in the division  will be awarded [ this a Conditionally Accredited-New ]  status for one year pending an evaluation of the school's eligible students'  performance on SOL tests or additional tests approved by the Board of Education  to be rated Fully Accredited. [ This A Conditionally  Accredited-Reconstituted ] rating may [ also ] be  awarded to a school that is being reconstituted in accordance with the  provisions of 8VAC20-131-340 upon approval by the Board of Education. A school  awarded this rating under those circumstances will revert to a status of  Accreditation Denied if it fails to meet the requirements to be rated Fully  Accredited by the end of the agreed upon term or if it fails to have its annual  application for such rating renewed. 
    5. Provisionally Accredited-Graduation Rate. With tests  administered in the academic years [ 2009-2010, ] 2010-2011,  2011-2012, 2012-2013, 2013-2014 [ , 2014-2015 ] for the  accreditation ratings awarded for academic years [ 2010-2011, ]  2011-2012, 2012-2013, 2013-2014, [ and ] 2014-2015  [ , and 2015-2016 ] respectively, a school will be rated  Provisionally Accredited [ -Graduation Rate ] when its  eligible students meet SOL pass rates to be rated Fully Accredited but fails to  achieve a minimum of [ 80 85 ] percentage  index points on the Board of Education's graduation and completion index, but  achieve the following minimum benchmarks for each year:
           | Graduation and Completion    Index Benchmarks for Provisionally Accredited Ratings | 
       | Academic Year | Accreditation Year | Index Percentage Points | 
       | [ 2009-20102010-2011 ] | [ 2010-20112011-2012 ] | [ 7580 ] | 
       | [ 2010-20112011-2012 ] | [ 2011-20122012-2013 ] | [ 7681 ] | 
       | [ 2011-20122012-2013] | [ 2012-20132013-2014] | [ 7782 ] | 
       | [ 2012-20132013-2014] | [ 2013-20142014-2015] | [ 7883 ] | 
       | [ 2013-20142014-2015] | [ 2014-20152015-2016] | [ 7984 ] | 
  
    The last year in which this rating shall be awarded is the  [ 2014-2015 2015-2016 ] accreditation year,  based on tests administered in the [ 2013-2014  2014-2015 ] academic year.
    [ 8VAC20-131-310. Action requirements for schools that are  Accredited with Warning or Accreditation Withheld/Improving School Near  Accreditation Provisionally Accredited-Graduation Rate. 
    A. With such funds as are appropriated by the General  Assembly, the Department of Education shall develop a school academic review  process and monitoring plan designed to assist schools rated as Accredited with  Warning. All procedures and operations for the academic review process shall be  approved and adopted by the board. 
    Schools rated Accredited with Warning or Accreditation  Withheld/Improving School Near Accreditation Provisionally  Accredited-Graduation Rate must undergo an academic review in accordance  with guidelines adopted by the board and prepare a school improvement plan as  required by subsection F of this section. 
    B. Any school that is rated Accredited with Warning in  English or mathematics shall adopt a research-based instructional intervention  that has a proven track record of success at raising student achievement in  those areas as appropriate. 
    C. The superintendent and principal shall certify in writing  to the Board of Education that such an intervention has been adopted and  implemented. 
    D. The board shall publish a list of recommended  instructional interventions, which may be amended from time to time. 
    E. Adoption of instructional interventions referenced in  subsections B and D of this section shall be funded by eligible local, state,  and federal funds. 
    F. A three-year School Improvement Plan must be developed and  implemented, based on the results of an academic review of each school that is  rated Accredited with Warning or Accreditation Withheld/Improving School  Near Accreditation Provisionally Accredited-Graduation Rate upon  receipt of notification of the awarding of this rating and receipt of the  results of the academic review. The plan: 
    1. Shall be developed with the assistance of parents and  teachers and made available to the public; 
    2. Must include the components outlined in subsection G of  this section; and 
    3. Must be approved by the division superintendent and the  local school board and be designed to assist the school in meeting the student  achievement standard to be Fully Accredited as outlined in 8VAC20-131-300. 
    G. The improvement plan shall include the following: 
    1. A description of how the school will meet the requirements  to be Fully Accredited, for each of the years covered by the plan; 
    2. Specific measures for achieving and documenting student  academic improvement; 
    3. A description of the amount of time in the school day  devoted to instruction in the core academic areas; 
    4. Instructional practices designed to remediate students who  have not been successful on SOL tests; 
    5. Intervention strategies designed to prevent further  declines in student performance and graduation rates; 
    6. Staff development needed; 
    7. Strategies to involve and assist parents in raising their  child's academic performance; 
    8. The need for flexibility or waivers to state or local  regulations to meet the objectives of the plan; and 
    9. A description of the manner in which local, state, and  federal funds are used to support the implementation of the components of this  plan. 
    As part of its approval of the school improvement plan, the  board may grant a local school board a waiver from the requirements of any  regulations promulgated by the board when such a waiver is available. 
    H. The school improvement plan and related annual reports  submitted to the board shall provide documentation of the continuous efforts of  the school to achieve the requirements to become rated Fully Accredited. The board  shall adopt and approve all policies and formats for the submission of annual  reports under this section. The reports shall be due no later than October 1 of  the school year. ] 
    8VAC20-131-325. Recognitions and rewards for school and  division accountability performance. 
    A. Schools [ and divisions ] may be  recognized by the Board of Education in accordance with guidelines it shall  establish [ for the Virginia Index of Performance (VIP) incentive  program ]. Such recognition may include: 
    1. Public announcements recognizing individual schools and  divisions; 
    2. Tangible rewards; 
    3. Waivers of certain board regulations; 
    4. Exemptions from certain reporting requirements; or 
    5. Other commendations deemed appropriate to recognize high  achievement. 
    In addition to board recognition, local school boards shall  adopt policies to recognize individual schools through public announcements,  media releases, participation in community activities for input purposes when  setting policy relating to schools and budget development, as well as other  appropriate recognition. 
    B. A school that maintains a passing rate on Virginia  assessment program tests or additional tests approved by the board as outlined  in 8VAC20-131-110 of 95% or above in each of the four core academic areas for  two consecutive years may, upon application to the Department of Education,  receive a waiver from annual accreditation. A school receiving such a waiver  shall be Fully Accredited for a three-year period. However, such school shall  continue to annually submit documentation in compliance with the  preaccreditation eligibility requirements described in 8VAC20-131-280 F. 
    C. Schools may be eligible to receive the Governor's Award  for Outstanding Achievement. This award will be given to schools rated Fully  Accredited that significantly increase the achievement of students within  student subgroups in accordance with guidelines prescribed by the Board of  Education. 
    8VAC20-131-360. Effective date.
    [ The provisions in 8VAC20-131-30 B relating to  double testing and the provisions in 8VAC20-131-60 C relating to Virtual  Virginia shall become effective July 31, 2009. ] Unless otherwise  specified, [ the remainder of ] these regulations shall be  effective [ for beginning with ] the 2006-2007  [ 2009-2010 2010-2011 ] academic year. 
    VA.R. Doc. No. R07-228; Filed June 3, 2009, 10:52 a.m. 
TITLE 9. ENVIRONMENT
STATE WATER CONTROL BOARD
Proposed Regulation
        REGISTRAR'S NOTICE: The  following regulation filed by the State Water Control Board is exempt from the  Administrative Process Act in accordance with § 2.2-4006 A 9 of the Code of  Virginia, which exempts general permits issued by the State Water Control Board  pursuant to the State Water Control Law (§ 62.1-44.2 et seq.), Chapter 24  (§ 62.1-242 et seq.), and Chapter 25 (§ 62.1-254 et seq.) of Title  62.1, if the board (i) provides a Notice of Intended Regulatory Action in  conformance with the provisions of § 2.2-4007.01, (ii) following the passage of  30 days from the publication of the Notice of Intended Regulatory Action forms  a technical advisory committee composed of relevant stakeholders, including  potentially affected citizens groups, to assist in the development of the general  permit, (iii) provides notice and receives oral and written comment as provided  in § 2.2-4007.03, and (iv) conducts at least one public hearing on the  proposed general permit. 
         Title of Regulation: 9VAC25-630. Virginia Pollution  Abatement General Permit Regulation for Poultry Waste Management (amending 9VAC25-630-10 through 9VAC25-630-60;  adding 9VAC25-630-70, 9VAC25-630-80).
    Statutory Authority: §§ 62.1-44.15 and 62.1-44.17:1.1 of the Code of Virginia.
    Public Hearing Information:
    July 29, 2009 - 7:30 p.m. - Department of Environmental  Quality, Piedmont Regional Office, Training Room, 4949-A Cox Road, Glen Allen,  VA
    July 31, 2009 - 5 p.m. - Nandua High School, Auditorium, 26350  Lankford Highway, Onley, VA
    August 6, 2009 - 7:30 p.m. - Lucy Simms Continuing Education  Center, Auditorium, 620 Simms Avenue, Harrisonburg, VA
    Public Comments: Public comments may be submitted until  5 p.m. on August 21, 2009.
    Agency Contact: Betsy Bowles, Department of  Environmental Quality, 629 East Main Street, P.O. Box 1105, Richmond, VA 23218,  telephone (804) 698-4059, FAX (804) 698-4116, or email  bkbowles@deq.virginia.gov.
    Summary:
    The State Water Control Board is considering amending the  existing Virginia Pollution Abatement (VPA) Permit Regulation for Poultry Waste  Management in order to establish requirements for end-users of poultry waste to  ensure that poultry waste is being used in a manner in which state waters are  being protected and nutrient losses are being reduced and that these reductions  can be measured. The proposed amendments include provisions regarding  transferred offsite poultry waste used for land application by an entity other  than the poultry grower. These provisions will establish end-user requirements  such as land application recordkeeping, poultry waste storage, land application  timing and rates, and land application buffer requirements. These provisions  will also include the option of coverage under a general permit for a poultry  waste end-user or poultry waste broker if noncompliance with the requirements  of the proposed technical regulations found in 9VAC25-630-60, 9VAC25-630-70,  and 9VAC25-630-80 is determined.
    Concerns have been expressed by the public, legislature,  and executive branch that additional safeguards are necessary to ensure that  poultry waste leaving the site and control of the permitted confined poultry  feeding operations for land application is managed, applied, and stored in a  manner that is protective of water quality.
    Currently, the VPA General Permit Regulations for Poultry  Waste Management (9VAC25-630) require that poultry waste applied on lands owned  by the permitted owner/operator of a confined poultry feeding operation be done  in accordance with a nutrient management plan written by a planner certified by  the Virginia Department of Conservation and Recreation (DCR). Permitted  operations are inspected annually to ensure that poultry waste is stored,  applied, and otherwise managed according to the regulations.
    However, under the current regulations, poultry waste  transferred offsite is only required to be accompanied by waste analysis  information and a fact sheet (developed by DEQ and DCR) that provides the recipient  with general provisions regarding the storage, management, and application of  the poultry waste. The end-user must acknowledge receipt of the fact sheet by  signing a separate "Poultry Waste Transfer Records" sheet.  Maintenance of records, including the date and amount of the transfer, zip code  of the location receiving the offsite poultry waste, and nearest stream or  waterbody, is the requirement of the owner/operator of the confined poultry  feeding operation (or third-part broker if one was involved in the  transaction). Records must be made available to DEQ personnel upon inspection  of the confined poultry feeding operation. For offsite application of poultry  waste, the present regulation does not require records of (i) the amount of  waste received by a single farm, (ii) whether or not the poultry waste will be  applied in accordance with a nutrient management plan, (iii) soil test levels  on receiving fields, (iv) timing of applications, or (v) a description of  receiving crops.
    9VAC25-630-10. Definitions.
    The words and terms used in this chapter shall have the  meanings defined in the State Water Control Law (§ 62.1-44.2 et seq. of  the Code of Virginia) and the Permit Regulation (9VAC25-32) unless the context  clearly indicates otherwise, except that for the purposes of this chapter: 
    "Agricultural storm water" means storm water that  is not the sole result of land application of manure, litter or process  wastewater. Where manure, litter or process wastewater has been applied in  accordance with a nutrient management plan approved by the Virginia Department  of Conservation and Recreation and in accordance with site-specific nutrient  management practices that ensure appropriate agricultural utilization of the  nutrients in the manure, litter or process wastewater, a precipitation-related  discharge of manure, litter, or process wastewater from land areas under the  control of an animal feeding operation or under the control of a poultry  waste end-user or poultry waste broker is an agricultural storm water  discharge.
    "Animal feeding operation" means a lot or facility  (other than an aquatic animal production facility) where both of the following  conditions are met:
    1. Animals (other than aquatic animals) have been, are, or  will be stabled or confined and fed or maintained for a total of 45 days or  more in any 12-month period; and
    2. Crops, vegetation, forage growth or post-harvest residues  are not sustained in the normal growing season over any portion of the  operation of the lot or facility.
    Two or more animal feeding operations under common ownership  are a single animal feeding operation for the purpose of determining the number  of animals at an operation if they adjoin each other or if they use a common  area or system for the disposal of wastes.
    "Confined animal feeding operation," for the  purposes of this regulation, has the same meaning as an "animal feeding  operation."
    "Confined poultry feeding operation" means any  confined animal feeding operation with 200 or more animal units of poultry.  This equates to 20,000 chickens or 11,000 turkeys. These numbers are  established regardless of animal age or sex.
    "Department" means the Virginia Department of  Environmental Quality.
    "Director" means the Director of the Virginia  Department of Environmental Quality or his designee.
    "Fact sheet" means the document that details the  requirements regarding utilization, storage, and management of poultry waste by  poultry waste end-users and poultry waste brokers. The fact sheet is approved  by the department, in consultation with the Department of Conservation and  Recreation.
    "Nutrient management plan" or "NMP" means  a plan developed or approved by the Department of Conservation and Recreation  that requires proper storage, treatment and management of poultry waste,  including dry litter, and limits accumulation of excess nutrients in soils and  leaching or discharge of nutrients into state waters. 
    "Organic source" means any nutrient source  including, but not limited to, manures, biosolids, compost, and waste or  sludges from animals, humans, or industrial processes, but for the purposes of  this regulation it excludes waste from wildlife. 
    "Permittee" means the poultry grower whose  confined poultry feeding operation is, poultry waste end-user, or  poultry waste broker whose poultry waste management activities are covered  under the general permit. 
    "Poultry grower" or "grower" means  any person who owns or operates a confined poultry feeding operation. 
    "Poultry waste" means dry poultry litter and  composted dead poultry. 
    "Poultry waste broker" or "broker"  means a person, other than the poultry grower, who possesses more  than 10 tons of or controls poultry waste in any 365-day period  that is not generated on an animal feeding operation under their operational  control and who transfers some or all of the or hauls poultry  waste to other persons. If the entity is defined as a broker they cannot be  defined as a hauler for the purposes of this regulation. 
    "Poultry waste end-user" or "end-user"  means any recipient of transferred poultry waste who stores or who utilizes the  waste as fertilizer, fuel, feedstock, livestock feed, or other beneficial end  use for an operation under his control.
    "Poultry waste hauler" or "hauler"  means a person who provides transportation of transferred poultry waste from  one entity to another, and is not otherwise involved in the transfer or  transaction of the waste, nor responsible for determining the recipient of the  waste. The responsibility of the recordkeeping and reporting remains with the  entities to which the service was provided: grower, broker, and end-user.
    "Standard rate" means a land application rate  for poultry waste approved by the board as specified in this regulation. 
    "Vegetated buffer" means a permanent strip of dense  perennial vegetation established parallel to the contours of and perpendicular  to the dominant slope of the field for the purposes of slowing water runoff,  enhancing water infiltration, and minimizing the risk of any potential  nutrients or pollutants from leaving the field and reaching surface waters. 
    9VAC25-630-20. Purpose; delegation of authority; effective date  of permit. 
    A. This general permit regulation governs the management of  poultry waste at confined poultry feeding operations not covered by a Virginia  Pollution Discharge Elimination System (VPDES) permit and poultry waste  utilized or stored by poultry waste end-users or poultry waste brokers. It  establishes requirements for proper nutrient management, waste storage, and  waste tracking and accounting of poultry waste. 
    B. The Director of the Department of Environmental Quality,  or his designee, may perform any act of the board provided under this chapter,  except as limited by § 62.1-44.14 of the Code of Virginia. 
    C. This general permit will become effective on December 1,  2000. This general permit will expire 10 years from the effective date. 
    9VAC25-630-30. Authorization to manage pollutants.
    A. Poultry grower. Any poultry grower governed by this  general permit is hereby authorized to manage pollutants at confined poultry  feeding operations provided that the poultry grower files the registration  statement of 9VAC25-630-40, complies with the requirements of 9VAC25-630-50,  and provided that: 
    1. The poultry grower has not been required to obtain a  Virginia Pollution Discharge Elimination System (VPDES) permit or an individual  permit according to 9VAC25-32-260 B; 
    2. The activities of the confined poultry feeding operation  shall not contravene the Water Quality Standards, as amended and adopted by the  board, or any provision of the State Water Control Law. There shall be no point  source discharge of wastewater to surface waters of the state except in the  case of a storm event greater than the 25-year, 24-hour storm. Agricultural  storm water discharges are permitted. Domestic sewage or industrial waste shall  not be managed under this general permit; 
    3. Confined poultry feeding operations that use disposal pits  for routine disposal of daily mortalities shall not be covered under this  general permit. The use of a disposal pit by a permittee for routine disposal  of daily poultry mortalities shall be considered a violation of this permit.  This prohibition shall not apply to the emergency disposal of dead poultry done  according to regulations adopted pursuant to § 3.1-726 § 3.2-6002  or Chapter 14 (§ 10.1-1400 et seq.) of Title 10.1 of the Code of Virginia; 
    4. The Department of Conservation and Recreation must approve  a nutrient management plan for the confined poultry feeding operation prior to  the submittal of the registration statement. The poultry grower shall attach to  the registration statement a copy of the approved nutrient management plan and  a copy of the letter from the Department of Conservation and Recreation  certifying approval of the nutrient management plan, and if the plan was written  after December 31, 2005, that the plan was developed by a certified nutrient  management planner in accordance with § 10.1-104.2 of the Code of Virginia. The  poultry grower shall implement the approved nutrient management plan; 
    5. Adjoining property notification. 
    a. When a poultry grower files a general permit registration  statement for a confined poultry feeding operation that proposes construction  of poultry growing houses after December 1, 2000, the poultry grower shall also  give notice to all owners or residents of property that adjoins the property on  which the proposed confined poultry feeding operation will be located. Such  notice shall include (i) the types and maximum number of poultry which will be  maintained at the facility and (ii) the address and phone number of the  appropriate department regional office to which comments relevant to the permit  may be submitted. 
    b. Any person may submit written comments on the proposed  operation to the department within 30 days of the date of the filing of the  registration statement. If, on the basis of such written comments or his  review, the director determines that the proposed operation will not be capable  of complying with the provisions of the general permit, the director shall  require the owner to obtain an individual permit for the operation. Any such  determination by the director shall be made in writing and received by the  poultry grower not more than 45 days after the filing of the registration  statement or, if in the director's sole discretion additional time is necessary  to evaluate comments received from the public, not more than 60 days after the  filing of the registration statement; and 
    6. Each poultry grower covered by this general permit shall  complete the a training program offered or approved by the Department  of Conservation and Recreation department within one year of filing  the registration statement for general permit coverage. All poultry growers  shall complete a training program at least once every five years. 
    B. Poultry waste end-user, poultry waste broker. Any  poultry waste end-user or poultry waste broker who receives transferred poultry  waste shall comply with the requirements outlined in 9VAC25-630-60,  9VAC25-630-70, and 9VAC25-630-80 regarding utilization, storage, tracking, and  accounting of poultry waste in his possession or under his control. 
    1. Any poultry waste end-user or poultry waste broker who  does not comply with the requirements of 9VAC25-630-60, 9VAC25-630-70, and  9VAC25-630-80 may be required to obtain coverage under the general permit. 
    2. Any poultry waste end-user or poultry waste broker  governed by this general permit is hereby authorized to manage pollutants  relating to the utilization and storage of poultry waste provided that the  poultry waste end-user or poultry waste broker files the registration statement  of 9VAC25-630-40, complies with the requirements of 9VAC25-630-50, and provided  that: 
    a. The poultry waste end-user or poultry waste broker has  not been required to obtain a Virginia Pollution Abatement individual permit  according to subdivision 2 b of 9VAC25-32-260; 
    b. The activities of the poultry waste end-user or poultry  waste broker shall not contravene the Water Quality Standards, as amended and  adopted by the board, or any provision of the State Water Control Law  (§ 62.1-44 et seq. of the Code of Virginia). There shall be no point  source discharge of wastewater to surface waters of the state except in the  case of a storm event greater than the 25-year, 24-hour storm. Agricultural  storm water discharges are permitted. Domestic sewage or industrial waste shall  not be managed under this general permit; 
    c. The Department of Conservation and Recreation must  approve a nutrient management plan for land application sites where poultry  waste will be utilized or stored and managed by the poultry waste end-user or  the poultry waste broker prior to the submittal of the registration statement.  The poultry waste end-user or the poultry waste broker shall attach to the  registration statement a copy of the approved nutrient management plan and a  copy of the letter from the Department of Conservation and Recreation  certifying approval of the nutrient management plan, and if the plan was  written after December 31, 2005, that the plan was developed by a certified  nutrient management planner in accordance with § 10.1-104.2 of the Code of  Virginia. The poultry waste end-user or the poultry waste broker shall  implement the approved nutrient management plan; and
    d. Each poultry waste end-user or poultry waste broker  covered by this general permit shall complete a training program offered or  approved by the department within one year of filing the registration statement  for general permit coverage. All permitted end-users or permitted brokers shall  complete a training program at least once every five years. 
    B. C. Receipt of this general permit does not  relieve any poultry grower, poultry waste end-user, or poultry waste broker  of the responsibility to comply with any other applicable federal, state or  local statute, ordinance or regulation. 
    9VAC25-630-40. Registration statement.
    A. Poultry growers. In order to be covered under the  general permit, the poultry grower shall file a complete VPA General Permit  Registration Statement. The registration statement shall contain the following  information: 
    1. The poultry grower's name, mailing address and telephone  number; 
    2. The location of the confined poultry feeding operation; 
    3. The name and telephone number of a contact person or  operator other than the poultry grower, if necessary; 
    4. The best time of day and day of the week to contact the poultry  grower or contact person; 
    5. If the facility has an existing VPA permit, the permit  number; 
    6. The types of poultry and the maximum numbers of each type  to be grown at the facility at any one time; 
    7. Identification of the method of dead bird disposal; 
    8. An indication of whether new poultry growing houses are  under construction or planned for construction; 
    9. A copy of the nutrient management plan approved by the  Department of Conservation and Recreation and a ;
    10. A copy of the Department of Conservation and  Recreation nutrient management plan approval letter certifying approval  of the plan; , which also certifies that the plan was developed by a  certified nutrient management planner in accordance with § 10.1-104.2 of  the Code of Virginia; and 
    10. 11. The following certification: "I  certify that notice of the registration statement for any confined poultry  feeding operation that proposes construction of poultry growing houses after  December 1, 2000, has been given to all owners or residents of property that  adjoins the property on which the confined poultry feeding operation will be  located. This notice included the types and numbers of poultry which will be  grown at the facility and the address and phone number of the appropriate  Department of Environmental Quality regional office to which comments relevant  to the permit may be submitted. I certify under penalty of law that all the  requirements of the board for the general permit are being met and that this  document and all attachments were prepared under my direction or supervision in  accordance with a system designed to assure that qualified personnel properly  gather and evaluate the information submitted. Based on my inquiry of the  person or persons who manage the system or those persons directly responsible  for gathering the information, the information submitted is to the best of my  knowledge and belief true, accurate, and complete. I am aware that there are  significant penalties for submitting false information, including the  possibility of fine and imprisonment for knowing violations." 
    B. Poultry waste end-users or poultry waste brokers. In  order to be covered under the general permit, the poultry waste end-user or  poultry waste broker shall file a complete VPA General Permit Registration Statement.  The registration statement shall contain the following information: 
    1. The poultry waste end-user's or poultry waste broker's  name, mailing address, and telephone number; 
    2. The location of the operation where the poultry waste  will be utilized, stored, or managed; 
    3. The best time of day and day of the week to contact the  poultry waste end-user or poultry waste broker; 
    4. If the facility has an existing VPA permit, the permit  number;
    5. If confined poultry are located at the facility, indicate  the number of confined poultry;
    6. A copy of the nutrient management plan approved by the  Department of Conservation and Recreation;
    7. A copy of the Department of Conservation and Recreation  nutrient management plan approval letter that also certifies that the plan was  developed by a certified nutrient management planner in accordance with  § 10.1-104.2 of the Code of Virginia; and
    8. The following certification: "I certify under  penalty of law that all the requirements of the board for the general permit  are being met and that this document and all attachments were prepared under my  direction or supervision in accordance with a system designed to assure that  qualified personnel properly gather and evaluate the information submitted.  Based on my inquiry of the person or persons who manage the system or those  persons directly responsible for gathering the information, the information  submitted is to the best of my knowledge and belief true, accurate, and  complete. I am aware that there are significant penalties for submitting false  information, including the possibility of fine and imprisonment for knowing  violations."
    B. C. The registration statement shall be  signed in accordance with 9VAC25-32-50.
    9VAC25-630-50. Contents of the general permit.
    Any poultry grower, poultry waste end-user, or poultry  waste broker whose registration statement is accepted by the board will  receive the following general permit and shall comply with the requirements  therein and be subject to the VPA Permit Regulation, 9VAC25-32. 
    General Permit No. VPG2 
    Effective Date: December 1, 2000 
    Modification Date: January 1, 2006 
    Expiration Date: November 30, 2010 
    GENERAL PERMIT FOR POULTRY WASTE MANAGEMENT AT CONFINED  POULTRY FEEDING OPERATIONS 
    AUTHORIZATION TO MANAGE POLLUTANTS UNDER THE VIRGINIA  POLLUTION ABATEMENT PROGRAM AND THE VIRGINIA STATE WATER CONTROL LAW 
    In compliance with the provisions of the State Water Control  Law and State Water Control Board regulations adopted pursuant thereto, owners  of confined poultry feeding operations having 200 or more animal units,  poultry waste end-users, and poultry waste brokers are authorized to manage  pollutants within the boundaries of the Commonwealth of Virginia, except where  board regulations or policies prohibit such activities. 
    The authorized pollutant management activities shall be in  accordance with the registration statement and supporting documents submitted  to the Department of Environmental Quality, this cover page, and Part  I—Pollutant Management and Monitoring Requirements for Confined Poultry  Feeding Operations and Part II—Conditions Applicable to All VPA Permits and  Part III—Pollutant Management and Monitoring Requirements for Poultry Waste  End-Users and Poultry Waste Brokers, as set forth herein. 
    Part I 
    Pollutant Management and Monitoring Requirements for  Confined Poultry Feeding Operations
    A. Pollutant management authorization and monitoring  requirements. 
    1. During the period beginning with the permittee's coverage  under this general permit and lasting until the permit's expiration date, the  permittee is authorized to manage pollutants at the location or locations  identified in the registration statement and the facility's approved nutrient  management plan. 
    2. If poultry waste is land applied, it shall be applied at  the rates specified in the facility's approved nutrient management plan. 
    3. Soil at the land application sites shall be monitored as  specified below. Additional soils monitoring may be required in the facility's  approved nutrient management plan. 
         
                 | SOILS MONITORING  | 
       | PARAMETERS | LIMITATIONS | UNITS | MONITORING REQUIREMENTS | 
       | Frequency | Sample Type | 
       | pH | NL | SU | 1/3 years | Composite | 
       | Phosphorus | NL | ppm or lbs/ac | 1/3 years | Composite | 
       | Potash | NL | ppm or lbs/ac | 1/3 years | Composite | 
       | Calcium | NL | ppm or lbs/ac | 1/3 years | Composite | 
       | Magnesium | NL | ppm or lbs/ac | 1/3 years | Composite | 
       | NL = No limit, this is a monitoring requirement only. | 
       | SU = Standard Units | 
  
    4. Poultry waste shall be monitored as specified below.  Additional waste monitoring may be required in the facility's approved nutrient  management plan. 
           | WASTE MONITORING  | 
       | PARAMETERS | LIMITATIONS | UNITS | MONITORING REQUIREMENTS | 
       | Frequency | Sample Type | 
       | Total Kjeldahl Nitrogen | NL | * | 1/3 years | Composite | 
       | Ammonia Nitrogen | NL | * | 1/3 years | Composite | 
       | Total Phosphorus | NL | * | 1/3 years | Composite | 
       | Total Potassium | NL | * | 1/3 years | Composite | 
       | Moisture Content | NL | % | 1/3 years | Composite | 
       | NL = No limit, this is a monitoring requirement only. | 
       | *Parameters for waste may be reported as a percent, as    lbs/ton or lbs/1000 gallons, or as ppm where appropriate. | 
  
         
          5. Analysis of soil and waste shall be according to methods  specified in the facility's approved nutrient management plan. 
    6. All monitoring data required by Part I A shall be  maintained on site in accordance with Part II B. Reporting of results to the department  is not required; however, the monitoring results shall be made available to  department personnel upon request. 
    B. Other requirements or special conditions. 
    1. The confined poultry feeding operation shall be designed  and operated to (i) prevent point source discharges of pollutants to state  waters except in the case of a storm event greater than the 25-year, 24-hour  storm and (ii) provide adequate waste storage capacity to accommodate periods  when the ground is ice covered, snow covered or saturated, periods when land  application of nutrients should not occur due to limited or nonexistent crop  nutrient uptake, and periods when physical limitations prohibit the land  application of waste. 
    2. Poultry waste shall be stored according to the nutrient management  plan and in a manner that prevents contact with surface water and ground water.  Poultry waste that is stockpiled outside of the growing house for more than 14  days shall be kept in a facility that provides adequate storage. Adequate  storage shall, at a minimum, include the following: 
    a. Poultry waste shall be covered to protect it from  precipitation and wind; 
    b. Storm water shall not run onto or under the stored poultry  waste; and 
    c. A minimum of two feet separation distance to the seasonal  high water table or an impermeable barrier shall be used under the stored  poultry waste. All poultry waste storage facilities that use an impermeable  barrier shall maintain a minimum of one foot separation between the seasonal  high water table and the impermeable barrier. "Seasonal high water  table" means that portion of the soil profile where a color change has  occurred in the soil as a result of saturated soil conditions or where soil  concretions have formed. Typical colors are gray mottlings, solid gray or black.  The depth in the soil at which these conditions first occur is termed the  seasonal high water table. Impermeable barriers must be constructed of at least  12 inches of compacted clay, at least four inches of reinforced concrete, or  another material of similar structural integrity that has a minimum  permeability rating of 0.0014 inches per hour (1X10-6 centimeters  per second). 
    3. Poultry waste storage facilities constructed after December  1, 2000, shall not be located within a 100-year floodplain unless the poultry  grower has no land outside the floodplain on which to construct the facility  and the facility is constructed so that the poultry waste is stored above the  100-year flood elevation or otherwise protected from floodwaters through the  construction of berms or similar best management flood control structures. New,  expanded or replacement poultry growing houses that are constructed after  December 1, 2000, shall not be located within a 100-year floodplain unless they  are part of an existing, ongoing confined poultry feeding operation and are  constructed so that the poultry and poultry litter are housed above the  100-year flood elevation or otherwise protected from floodwaters through  construction of berms or similar best management flood control structures. 
    4. Poultry waste may be transferred from a permitted poultry  grower to another person or broker without the requirement for the  identification of identifying the fields where such waste.  will be applied utilized in the facility's permitted  poultry grower's approved nutrient management plan if the following  conditions are met: 
    a. When a poultry grower transfers to another person more  than 10 five or more tons of poultry waste in any 365-day period,  the poultry grower shall provide that person a with: 
    (1) Grower name, address, and permit number; 
    (2) A copy of the most recent nutrient analysis for  of the poultry waste; and a 
    (3) A fact sheet approved by the department, in  consultation with the Department of Conservation and Recreation, that includes  appropriate practices for proper storage and management of the waste. The  person or broker receiving the waste shall provide the poultry grower:.  
    (1) His name and address, 
    (2) Written acknowledgement of receipt of the waste, 
    (3) The nutrient analysis of the waste, and 
    (4) The fact sheet. 
    If the person receiving the waste is a poultry waste  broker, then he shall also certify in writing that he will provide a copy of  the nutrient analysis and fact sheet to each end user to whom he transfers poultry  waste. 
    b. When a poultry grower transfers to another person more  than 10 five or more tons of poultry waste in any 365-day period,  the poultry grower shall keep a record of the following: 
    (1) The recipient name and address; 
    (1) (2) The amount of poultry waste received by  the person,; 
    (2) (3) The date of the transaction,;  
    (3) (4) The nutrient analysis of the waste,;  and 
    (4) The locality in which the recipient intends to utilize  the waste (i.e. nearest town or city and zip code), 
    (5) The name of the stream or waterbody known to the  recipient that is nearest to the waste utilization site, and 
    (6) (5) The signed waste transfer acknowledgement.  records form acknowledging the receipt of the following: 
    (a) The waste; 
    (b) The nutrient analysis of the waste; and 
    (c) A fact sheet. 
    These records shall be maintained on site for three years  after the transaction and shall be made available to department personnel upon  request. 
    c. Poultry waste generated by this facility shall not be  applied to fields owned by or under the operational control of either the  poultry grower or a legal entity in which the poultry grower has an ownership  interest unless the fields are included in the facility's approved nutrient  management plan. 
    c. When a poultry grower transfers to another person five  or more tons of poultry waste in any 365-day period, and the recipient of the  waste is someone other than a broker, the poultry grower shall keep a record of  the following: 
    (1) The locality in which the recipient intends to utilize  the waste (i.e., nearest town or city and zip code); 
    (2) The name of the stream or waterbody if known to the  recipient that is nearest to the waste utilization or storage site; and 
    (3) If the waste is utilized for land application, if known  indicate the method used to determine the land application rates (i.e.,  phosphorus crop removal, standard rate, soil test recommendations, or a  nutrient management plan). 
    d. Poultry growers shall submit copies of the records  required by Part I B 4 a, b, and c to the department annually, on a form  approved by the department. Records for the preceding calendar year shall be  submitted to the department not later than February 15. Poultry growers shall  maintain the records required by Part I B 4 a, b, and c for at least three  years after the transaction and shall make them available to department  personnel upon request. 
    e. Poultry waste generated by this facility shall not be  applied to fields owned by or under the operational control of either the  poultry grower or a legal entity in which the poultry grower has an ownership  interest unless the fields are included in the facility's approved nutrient  management plan. 
    5. Confined poultry feeding operations that use disposal pits  for routine disposal of daily mortalities shall not be covered under this  general permit. The use of a disposal pit for routine disposal of daily poultry  mortalities by a permittee shall be considered a violation of this permit. This  prohibition does not apply to the emergency disposal of dead poultry done  according to regulations adopted pursuant to § 3.1-726 § 3.2-6002  of the Code of Virginia or Chapter 14 (§ 10.1-1400 et seq.) of Title 10.1  of the Code of Virginia.
    6. The poultry grower shall implement a nutrient management  plan (NMP) approved by the Department of Conservation and Recreation and  maintain the plan on site. All NMP's written after December 31, 2005, shall be  developed by a certified nutrient management planner in accordance with § 10.1-104.2 of the Code of Virginia. The NMP shall be enforceable through this  permit. The NMP shall contain at a minimum the following information: 
    a. Site map indicating the location of the waste storage  facilities and the fields where waste generated by this facility will be  applied by the poultry grower. The location of fields as identified in Part I subdivision  B 4 c e shall also be included; 
    b. Site evaluation and assessment of soil types and potential  productivities; 
    c. Nutrient management sampling including soil and waste  monitoring; 
    d. Storage and land area requirements for the grower's poultry  waste management activities; 
    e. Calculation of waste application rates; and 
    f. Waste application schedules. 
    7. When the poultry waste storage facility is no longer  needed, the permittee shall close it in a manner that: (i) minimizes the need  for further maintenance and (ii) controls, minimizes or eliminates, to the  extent necessary to protect human health and the environment, the postclosure  escape of uncontrolled leachate, surface runoff, or waste decomposition  products to the ground water, surface water or the atmosphere. At closure, the  permittee shall remove all poultry waste residue from the waste storage  facility. At waste storage facilities without permanent covers and impermeable  ground barriers, all residual poultry waste shall be removed from the surface  below the stockpile when the poultry waste is taken out of storage. Removed  waste materials shall be utilized according to the NMP. 
    8. Nitrogen application rates contained in the NMP shall not  exceed crop nutrient needs as determined by the Department of Conservation and  Recreation. The application of poultry waste shall be managed to minimize  runoff, leachate, and volatilization losses, and reduce adverse water quality  impacts from nitrogen. 
    9. For all NMPs developed after October 1, 2001, and on or  before December 31, 2005, phosphorus application rates shall not exceed the  greater of crop nutrient needs or crop nutrient removal as determined by the  Department of Conservation and Recreation. For all NMPs developed after  December 31, 2005, phosphorus application rates shall conform solely to the  Department of Conservation and Recreation's regulatory criteria and standards  in effect at the time the NMP is written. The application of poultry waste  shall be managed to minimize runoff and leaching and reduce adverse water  quality impacts from phosphorous. 
    10. The timing of land application of poultry waste shall be  according to the schedule contained in the NMP, except that no waste may be  applied to ice or snow covered ground or to soils that are saturated. Poultry  waste may be applied to frozen ground within the NMP scheduled times only under  the following conditions: 
    a. Slopes are not greater than 6.0%; 
    b. A minimum of a 200-foot vegetative or adequate crop residue  buffer is maintained between the application area and all surface water  courses; 
    c. Only those soils characterized by USDA as "well  drained" with good infiltration are used; and 
    d. At least 60% uniform cover by vegetation or crop residue is  present in order to reduce surface runoff and the potential for leaching of  nutrients to ground water. 
    11. Buffer zones at waste application sites shall, at a  minimum, be maintained as follows: 
    a. Distance from occupied dwellings not on the permittee's  property: 200 feet (unless the occupant of the dwelling signs a waiver of the  buffer zone); 
    b. Distance from water supply wells or springs: 100 feet; 
    c. Distance from surface water courses: 100 feet (without a  permanent vegetated buffer) or 35 feet (if a permanent vegetated buffer  exists). 
    Other site-specific conservation practices may be approved by  the department that will provide pollutant reductions equivalent or better than  the reductions that would be achieved by the 100-foot buffer. 
    d. Distance from rock outcropping (except limestone): 25 feet;  
    e. Distance from limestone outcroppings: 50 feet; and 
    f. Waste shall not be applied in such a manner that it would  discharge to sinkholes that may exist in the area. 
    12. Records The following records shall be  maintained to demonstrate where and at what rate waste has been applied,  that the application schedule has been followed, and what crops have been  planted.: 
    a. The identification of the land application field sites  where the waste is utilized or stored; 
    b. The application rate; 
    c. The application dates; and 
    d. What crops have been planted. 
    These records shall be maintained on site for a period of  three years after recorded application is made and shall be made available to  department personnel upon request. 
    13. Each poultry grower covered by this general permit shall  complete the a training program offered or approved by the Department  of Conservation and Recreation department within one year of filing  the registration statement has been submitted for general permit  coverage. All poultry growers shall complete a training program at least once  every five years. 
    Part II 
    Conditions Applicable to all VPA Permits 
    A. Monitoring. 
    1. Samples and measurements taken as required by this permit  shall be representative of the monitored activity. 
    2. Monitoring shall be conducted according to procedures  listed under 40 CFR Part 136 unless other procedures have been specified in  this permit. 
    3. The permittee shall periodically calibrate and perform  maintenance procedures on all monitoring and analytical instrumentation at  intervals that will ensure accuracy of measurements. 
    B. Records. 
    1. Records of monitoring information shall include: 
    a. The date, exact place, and time of sampling or  measurements; 
    b. The name of the individual(s) who performed the sampling or  measurements; 
    c. The date(s) analyses were performed; 
    d. The name of the individual(s) who performed the analyses; 
    e. The analytical techniques or methods used, with supporting  information such as observations, readings, calculations and bench data; and 
    f. The results of such analyses. 
    2. The permittee shall retain records of all monitoring  information, including all calibration and maintenance records and all original  strip chart recordings for continuous monitoring instrumentation, copies of all  reports required by this permit, and records of all data used to complete the  application for this permit for a period of at least three years from the date  of the sample, measurement, report or application. This period of retention may  be extended by request of the board at any time. 
    C. Reporting monitoring results. 
    1. The permittee shall submit the results of the monitoring  required by this permit not later than the 10th day of the month after the  monitoring takes place, unless another reporting schedule is specified  elsewhere in this permit. Monitoring results shall be submitted to the  department's regional office. 
    2. Monitoring results shall be reported on forms provided or  specified by the department. 
    3. If the permittee monitors the pollutant management  activity, at a sampling location specified in this permit, for any pollutant  more frequently than required by the permit using approved analytical methods,  the permittee shall report the results of this monitoring on the monitoring  report. 
    4. If the permittee monitors the pollutant management  activity, at a sampling location specified in this permit, for any pollutant  that is not required to be monitored by the permit, and uses approved  analytical methods, the permittee shall report the results with the monitoring  report. 
    5. Calculations for all limitations that require averaging of  measurements shall utilize an arithmetic mean unless otherwise specified in  this permit. 
    D. Duty to provide information. The permittee shall furnish  to the department, within a reasonable time, any information which the board  may request to determine whether cause exists for modifying, revoking and  reissuing, or terminating this permit, or to determine compliance with this  permit. The permittee shall also furnish to the department, upon request,  copies of records required to be kept by the permittee. Plans, specifications,  maps, conceptual reports and other relevant information shall be submitted as  requested by the board prior to commencing construction. 
    E. Compliance schedule reports. Reports of compliance or noncompliance  with, or any progress reports on, interim and final requirements contained in  any compliance schedule of this permit shall be submitted no later than 14 days  following each schedule date. 
    F. Unauthorized discharges. Except in compliance with this  permit, or another permit issued by the board, it shall be unlawful for any  person to: 
    1. Discharge into state waters sewage, industrial wastes,  other wastes, or any noxious or deleterious substances; or 
    2. Otherwise alter the physical, chemical or biological  properties of such state waters and make them detrimental to the public health,  or to animal or aquatic life, or to the use of such waters for domestic or  industrial consumption, or for recreation, or for other uses. 
    G. Reports of unauthorized discharges. Any permittee who  discharges or causes or allows (i) a discharge of sewage, industrial waste,  other wastes or any noxious or deleterious substance into or upon state waters  in violation of Part II F or (ii) a discharge that may reasonably be expected  to enter state waters in violation of Part II F shall notify the department of  the discharge immediately upon discovery of the discharge, but in no case later  than 24 hours after said discovery. A written report of the unauthorized  discharge shall be submitted to the department within five days of discovery of  the discharge. The written report shall contain: 
    1. A description of the nature and location of the discharge; 
    2. The cause of the discharge; 
    3. The date on which the discharge occurred; 
    4. The length of time that the discharge continued; 
    5. The volume of the discharge; 
    6. If the discharge is continuing, how long it is expected to  continue; 
    7. If the discharge is continuing, what the expected total  volume of the discharge will be; and 
    8. Any steps planned or taken to reduce, eliminate and prevent  a recurrence of the present discharge or any future discharges not authorized  by this permit. 
    Discharges reportable to the department under the immediate  reporting requirements of other regulations are exempted from this requirement.  
    H. Reports of unusual or extraordinary discharges. If any  unusual or extraordinary discharge including a bypass or upset should occur  from a treatment works and the discharge enters or could be expected to enter  state waters, the permittee shall promptly notify, in no case later than 24  hours, the department by telephone after the discovery of the discharge. This  notification shall provide all available details of the incident, including any  adverse affects on aquatic life and the known number of fish killed. The  permittee shall reduce the report to writing and shall submit it to the  department within five days of discovery of the discharge in accordance with  Part II I 2. Unusual and extraordinary discharges include but are not limited  to any discharge resulting from: 
    1. Unusual spillage of materials resulting directly or  indirectly from processing operations; 
    2. Breakdown of processing or accessory equipment; 
    3. Failure or taking out of service some or all of the  treatment works; and 
    4. Flooding or other acts of nature. 
    I. Reports of noncompliance. The permittee shall report any  noncompliance which may adversely affect state waters or may endanger public  health. 
    1. An oral report shall be provided within 24 hours from the  time the permittee becomes aware of the circumstances. The following shall be  included as information which shall be reported within 24 hours under this  paragraph: 
    a. Any unanticipated bypass; and 
    b. Any upset which causes a discharge to surface waters. 
    2. A written report shall be submitted within five days and  shall contain: 
    a. A description of the noncompliance and its cause; 
    b. The period of noncompliance, including exact dates and  times, and, if the noncompliance has not been corrected, the anticipated time  it is expected to continue; and 
    c. Steps taken or planned to reduce, eliminate, and prevent  reoccurrence of the noncompliance. 
    The board may waive the written report on a case-by-case basis  for reports of noncompliance under Part II I if the oral report has been  received within 24 hours and no adverse impact on state waters has been  reported. 
    3. The permittee shall report all instances of noncompliance  not reported under Part II I 1 or 2 in writing at the time the next monitoring  reports are submitted. The reports shall contain the information listed in Part  II I 2. 
    NOTE: The immediate (within 24 hours) reports required in  Parts II F, G and H may be made to the department's regional office. For  reports outside normal working hours, leave a message and this shall fulfill  the immediate reporting requirement. For emergencies, the Virginia Department  of Emergency Services maintains a 24-hour telephone service at 1-800-468-8892. 
    J. Notice of planned changes. 
    1. The permittee shall give notice to the department as soon  as possible of any planned physical alterations or additions to the design or  operation of the pollutant management activity. 
    2. The permittee shall give at least 10 days advance notice to  the department of any planned changes in the permitted facility or activity  that may result in noncompliance with permit requirements. 
    K. Signatory requirements. 
    1. Applications. All permit applications shall be signed as  follows: 
    a. For a corporation: by a responsible corporate officer. For  the purpose of this section, a responsible corporate officer means: (i) a  president, secretary, treasurer, or vice-president of the corporation in charge  of a principal business function, or any other person who performs similar  policy- or decision-making functions for the corporation or (ii) the manager of  one or more manufacturing, production, or operating facilities employing more  than 250 persons or having gross annual sales or expenditures exceeding $25  million (in second-quarter 1980 dollars), if authority to sign documents has  been assigned or delegated to the manager in accordance with corporate  procedures; 
    b. For a partnership or sole proprietorship: by a general  partner or the proprietor, respectively; or 
    c. For a municipality, state, federal, or other public agency:  by either a principal executive officer or ranking elected official. For  purposes of this section, a principal executive officer of a public agency  includes: (i) the chief executive officer of the agency, or (ii) a senior  executive officer having responsibility for the overall operations of a  principal geographic unit of the agency. 
    2. Reports, etc. All reports required by permits, and other  information requested by the board shall be signed by a person described in  Part II K 1, or by a duly authorized representative of that person. A person is  a duly authorized representative only if: 
    a. The authorization is made in writing by a person described  in Part II K 1; 
    b. The authorization specifies either an individual or a  position having responsibility for the overall operation of the regulated  facility or activity such as the position of plant manager, operator of a well  or a well field, superintendent, or a position of equivalent responsibility. A  duly authorized representative may thus be either a named individual or any  individual occupying a named position; and 
    c. The written authorization is submitted to the department. 
    3. Changes to authorization. If an authorization under Part II  K 2 is no longer accurate because a different individual or position has  responsibility for the overall operation of the facility, a new authorization  satisfying the requirements of Part II K 2 shall be submitted to the department  prior to or together with any reports, or information to be signed by an  authorized representative. 
    4. Certification. Any person signing a document under Part II  K 1 or 2 shall make the following certification: "I certify under penalty  of law that this document and all attachments were prepared under my direction  or supervision in accordance with a system designed to assure that qualified  personnel properly gather and evaluate the information submitted. Based on my  inquiry of the person or persons who manage the system, or those persons  directly responsible for gathering the information, the information submitted  is, to the best of my knowledge and belief, true, accurate, and complete. I am  aware that there are significant penalties for submitting false information,  including the possibility of fine and imprisonment for knowing  violations." 
    L. Duty to comply. The permittee shall comply with all  conditions of this permit. Any permit noncompliance constitutes a violation of  the State Water Control Law. Permit noncompliance is grounds for enforcement  action; for permit termination, revocation and reissuance, or modification; or  denial of a permit renewal application. Compliance with a permit during its  term constitutes compliance, for purposes of enforcement, with the State Water  Control Law. 
    M. Duty to reapply. If the permittee wishes to continue an  activity regulated by this permit after the expiration date of this permit, the  permittee shall apply for and obtain a new permit. All permittees with a  currently effective permit shall submit a new application at least 180 days  before the expiration date of the existing permit unless permission for a later  date has been granted by the board. The board shall not grant permission for  applications to be submitted later than the expiration date of the existing  permit. 
    N. Effect of a permit. This permit does not convey any  property rights in either real or personal property or any exclusive  privileges, nor does it authorize any injury to private property or invasion of  personal rights, or any infringement of federal, state or local law or  regulations. 
    O. State law. Nothing in this permit shall be construed to  preclude the institution of any legal action under, or relieve the permittee  from any responsibilities, liabilities, or penalties established pursuant to  any other state law or regulation or under authority preserved by § 510 of the  federal Clean Water Act. Except as provided in permit conditions on bypassing  (Part II U), and upset (Part II V), nothing in this permit shall be construed  to relieve the permittee from civil and criminal penalties for noncompliance. 
    P. Oil and hazardous substance liability. Nothing in this  permit shall be construed to preclude the institution of any legal action or  relieve the permittee from any responsibilities, liabilities, or penalties to  which the permittee is or may be subject under §§ 62.1-44.34:14 through 62.1-44.34:23 of the State Water Control Law. 
    Q. Proper operation and maintenance. The permittee shall be  responsible for the proper operation and maintenance of all treatment works,  systems and controls which are installed or used to achieve compliance with the  conditions of this permit. Proper operation and maintenance includes effective  plant performance, adequate funding, adequate staffing, and adequate laboratory  and process controls, including appropriate quality assurance procedures. 
    R. Disposal of solids or sludges. Solids, sludges or other  pollutants removed in the course of treatment or management of pollutants shall  be disposed of in a manner so as to prevent any pollutant from such materials  from entering state waters. 
    S. Duty to mitigate. The permittee shall take all reasonable  steps to minimize or prevent any pollutant management activity in violation of  this permit which has a reasonable likelihood of adversely affecting human  health or the environment. 
    T. Need to halt or reduce activity not a defense. It shall  not be a defense for a permittee in an enforcement action that it would have  been necessary to halt or reduce the permitted activity in order to maintain  compliance with the conditions of this permit. 
    U. Bypass. 
    1. Prohibition. "Bypass" means intentional diversion  of waste streams from any portion of a treatment works. A bypass of the  treatment works is prohibited except as provided herein. 
    2. Anticipated bypass. If the permittee knows in advance of  the need for a bypass, he shall notify the department promptly at least 10 days  prior to the bypass. After considering its adverse effects, the board may  approve an anticipated bypass if: 
    a. The bypass will be unavoidable to prevent loss of human  life, personal injury, or severe property damage. "Severe property  damage" means substantial physical damage to property, damage to the  treatment facilities which causes them to become inoperable, or substantial and  permanent loss of natural resources which can reasonably be expected to occur  in the absence of a bypass. "Severe property damage" does not mean  economic loss caused by delays in production; and 
    b. There are no feasible alternatives to bypass such as the  use of auxiliary treatment facilities, retention of untreated waste, or  maintenance during normal periods of equipment downtime. However, if bypass  occurs during normal periods of equipment downtime or preventive maintenance  and in the exercise of reasonable engineering judgment the permittee could have  installed adequate backup equipment to prevent such bypass, this exclusion  shall not apply as a defense. 
    3. Unplanned bypass. If an unplanned bypass occurs, the  permittee shall notify the department as soon as possible, but in no case later  than 24 hours, and shall take steps to halt the bypass as early as possible.  This notification will be a condition for defense to an enforcement action that  an unplanned bypass met the conditions in paragraphs U 2 a and b and in light  of the information reasonably available to the permittee at the time of the  bypass. 
    V. Upset. A permittee may claim an upset as an affirmative  defense to an action brought for noncompliance. In any enforcement proceedings  a permittee shall have the burden of proof to establish the occurrence of any  upset. In order to establish an affirmative defense of upset, the permittee  shall present properly signed, contemporaneous operating logs or other relevant  evidence that shows: 
    1. That an upset occurred and that the cause can be  identified; 
    2. That the permitted facility was at the time being operated  efficiently and in compliance with proper operation and maintenance procedures;  
    3. That the 24-hour reporting requirements to the department  were met; and 
    4. That the permittee took all reasonable steps to minimize or  correct any adverse impact on state waters resulting from noncompliance with  the permit. 
    W. Inspection and entry. Upon presentation of credentials,  any duly authorized agent of the board may, at reasonable times and under  reasonable circumstances: 
    1. Enter upon any permittee's property, public or private and  have access to records required by this permit; 
    2. Have access to, inspect and copy any records that must be  kept as part of permit conditions; 
    3. Inspect any facility's equipment (including monitoring and  control equipment) practices or operations regulated or required under the permit;  and 
    4. Sample or monitor any substances or parameters at any  locations for the purpose of assuring permit compliance or as otherwise  authorized by the State Water Control Law. 
    For purposes of this section, the time for inspection shall  be deemed reasonable during regular business hours, and whenever the facility  is involved in managing pollutants. Nothing contained herein shall make an  inspection unreasonable during an emergency. 
    X. Permit actions. Permits may be modified, revoked and  reissued, or terminated for cause upon the request of the permittee or  interested persons, or upon the board's initiative. If a permittee files a  request for a permit modification, revocation, or termination, or files a  notification of planned changes, or anticipated noncompliance, the permit terms  and conditions shall remain effective until the request is acted upon by the  board. This provision shall not be used to extend the expiration date of the  effective VPA permit. 
    Y. Transfer of permits. 
    1. Permits are not transferable to any person except after  notice to the department. The board may require modification or revocation and  reissuance of the permit to change the name of the permittee and to incorporate  such other requirements as may be necessary. Except as provided in Part II Y 2,  a permit may be transferred by the permittee to a new owner or operator only if  the permit has been modified to reflect the transfer or has been revoked and  reissued to the new owner or operator. 
    2. As an alternative to transfers under Part II Y 1, this  permit shall be automatically transferred to a new permittee if: 
    a. The current permittee notifies the department at least 30  days in advance of the proposed transfer of the title to the facility or  property; 
    b. The notice includes a written agreement between the  existing and new permittees containing a specific date for transfer of permit  responsibility, coverage, and liability between them; and 
    c. The board does not, within the 30-day time period, notify  the existing permittee and the proposed new permittee of its intent to modify  or revoke and reissue the permit. 
    Z. Severability. The provisions of this permit are severable  and, if any provision of this permit or the application of any provision of  this permit to any circumstance is held invalid, the application of such  provision to other circumstances and the remainder of this permit shall not be  affected thereby. 
    Part III 
    Pollutant Management and Monitoring Requirements for  Poultry Waste End-Users and Poultry Brokers
    A. Pollutant management authorization and monitoring  requirements. 
    1. During the period beginning with the permittee's  coverage under this general permit and lasting until the permit's expiration  date, the permittee is authorized to manage pollutants at the location or  locations identified in the registration statement and the permittee's approved  nutrient management plan. 
    2. If poultry waste is land applied on land under the  permittee's operational control, it shall be applied at the rates specified in  the permittee's approved nutrient management plan. 
    3. Soil at the land application sites shall be monitored as  specified below. Additional soils monitoring may be required in the permittee's  approved nutrient management plan. 
         
                 | SOILS MONITORING  | 
       | PARAMETERS | LIMITATIONS | UNITS | MONITORING REQUIREMENTS | 
       | Frequency | Sample Type | 
       | pH | NL | SU | 1/3 years | Composite | 
       | Phosphorus | NL | ppm or lbs/ac | 1/3 years | Composite | 
       | Potash | NL | ppm or lbs/ac | 1/3 years | Composite | 
       | Calcium | NL | ppm or lbs/ac | 1/3 years | Composite | 
       | Magnesium | NL | ppm or lbs/ac | 1/3 years | Composite | 
       | NL = No limit, this is a monitoring requirement only. | 
       | SU = Standard Units | 
  
    4. Poultry waste shall be monitored as specified below.  Additional waste monitoring may be required in the permittee's approved  nutrient management plan. 
           | WASTE MONITORING  | 
       | PARAMETERS | LIMITATIONS | UNITS | MONITORING REQUIREMENTS | 
       | Frequency | Sample Type | 
       | Total Kjeldahl Nitrogen | NL | * | 1/3 years | Composite | 
       | Ammonia Nitrogen | NL | * | 1/3 years | Composite | 
       | Total Phosphorus | NL | * | 1/3 years | Composite | 
       | Total Potassium | NL | * | 1/3 years | Composite | 
       | Moisture Content | NL | % | 1/3 years | Composite | 
       | NL = No limit, this is a monitoring requirement only. | 
       | *Parameters for waste may be reported as a percent, as    lbs/ton or lbs/1000 gallons, or as ppm where appropriate. | 
  
         
          5. If waste from two or more poultry waste sources is  commingled or stored then a sample that best represents the waste shall be used  to calculate the nutrients available in the poultry waste for land application  and shall be provided to the end-user of the waste. 
    6. Analysis of soil and waste shall be according to methods  specified in the permittee's approved nutrient management plan. 
    7. All monitoring data required by Part III A shall be  maintained on site in accordance with Part II B. Reporting of results to the  department is not required; however, the monitoring results shall be made  available to department personnel upon request. 
    B. Other requirements or special conditions. 
    1. Poultry waste storage facilities shall be designed and  operated to (i) prevent point source discharges of pollutants to state waters  except in the case of a storm event greater than the 25-year, 24-hour storm and  (ii) provide adequate waste storage capacity to accommodate periods when the  ground is ice covered, snow covered or saturated, periods when land application  of nutrients should not occur due to limited or nonexistent crop nutrient  uptake, and periods when physical limitations prohibit the land application of  waste. 
    2. Poultry waste shall be stored according to the approved  nutrient management plan and in a manner that prevents contact with surface  water and ground water. Poultry waste that is stockpiled outside for more than  14 days shall be kept in a facility that provides adequate storage. Adequate  storage shall, at a minimum, include the following: 
    a. Poultry waste shall be covered to protect it from  precipitation and wind; 
    b. Storm water shall not run onto or under the stored  poultry waste; and 
    c. A minimum of two feet separation distance to the  seasonal high water table or an impermeable barrier shall be used under the  stored poultry waste. All poultry waste storage facilities that use an  impermeable barrier shall maintain a minimum of one foot separation between the  seasonal high water table and the impermeable barrier. "Seasonal high  water table" means that portion of the soil profile where a color change  has occurred in the soil as a result of saturated soil conditions or where soil  concretions have formed. Typical colors are gray mottlings, solid gray, or  black. The depth in the soil at which these conditions first occur is termed  the seasonal high water table. Impermeable barriers must be constructed of at  least 12 inches of compacted clay, at least four inches of reinforced concrete,  or another material of similar structural integrity that has a minimum  permeability rating of 0.0014 inches per hour (1X10-6 centimeters per second). 
    3. Poultry waste storage facilities constructed after  December 1, 2000, shall not be located within a 100-year floodplain unless there  is no land available outside the floodplain on which to construct the facility  and the facility is constructed so that the poultry waste is stored above the  100-year flood elevation or otherwise protected from floodwaters through the  construction of berms or similar best management flood control structures. 
    4. When a poultry waste end-user or poultry waste broker  receives, possesses, or has control over five or more tons of transferred  poultry waste in any 365-day period, he shall provide the person from whom he  received the poultry waste with: 
    a. The end-user or broker name, address, and permit number;  
    b. If the recipient of the poultry waste is an end-user,  then he shall also provide the person from whom he received the poultry waste  the following information: 
    (1) The locality in which the recipient intends to utilize  the waste (i.e., nearest town or city and zip code); 
    (2) The name of the stream or waterbody if known to the  recipient that is nearest to the waste utilization or storage site; 
    c. Written acknowledgement of receipt of: 
    (1) The waste; 
    (2) The nutrient analysis of the waste; and 
    (3) The fact sheet. 
    If the person receiving the waste is a poultry waste  broker, then he shall also certify in writing that he will provide a copy of  the nutrient analysis and fact sheet to each end user to whom he transfers  poultry waste. 
    5. When a poultry waste broker transfers or hauls poultry  waste to other persons, he shall provide the person who received the poultry  waste with: 
    a. Broker name, address, and permit number; 
    b. The nutrient analysis of the waste; and 
    c. A fact sheet. 
    6. When a poultry waste end-user or poultry waste broker is  a recipient of five or more tons of transferred poultry waste in any 365-day  period, the poultry waste end-user or poultry waste broker shall keep a record  regarding the transferred poultry waste: 
    a. The following items shall be recorded regarding the  source of the transferred poultry waste: 
    (1) The source name and address; 
    (2) The amount of poultry waste received from the source;  and 
    (3) The date the poultry waste was acquired. 
    b. The following items shall be recorded regarding the  recipient of the transferred poultry waste: 
    (1) The recipient name and address; 
    (2) The amount of poultry waste received by the person; 
    (3) The date of the transaction; 
    (4) The nutrient content of the waste; 
    (5) The locality in which the recipient intends to utilize  the waste (i.e., nearest town or city and zip code); 
    (6) The name of the stream or waterbody if known to the  recipient that is nearest to the waste utilization or storage site; 
    (7) If the waste is utilized for land application, if known  indicate the method used to determine the land application rates (i.e.,  phosphorus crop removal, standard rate, soil test recommendations, or a  nutrient management plan); and 
    (8) The signed waste transfer records form acknowledging  the receipt of the following: 
    (a) The waste; 
    (b) The nutrient analysis of the waste; and 
    (c) A fact sheet. 
    7. End-users or brokers shall submit copies of the records  required by Part III B 6 to the department annually on a form approved by the  department. Records for the preceding calendar year shall be submitted to the  department not later than February 15. End-users or brokers shall maintain the  records required by Part III B 6 for at least three years after the transaction  and make them available to department personnel upon request. 
    8. If poultry waste is also generated by this facility it  shall not be applied to fields owned by or under the operational control of  either the permittee or a legal entity in which the permittee has an ownership  interest unless the fields are included in the permittee's approved nutrient  management plan. 
    9. Poultry feeding operations that use disposal pits for  routine disposal of daily mortalities shall not be covered under this general  permit. The use of a disposal pit for routine disposal of daily poultry  mortalities by a permittee shall be considered a violation of this permit. This  prohibition does not apply to the emergency disposal of dead poultry done  according to regulations adopted pursuant to § 3.2-6002 of the Code of  Virginia or Chapter 14 (§ 10.1-1400 et seq.) of Title 10.1 of the Code of  Virginia. 
    10. The permittee shall implement a nutrient management  plan (NMP) approved by the Department of Conservation and Recreation and  maintain the plan on site. All NMP's written after December 31, 2005, shall be  developed by a certified nutrient management planner in accordance with § 10.1-104.2 of the Code of Virginia. The NMP shall be enforceable through this  permit. The NMP shall contain at a minimum the following information: 
    a. Site map indicating the location of the waste storage  facilities and the fields where waste will be applied by the permittee. The  location of fields as identified in Part III B 8 shall also be included; 
    b. Site evaluation and assessment of soil types and  potential productivities; 
    c. Nutrient management sampling including soil and waste  monitoring; 
    d. Storage and land area requirements for the permittee's  poultry waste management activities; 
    e. Calculation of waste application rates; and 
    f. Waste application schedules. 
    11. When the poultry waste storage facility is no longer  needed, the permittee shall close it in a manner that: (i) minimizes the need  for further maintenance and (ii) controls, minimizes, or eliminates, to the  extent necessary to protect human health and the environment, the postclosure  escape of uncontrolled leachate, surface runoff, or waste decomposition  products to the ground water, surface water, or the atmosphere. At closure, the  permittee shall remove all poultry waste residue from the waste storage  facility. At waste storage facilities without permanent covers and impermeable  ground barriers, all residual poultry waste shall be removed from the surface  below the stockpile when the poultry waste is taken out of storage. Removed  waste materials shall be utilized according to the NMP. 
    12. Nitrogen application rates contained in the NMP shall  not exceed crop nutrient needs as determined by the Department of Conservation  and Recreation. The application of poultry waste shall be managed to minimize  runoff, leachate, and volatilization losses, and reduce adverse water quality  impacts from nitrogen. 
    13. Phosphorus application rates shall conform solely to  the Department of Conservation and Recreation's regulatory criteria and  standards in effect at the time the NMP is written. The application of poultry  waste shall be managed to minimize runoff and leaching and reduce adverse water  quality impacts from phosphorous. 
    14. The timing of land application of poultry waste shall  be according to the schedule contained in the NMP, except that no waste may be  applied to ice- or snow-covered ground or to soils that are saturated. Poultry  waste may be applied to frozen ground within the NMP scheduled times only under  the following conditions: 
    a. Slopes are not greater than 6.0%; 
    b. A minimum of a 200-foot vegetative or adequate crop  residue buffer is maintained between the application area and all surface water  courses; 
    c. Only those soils characterized by USDA as "well  drained" with good infiltration are used; and 
    d. At least 60% uniform cover by vegetation or crop residue  is present in order to reduce surface runoff and the potential for leaching of  nutrients to ground water. 
    15. Buffer zones at waste application sites shall, at a  minimum, be maintained as follows: 
    a. Distance from occupied dwellings not on the permittee's  property: 200 feet (unless the occupant of the dwelling signs a waiver of the  buffer zone); 
    b. Distance from water supply wells or springs: 100 feet; 
    c. Distance from surface water courses: 100 feet (without a  permanent vegetated buffer) or 35 feet (if a permanent vegetated buffer  exists). Other site-specific conservation practices may be approved by the  department that will provide pollutant reductions equivalent or better than the  reductions that would be achieved by the 100-foot buffer;
    d. Distance from rock outcropping (except limestone): 25  feet; 
    e. Distance from limestone outcroppings: 50 feet; and 
    f. Waste shall not be applied in such a manner that it  would discharge to sinkholes that may exist in the area. 
    16. The following records shall be maintained: 
    a. The identification of the land application field sites  where the waste is utilized or stored; 
    b. The application rate; 
    c. The application dates; and 
    d. What crops have been planted. 
    These records shall be maintained on site for a period of  three years after recorded application is made and shall be made available to  department personnel upon request. 
    17. Each poultry waste end-user or poultry waste broker  covered by this general permit shall complete a training program offered or  approved by the department within one year of filing the registration statement  for general permit coverage. All poultry waste end-users or poultry waste  brokers shall complete a training program at least once every five years. 
    9VAC25-630-60. Tracking and accounting requirements for poultry  waste brokers.
    A. Poultry waste brokers shall keep a record of the source  of the poultry waste in their possession, the amount of poultry waste received  from the source, and the date the poultry waste was acquired register  with the department by providing their name and address on a form approved by  the department prior to transferring poultry waste. 
    B. When a poultry waste broker transfers to another person more  than 10 five or more tons of poultry waste in any 365-day period,  the poultry waste broker shall provide to the recipient of the waste copies  of the most recent nutrient analysis for the poultry waste and a fact sheet  approved by the department that includes appropriate practices for proper  storage and management of the waste. The person receiving the waste shall  provide the poultry waste broker his name and address and acknowledge in  writing receipt of the waste, the nutrient analysis and the fact sheet. information  regarding the transfer of poultry waste to both the source and recipient of the  waste. 
    1. The broker name and address shall be provided to the  source of the transferred poultry waste: 
    2. The following items shall be provided to the recipient  of the transferred poultry waste: 
    a. The broker name and address; 
    b. The most recent nutrient analysis of the poultry waste;  and 
    c. A fact sheet. 
    C. When a poultry waste broker transfers to another person more  than 10 five or more tons of poultry waste in any 365-day period,  the poultry waste broker shall keep a record of the amount of poultry waste  received by the person, the date of the transaction, the nutrient content of  the waste, the locality in which the recipient intends to utilize the waste  (i.e., nearest town or city and zip code), the name of the stream or waterbody  known to the recipient that is nearest to the waste utilization site, and the  signed waste transfer acknowledgement records regarding the transferred  poultry waste. 
    1. The following items shall be recorded regarding the  source of the transferred poultry waste: 
    a. The source name and address; 
    b. The amount of the poultry waste received from the  source; and 
    c. The date the poultry waste was acquired. 
    2. The following items shall be recorded regarding the  recipient of the transferred poultry waste: 
    a. The recipient name and address; 
    b. The amount of poultry waste received by the person; 
    c. The date of the transaction; 
    d. The nutrient content of the waste;
    e. The locality in which the recipient intends to utilize  the waste (i.e., nearest town or city and zip code); 
    f. The name of the stream of waterbody if known to the  recipient that is nearest to the waste utilization or storage site; 
    g. If the waste is utilized for land application, if known  indicate the method used to determine the land application rates (i.e.,  phosphorus crop removal, standard rate, soil test recommendations, or a  nutrient management plan); and 
    h. The signed waste transfer records form acknowledging the  receipt of the following: 
    (1) The waste; 
    (2) The nutrient analysis of the waste; and 
    (3) A fact sheet. 
    D. Poultry waste brokers shall submit copies of the records  required by subsections A and subsection C of this section, except  the waste transfer acknowledgement, to the department annually using a  form approved by the department. Records for the preceding calendar year  shall be submitted to the department not later than February 15. Poultry waste  brokers shall maintain the records required by subsections A and subsection  C of this section for at least three years and make them available to  department personnel upon request.
    E. If waste from two or more poultry waste sources is  commingled or stored then a sample that best represents the waste shall be used  to calculate the nutrients available in the poultry waste for land application  and shall be provided to the end-user of the waste. 
    F. If the poultry waste broker land applies the poultry  waste for the end-user then the broker shall provide the end-user with the  records regarding land application as required by 9VAC25-630-70. 
    G. Poultry waste brokers shall complete a training program  offered or approved by the department within one year of registering with the  department. Poultry waste brokers shall complete a training program at least  once every five years. 
    H. Any duly authorized agent of the board may, at  reasonable times and under reasonable circumstances, enter any establishment or  upon any property, public or private, for the purpose of obtaining information  or conducting surveys or investigations necessary in the enforcement of the  provisions of this regulation. 
    9VAC25-630-70. Tracking and accounting requirements for  poultry waste end-users. 
    A. When a poultry waste end-user is the recipient of five  or more tons of poultry waste in any 365-day period, the end-user shall  maintain records regarding the transfer and land application of poultry waste. 
    1. The poultry waste end-user shall provide the permitted  poultry grower or poultry waste broker with the following items: 
    a. End-user name and address; 
    b. The locality in which the end-user intends to utilize  the waste (i.e., nearest town or city and zip code); 
    c. The name of the stream or waterbody if known to the  end-user that is nearest to the waste utilization or storage site; 
    d. If the waste is utilized for land application, if known  indicate the method used to determine the land application rates (i.e.,  phosphorus crop removal, standard rate, soil test recommendations, or a  nutrient management plan); and 
    e. Written acknowledgement of receipt of: 
    (1) The waste; 
    (2) The nutrient analysis of the waste; and 
    (3) A fact sheet. 
    2. The poultry waste end-user shall record the following  items regarding the waste transfer: 
    a. The source name, address, and permit number (if  applicable); 
    b. The amount of poultry waste that was received; 
    c. The date of the transaction; 
    d. The final use of the poultry waste; 
    e. The locality in which the waste was utilized (i.e., nearest  town or city and zip code); and
    f. The name of the stream or waterbody if known to the  recipient that is nearest to the waste utilization or storage site.
    Records regarding poultry waste transfers shall be  maintained on site for a period of three years after the transaction. All  records shall be made available to department personnel upon request. 
    3. If waste is land applied, the poultry waste end-user  shall keep a record of the following items regarding the land application of  the waste: 
    a. The nutrient analysis of the waste; 
    b. Maps indicating the poultry waste land application  fields and storage sites; 
    c. The land application rate; 
    d. The land application dates; 
    e. What crops were planted; 
    f. Soil test results, if obtained; 
    g. NMP, if applicable; and 
    h. The method used to determine the land application rates  (i.e., phosphorus crop removal, standard rate, soil test recommendations, or a  nutrient management plan).
    Records regarding land application of poultry waste shall  be maintained on site for a period of three years after the recorded  application is made. All records shall be made available to department  personnel upon request. 
    B. Any duly authorized agent of the board may, at  reasonable times and under reasonable circumstances, enter any establishment or  upon any property, public or private, for the purpose of obtaining information  or conducting surveys or investigations necessary in the enforcement of the  provisions of this regulation. 
    9VAC25-630-80. Utilization and storage requirements for  transferred poultry waste.
    A. Any poultry waste end-user or poultry waste broker who  receives poultry waste shall comply with the requirements outlined in the  following sections. 
    B. Storage requirements. Any poultry waste end-user or  poultry waste broker who receives poultry waste shall comply with the  requirements outlined in this section regarding storage of poultry waste in  their possession or under their control. 
    1. Poultry waste shall be stored in a manner that prevents  contact with surface water and ground water. Poultry waste that is stockpiled  outside for more than 14 days shall be kept in a facility or at a site that  provides adequate storage. Adequate storage shall, at a minimum, include the  following: 
    a. Poultry waste shall be covered to protect it from  precipitation and wind; 
    b. Storm water shall not run onto or under the stored  poultry waste; 
    c. A minimum of two feet separation distance to the  seasonal high water table or an impermeable barrier shall be used under the  stored poultry waste. All poultry waste storage facilities that use an  impermeable barrier shall maintain a minimum of one foot separation between the  seasonal high water table and the impermeable barrier. "Seasonal high  water table" means that portion of the soil profile where a color change  has occurred in the soil as a result of saturated soil conditions or where soil  concretions have formed. Typical colors are gray mottlings, solid gray, or  black. The depth in the soil at which these conditions first occur is termed  the seasonal high water table. Impermeable barriers shall be constructed of at  least 12 inches of compacted clay, at least four inches of reinforced concrete,  or another material of similar structural integrity that has a minimum  permeability rating of 0.0014 inches per hour (1X10-6 centimeters per second);  and
    d. For poultry waste that is not stored under roof, the  storage site must be at least 100 feet from any surface water, intermittent  drainage, wells, sinkholes, rock outcrops, and springs. 
    2. Poultry waste storage facilities constructed after  December 1, 2000, shall not be located within a 100-year floodplain unless  there is no land available outside the floodplain on which to construct the  facility and the facility is constructed so that the poultry waste is stored  above the 100-year flood elevation or otherwise protected from floodwaters  through the construction of berms or similar best management flood control  structures. 
    C. Land application requirements. Any poultry waste  end-user or poultry waste broker who (i) receives five or more tons of poultry  waste in any 365-day period and (ii) land applies poultry waste shall follow  appropriate land application requirements as outlined in this section. The  application of poultry waste shall be managed to minimize adverse water quality  impacts. 
    1. The maximum application rates can be established by the  following methods: 
    a. Phosphorus crop removal application rates can be used  when: 
    (1) Soil test phosphorus levels do not exceed the values  listed in the table below: 
           | Region | Soil test P (ppm) VPI & SU Soil test (Mehlich I) * | 
       | Eastern Shore and Lower Coastal Plain | 135 | 
       | Middle and Upper Coastal Plain and Piedmont | 136 | 
       | Ridge and Valley | 162 | 
       | * If results are from another laboratory the Department    of Conservation and Recreation approved conversion factors must be used.  | 
  
    (2) The phosphorus crop removal application rates are set  forth by regulations promulgated by the Department of Conservation and  Recreation in accordance with § 10.1-104.2 of the Code of Virginia. 
    b. Poultry waste may be applied to any crop at the standard  rate of 1.5 tons per acre once every three years when: 
    (1) In the absence of current soil sample analyses and  recommendations; and 
    (2) Nutrients have not been supplied by an organic source,  other than pastured animals, to the proposed land application sites within the  previous three years of the proposed land application date of poultry waste. 
    c. Soil test recommendations can be used when: 
    (1) Accompanied by analysis results for soil tests that  have been obtained from the proposed field or fields in the last three years; 
    (2) Provided by a laboratory whose procedures and  recommendations are approved by the Department of Conservation and Recreation;  and 
    (3) Nutrients from the waste application do not exceed the  nitrogen or phosphorus recommendations for the proposed crop or double crops  listed on the soil test recommendation. 
    d. A nutrient management plan developed by a certified  nutrient management planner in accordance with § 10.1-104.2 of the Code of  Virginia. 
    2. The timing of land application of poultry waste shall be  appropriate for the crop, and in accordance with regulations promulgated by the  Department of Conservation and Recreation in accordance with § 10.1-104.2  of the Code of Virginia, except that no waste may be applied to ice- or snow-covered  ground or to soils that are saturated. Poultry waste may be applied to frozen  ground under the following conditions: 
    a. Slopes are not greater than 6.0%; 
    b. A minimum of a 200-foot vegetative or adequate crop  residue buffer is maintained between the application area and all surface water  courses; 
    c. Only those soils characterized by USDA as "well  drained" with good infiltration are used; and 
    d. At least 60% uniform cover by vegetation or crop residue  is present in order to reduce surface runoff and the potential for leaching of  nutrients to ground water. 
    3. Buffer zones at waste application sites shall, at a  minimum, be maintained as follows: 
    a. Distance from occupied dwellings: 200 feet (unless the  occupant of the dwelling signs a waiver of the buffer zone); 
    b. Distance from water supply wells or springs: 100 feet;
    c. Distance from surface water courses: 100 feet (without a  permanent vegetated buffer) or 35 feet (if a permanent vegetated buffer  exists). Other site-specific conservation practices may be approved by the  department that will provide pollutant reductions equivalent or better than the  reductions that would be achieved by the 100-foot buffer; 
    d. Distance from rock outcropping (except limestone): 25  feet; 
    e. Distance from limestone outcroppings: 50 feet; and 
    f. Waste shall not be applied in such a manner that it  would discharge to sinkholes that may exist in the area. 
    D. Poultry waste end-users or poultry waste brokers shall  maintain the records demonstrating compliance with the requirements of Part III  A through C for at least three years and make them available to department  personnel upon request. 
    E. The activities of the poultry waste end-user or poultry  waste broker shall not contravene the Water Quality Standards, as amended and  adopted by the board, or any provision of the State Water Control Law  (§ 62.1-44 et seq. of the Code of Virginia).
    F. Any duly authorized agent of the board may, at  reasonable times and under reasonable circumstances, enter any establishment or  upon any property, public or private, for the purpose of obtaining information  or conducting surveys or investigations necessary in the enforcement of the  provisions of this regulation.
    FORMS (9VAC25-630) 
    Registration Statement, VPA General Permit for Poultry Waste  Management for Poultry Growers, RS VPS2 (rev. 12/1/00) VPG2  (rev. 12/09). 
    Registration Statement, VPA General Permit for Poultry  Waste Management for Poultry Waste End-Users and Brokers, RS VPG2 (rev. 12/09).  
    VA.R. Doc. No. R08-1062; Filed June 2, 2009, 4:24 p.m. 
TITLE 12. HEALTH
STATE BOARD OF HEALTH
Fast-Track Regulation
    Title of Regulation: 12VAC5-481. Virginia Radiation  Protection Regulations (amending 12VAC5-481-451).
    Statutory Authority: § 32.1-229 of the Code of  Virginia.
    Public Hearing Information: No public hearings are  scheduled. 
    Public Comments: Public comments may be submitted until  5 p.m. on July 22, 2009.
    Effective Date: August 6, 2009. 
    Agency Contact: Mike Welling, Director, Radioactive  Materials Program, Department of Health, 109 Governor St., 7th Floor, Richmond,  VA 23219, telephone (804) 864-8168, or email mike.welling@vdh.virginia.gov.
    Basis: Section 32.1-229 of the Code of Virginia  authorizes the Board of Health to establish (i) a program of effective  regulation of sources of radiation for the protection of the public health and  safety; (ii) a program to promote the orderly regulation of radiation within  the Commonwealth, among the states and between the federal government and the  Commonwealth and to facilitate intergovernmental cooperation with respect to use  and regulation of sources of radiation to the end that duplication of  regulation may be minimized; and (iii) a program to permit maximum utilization  of sources of radiation consistent with the public health and safety.
    Purpose: The U.S. Nuclear Regulatory Commission (NRC)  submitted a comment to this agency stating: "Virginia needs to add that  the licensee must also call the NRC Headquarters Operations Center at  301-816-5100 to 12VAC5-481-451 (B)(2)(d), (B)(3)(a) 5 and (C)(6)."
    The NRC also revised the division name and address for  submitting fingerprint records.
    The purpose of the regulation is to make the fingerprinting  requirement more visible and help assure the public that government is making  an effort to prevent terrorists from obtaining radioactive materials for their  activities.
    Rationale for Using Fast-Track Process: To ensure  continuity of regulatory activity, the NRC will require VDH to implement the  December 5, 2007, NRC Order on the date of signing the state agreement with the  NRC for the transfer of authority for regulating radioactive materials, set for  March 31, 2009. This deadline cannot be met through the normal regulatory  process that requires about two years to complete the adoption of a regulation.  The fast-track approach will reduce implementation to less than a year and  allow the regulation to be in place on the date transfer of authority is  projected to take place.
    The regulation should be noncontroversial, since it was  previously approved with no objections.
    If there is an objection to the fast-track process, VDH will  wait until the next revision of 12VAC5-481. We will also include the NRC  notification requirement as a license condition.
    Substance: This revision includes the NRC  Headquarters Operation Office's phone number in three subsections. The NRC  needs to be contacted along with this agency under certain situations. Also,  the division name and address has changed for where licensees must submit their  fingerprint records.
    Issues: Primary advantages and disadvantages to the  public: The primary advantage to the public is that the fingerprinting requirement  is more visible as a regulation than an order issued to specific radioactive  material licensees and thus the public is assured that government is making an  effort to prevent terrorists from obtaining radioactive materials for their  activities.
    There are no disadvantages to the public in promulgating the  proposed regulation.
    Primary advantages and disadvantages to the agency and  Commonwealth: Approving the amendment will address NRC's comment ensuring the  regulation is compatible and adequate to NRC when the Commonwealth signs an  agreement with the NRC for this activity.
    There are no disadvantages to the agency and the Commonwealth  in promulgating the proposed regulation.
    The NRC has implemented the requirements in the proposed  regulation by an Order issued on December 5, 2007, and required compliance by  June 2, 2008. VDH will need to have these requirements in place on date of  agreement with the NRC.
    The Department of Planning and Budget's Economic Impact  Analysis:
    Summary of the Proposed Amendments to Regulation. On March 31,  2009 the Virginia Department of Health (VDH) entered into an agreement with the  U.S. Nuclear Regulatory Commission (NRC) for assuming regulatory authority of  NRC's licensees located in Virginia.  VDH is required to implement federal  regulations and orders applicable to radioactive material licensees.   Pursuant to NRC rules, VDH proposes to require in these regulations that  licensees call NRC: 1) when instances of theft, sabotage, or diversion of  radioactive material or of the devices occur or are attempted, 2) when through  the course of the investigation, it is determined the shipment has become lost,  stolen, or missing, and 3) when the results from an FBI identification and  criminal history records check indicate that an individual is identified on the  FBI's Terrorist Screening Data Base.  These regulations require  radioactive material licensees that have certain quantities of radioactive  materials of concern to have individuals who have unrestricted access to these  materials fingerprinted and their names compared with those on the national  terrorist screening database.
    Result of Analysis. The benefits likely exceed the costs for  all proposed changes.
    Estimated Economic Impact. On November 10, 2008 the NRC  submitted a comment to VDH stating that "Virginia needs to add that the  licensee must also call the NRC Headquarters Operations Center at 301-816-5100  to 12VAC5-481-451 (B)(2)(d), (B)(2)(a) 5 and (C)(6)." Section 451  (B)(2)(d) states that "After initiating appropriate response to any actual  or attempted theft, sabotage, or diversion of radioactive material or of the  devices, the licensee shall, as promptly as possible, notify the agency at  (804) 864-8150 during normal business hours and (804) 674-2400 after hours."   Section 451 (B)(3)(a) 5 states that "When, through the course of the  investigation, it is determined the shipment has become lost, stolen, or  missing, the licensee shall immediately notify the agency at (804) 864-8150  during normal working hours and (804) 674-2400 after hours. If after 24 hours  of investigating, the location of the material still cannot be determined, the  radioactive material shall be determined missing and the licensee shall  immediately notify the agency at (804) 864-8150 during normal working hours and  (804) 674-2400 after hours." Section 451 (C)(6) states that "The  licensee shall notify the agency at (804) 864-6168 within 24 hours if the  results from an FBI identification and criminal history records check indicate  that an individual is identified on the FBI's Terrorist Screening Data  Base."
    According to VDH, calling and speaking to the NRC about  incidences would most likely only involve one to five minutes of time. Also,  there have been zero instances that would have necessitated such calling since  the program started in 2007. Thus, the costs of the proposed new requirements  are quite small.  Given that the value for national security of NRC  promptly becoming informed of such incidences is non-negligible, the benefits  of the proposed changes exceed the costs.
    Businesses and Entities Affected. The proposed amendments  affect the 25 radioactive material licensees in the Commonwealth.  About  12 qualify as small businesses.1
    Localities Particularly Affected. The locations of licensees  are not public information.
    Projected Impact on Employment. The proposed amendments do not  significantly affect employment.
    Effects on the Use and Value of Private Property. The proposed  amendments do not significantly affect the use and value of private property.
    Small Businesses: Costs and Other Effects. The proposed  amendments do not significantly affect costs for small businesses.
    Small Businesses: Alternative Method that Minimizes Adverse  Impact. The proposed amendments do not significantly affect costs for small  businesses.
    Real Estate Development Costs. The proposed amendments are  unlikely to significantly affect real estate development costs.
    Legal Mandate. The Department of Planning and Budget (DPB) has  analyzed the economic impact of this proposed regulation in accordance with  § 2.2-4007.04 of the Administrative Process Act and Executive Order Number  36 (06).  Section 2.2-4007.04 requires that such economic impact analyses  include, but need not be limited to, the projected number of businesses or  other entities to whom the regulation would apply, the identity of any  localities and types of businesses or other entities particularly affected, the  projected number of persons and employment positions to be affected, the  projected costs to affected businesses or entities to implement or comply with  the regulation, and the impact on the use and value of private property.   Further, if the proposed regulation has adverse effect on small businesses,  § 2.2-4007.04 requires that such economic impact analyses include (i) an identification  and estimate of the number of small businesses subject to the regulation; (ii)  the projected reporting, recordkeeping, and other administrative costs required  for small businesses to comply with the regulation, including the type of  professional skills necessary for preparing required reports and other  documents; (iii) a statement of the probable effect of the regulation on  affected small businesses; and (iv) a description of any less intrusive or less  costly alternative methods of achieving the purpose of the regulation.   The analysis presented above represents DPB's best estimate of these economic  impacts.
    _____________________________
    1 Data source:  Virginia Department of Health
     
     
    Agency's Response to the  Department of Planning and Budget's Economic Impact Analysis: The agency  concurs with the economic impact analysis submitted by the Department of  Planning and Budget.
    Summary:
    On March 31, 2009, the Virginia Department of Health (VDH)  entered into an agreement with the U.S. Nuclear Regulatory Commission (NRC) for  assuming regulatory authority of NRC's licensees located in Virginia.  VDH  is required to implement federal regulations and orders applicable to  radioactive material licensees.  Pursuant to NRC rules, the amendments  require that licensees call NRC when (i) instances of theft, sabotage, or  diversion of radioactive material or of the devices occur or are attempted;  (ii) through the course of the investigation, it is determined the shipment has  become lost, stolen, or missing; and (iii) the results from an FBI  identification and criminal history records check indicate that an individual  is identified on the FBI's terrorist screening database. These regulations  require radioactive material licensees that have certain quantities of  radioactive materials of concern to have individuals who have unrestricted  access to these materials fingerprinted and their names compared with those on  the national terrorist screening database.
    12VAC5-481-451. Increased controls and fingerprinting.
    A. Radionuclides of concern.
           | Radionuclide | Quantity of concern (TBq)1,2 | Quantity of concern (Ci)1,2 | 
       | Am-241 | 0.6 | 16 | 
       | Am-241/Be | 0.6 | 16 | 
       | Cf-252 | 0.2 | 5.4 | 
       | Cm-244 | 0.5 | 14 | 
       | Co-60 | 0.3 | 8.1 | 
       | Cs-137 | 1 | 27 | 
       | Gd-153 | 10 | 270 | 
       | Ir192 | 0.8 | 22 | 
       | Pm-147 | 400 | 11,000 | 
       | Pu-238 | 0.6 | 16 | 
       | Pu-239/Be | 0.6 | 16 | 
       | Ra-226 | 0.4 | 11 | 
       | Se-75 | 2 | 54 | 
       | Sr-90 (Y-90) | 10 | 270 | 
       | Tm-170 | 200 | 5,400 | 
       | Yb-169 | 3 | 81 | 
       | Combinations    of radioactive materials listed above3 | See footnote below4 |   | 
  
    1The aggregate activity of multiple, collocated  sources of the same radionuclides should be included when the total activity  equals or exceeds the quantity of concern.
    2The primary values used for compliance are TBq. The  curie (Ci) values are rounded to two significant figures for informational  purposes only.
    3Radioactive materials are to be considered aggregated  or collocated if breaching a common physical barrier (e.g., a locked door at  the entrance to a storage room) would allow access to the radioactive material  or devices containing the radioactive material.
    4If several radionuclides are aggregated, the sum of  the ratios of the activity of each source, i of radionuclide, n, A (i,n), to  the quantity of concern for radionuclide n, Qn, listed for that  radionuclide equals or exceeds one. [(aggregated source activity for  radionuclide A) / (quantities of concern for radionuclide A)] + [(aggregated  source activity for radionuclide B) / (quantities of concern for radionuclide  B)] + etc…. ≥ 1.
    B. The following increased controls apply to licensees who,  at any given time, possess radioactive sources greater than or equal to the  quantities of concern of radioactive material listed in subsection A of this  section.
    1. In order to ensure the safe handling, use, and control of  licensed material in use and in storage, each licensee shall control access at  all times to radioactive material quantities of concern and devices containing  such radioactive material (devices), and limit access to such radioactive  material and devices to only approved individuals who require access to perform  their duties.
    a. The licensee shall allow only trustworthy and reliable  individuals, approved in writing by the licensee, to have unescorted access to  radioactive material quantities of concern and devices. The licensee shall  approve for unescorted access only those individuals with job duties that  require access to such radioactive material and devices. Personnel who require  access to such radioactive material and devices to perform a job duty, but who  are not approved by the licensee for unescorted access, must be escorted by an  approved individual.
    b. For individuals employed by the licensee for three years or  less, and for nonlicensee personnel, such as physicians, physicists,  housekeeping personnel, and security personnel under contract, trustworthiness  and reliability shall be determined at a minimum, by verifying employment  history, education, personal references and fingerprinting and the review of an  FBI identification and criminal history records check. The licensee shall also,  to the extent possible, obtain independent information to corroborate that  provided by the employee (i.e., seeking references not supplied by the  individual). For individuals employed by the licensee for longer than three  years, trustworthiness and reliability shall be determined, at a minimum, by a  review of the employees' employment history with the licensee and  fingerprinting and an FBI identification and criminal history records check.
    c. Service provider licensee employees shall be escorted  unless determined to be trustworthy and reliable by an NRC-required background  investigation. Written verification attesting to or certifying the person's  trustworthiness and reliability shall be obtained from the licensee providing  the service.
    d. The licensee shall document the basis for concluding that  there is reasonable assurance that an individual granted unescorted access is  trustworthy and reliable, and does not constitute an unreasonable risk for  unauthorized use of radioactive material quantities of concern. The licensee  shall maintain a list of persons approved for unescorted access to such  radioactive material and devices by the licensee.
    2. In order to ensure the safe handling, use and control of  licensed material in use and in storage, each licensee shall have a documented  program to monitor and immediately detect, assess, and respond to unauthorized  access to radioactive material quantities of concern and devices. Enhanced  monitoring shall be provided during periods of source delivery or shipment,  where the delivery or shipment exceeds 100 times the limits in subsection A of  this section.
    a. The licensee shall respond immediately to any actual or  attempted theft, sabotage, or diversion of such radioactive material or of the  devices. The response shall include requesting assistance from a local  law-enforcement agency (LLEA).
    b. The licensee shall have a prearranged plan with LLEA for  assistance in response to an actual or attempted theft, sabotage, or diversion  of such radioactive material or of the devices that is consistent in scope and  timing with a realistic potential vulnerability of the sources containing such  radioactive material. The prearranged plan shall be updated when changes to the  facility design or operation affect the potential vulnerability of the sources.  Prearranged LLEA coordination is not required for temporary job sites.
    c. The licensee shall have a dependable means to transmit  information between, and among, the various components used to detect and  identify an unauthorized intrusion, to inform the assessor, and to summon the  appropriate responder.
    d. After initiating appropriate response to any actual or  attempted theft, sabotage, or diversion of radioactive material or of the  devices, the licensee shall, as promptly as possible, notify the agency at  (804) 864-8150 during normal business hours and (804) 674-2400 after hours and  the NRC HQ Operations Center at (301) 816-5100.
    e. The licensee shall maintain documentation describing each  instance of unauthorized access and any necessary corrective actions to prevent  future instances of unauthorized access.
    3. Transportation.
    a. In order to ensure the safe handling, use, and control of  licensed material in transportation for domestic highway and rail shipments by  a carrier other than the licensee, for quantities that equal or exceed those in  subsection A of this section but are less than 100 times those in subsection A  of this section, per consignment, the licensee shall:
    (1) Use carriers that:
    (a) Use package tracking systems,
    (b) Implement methods to assure trustworthiness and reliability  of drivers,
    (c) Maintain constant control and/or surveillance during  transit, and 
    (d) Have the capability for immediate communication to summon  appropriate response or assistance.
    (2) Verify and document that the carrier employs the measures  listed in subdivision (1) above.
    (3) Contact the recipient to coordinate the expected arrival  time of the shipment.
    (4) Confirm receipt of the shipment.
    (5) Initiate an investigation to determine the location of the  licensed material if the shipment does not arrive on or about the expected  arrival time. When, through the course of the investigation, it is determined  the shipment has become lost, stolen, or missing, the licensee shall  immediately notify the agency at (804) 864-8150 during normal working hours and  (804) 674-2400 after hours and the NRC HQ Operations Center at (301)  816-5100. If after 24 hours of investigating, the location of the material  still cannot be determined, the radioactive material shall be determined  missing and the licensee shall immediately notify the agency at (804) 864-8150  during normal working hours and (804) 674-2400 after hours and the NRC HQ  Operations Center at (301) 816-5100.
    b. For domestic highway and rail shipments, prior to shipping  licensed radioactive material that exceeds 100 times the quantities in  subsection A of this section per consignment, the licensee shall:
    (1) Notify the NRC (Director, Office of Nuclear Material  Safety and Safeguards, U.S. NRC, Washington, DC 20555), in writing, at least 90  days prior to the anticipated date of shipment. The NRC will issue the Order to  implement the Additional Security Measures (ASMs) for the transportation of  Radioactive Material Quantities of Concern (RAM QC). The licensee shall not  ship this material until the ASMs for the transportation of RAM QC are  implemented or the licensee is notified otherwise, in writing, by the NRC.
    (2) Once the licensee has implemented the ASMs for the  transportation of RAM QC, the notification requirements of subdivision 1 of  this subsection shall not apply to future shipments of licensed radioactive  material that exceeds 100 times the quantities listed in subsection A of this  section. The licensee shall implement the ASMs for the transportation of RAM  QC.
    c. If a licensee employs a Manufacturer/Distributor (M&D)  licensee to take possession at the licensee's location of the licensed  radioactive material and ship it under its M&D license, the requirements of  subdivision a and b above shall not apply.
    d. If the licensee is to receive radioactive material greater than  or equal to the quantities listed in subsection A of this section, per  consignment, the licensee shall coordinate with the originator to:
    (1) Establish an expected time of delivery; and
    (2) Confirm receipt of transferred radioactive material. If  the material is not received at the expected time of delivery, notify the  originator and assist in any investigation.
    4. In order to ensure the safe handling, use, and control of  licensed material in use and in storage, each licensee that possesses mobile or  portable devices containing radioactive material in quantities greater than or  equal to the limits in subsection A of this section shall:
    a. For portable devices, have two independent physical  controls that form tangible barriers to secure the material from unauthorized  removal when the device is not under direct control and constant surveillance  by the licensee.
    b. For mobile devices:
    (1) That are only moved outside of the facility (e.g., on a  trailer), have two independent physical controls that form tangible barriers to  secure the material from unauthorized removal when the device is not under  direct control and constant surveillance by the licensee.
    (2) That are only moved inside a facility, have a physical  control that forms a tangible barrier to secure the material from unauthorized  movement or removal when the device is not under direct control and constant  surveillance by the licensee.
    c. For devices in or on a vehicle or trailer, licensees shall  also utilize a method to disable the vehicle or trailer when not under direct  control and constant surveillance by the licensee.
    5. The licensee shall retain documentation required by this  section for three years after these increased controls are no longer effective.
    a. The licensee shall retain documentation regarding the  trustworthiness and reliability of individual employees for three years after  the individual's employment ends.
    b. Each time the licensee revises the list of approved persons  required in subdivision 1 d of this subsection or the documented program  required by subdivision B 2 of this section, the licensee shall retain the  previous documentation for three years after the revision.
    c. The licensee shall retain documentation on each radioactive  material carrier for three years after the licensee discontinues use of that  particular carrier.
    d. The licensee shall retain documentation on shipment  coordination, notifications, and investigations for three years after the  shipment or investigation is completed.
    e. After the licensee is terminated or amended to reduce  possession limits below the quantities of concern, the licensee shall retain  all documentation required by this section for three years.
    6. Detailed information generated by the licensee that  describes the physical protection of radioactive material quantities of concern  is sensitive information and shall be protected from unauthorized disclosure.
    a. The licensee shall control access to its physical  protection information to those persons who have an established need to know  the information and are considered to be trustworthy and reliable.
    b. The licensee shall develop, maintain and implement policies  and procedures for controlling access to, and for proper handling and  protection against unauthorized disclosure of, its physical protection information  for radioactive material covered by this section. The policies and procedures  shall include the following:
    (1) General performance requirement that each person who  produces, receives, or acquires the licensees sensitive information, protect  the information from unauthorized disclosure;
    (2) Protection of sensitive information during use, storage,  and transit;
    (3) Preparation, identification or marking, and transmission;
    (4) Access controls;
    (5) Destruction of documents;
    (6) Use of automatic data processing systems; and
    (7) Removal from the licensee's sensitive information  category.
    C. Fingerprinting.
    1. Licensees who possess radionuclides in quantities greater  than those listed in subsection A of this section shall establish and maintain  a fingerprinting program that meets the following:
    a. Each licensee subject to these provisions shall fingerprint  each individual who is seeking unescorted access to risk significant  radioactive materials equal to or greater than the quantities listed in  subsection A of this section. The licensee shall review and use the information  received from the Federal Bureau of Investigation (FBI) identification and  criminal history records check and ensure that the provisions in this  subsection are satisfied;
    b. The licensee shall notify each affected individual that the  fingerprints will be used to secure a review of his criminal history record and  inform the individual of the procedures for revising the record or including an  explanation in the record as specified in subdivision 3 of this subsection;
    c. Fingerprints for unescorted access need not be taken if an  employed individual (e.g., a licensee employee, contractor, manufacturer, or  supplier) is relieved from the fingerprinting requirement by 10 CFR 73.61, or  any person who has been favorably decided by a U.S. government program  involving fingerprinting and an FBI identification and criminal history records  check (e.g., National Agency Check, Transportation Worker Identification  Credentials in accordance with 49 CFR Part 1572, Bureau of Alcohol Tobacco  Firearms and Explosives background checks and clearances in accordance with 27  CFR Part 555, Health and Human Services security risk assessments for  possession and use of select agents and toxins in accordance with 42 CFR Part  73, Hazardous Material security threat assessment for hazardous material  endorsement to commercial drivers license in accordance with 49 CFR Part 1572,  Customs and Border Patrol's Free and Secure Trade Program (Note 1: within the  last five calendar years, or any person who has an active federal security  clearance provided in the latter two cases that they make available the  appropriate documentation; Note 2: Written confirmation from the  agency/employer that granted the federal security clearance or reviewed the FBI  criminal history records results based upon a fingerprint identification check  must be provided. The licensee must retain this documentation for a period of  three years from the date the individual no longer requires unescorted access  to certain radioactive material associated with the licensee's activities.));
    d. All fingerprints obtained by the licensee pursuant to this  section must be submitted to the NRC (Division of Facilities and Security,  11545 Rockville Pike, ATTN: Criminal History Program, Mail Stop T-6E46,  Rockville, MD 20852) (Office of Administration, Security Processing  Unit, Mail Stop TWB-05 B32M, US NRC, Washington, DC 20555-0012) for  transmission to the FBI. Additionally, the licensee shall submit a  certification of the trustworthiness and reliability of the Trustworthy &  Reliability (T & R) Official as determined in accordance with subdivision 5  of this subsection. (See the NRC's website at www.nrc.gov for more information  on submitting fingerprints, including pricing and address changes). The  licensee shall review the information received from the FBI and consider it, in  conjunction with the trustworthiness and reliability requirements of  subdivision B 1 of this section, in making a determination whether to grant  unescorted access to certain radioactive materials;
    e. The licensee shall use any information obtained as part of  a criminal history records check solely for the purpose of determining an  individual's suitability for unescorted access to risk significant radioactive materials  equal to or greater than the quantities listed in subsection A of this section;  and
    f. The licensee shall document the basis for its determination  whether to grant or continue to allow unescorted access to risk significant  radioactive materials equal to or greater than those listed in subsection A of  this section.
    2. Prohibitions. A licensee shall not base a final  determination to deny an individual unescorted access to certain radioactive  material solely on the basis of information received from the FBI involving: an  arrest more than one year old for which there is no information of the  disposition of the case, or an arrest that resulted in dismissal of the charge  or an acquittal. A licensee shall not use information received from a criminal  history check obtained pursuant to this section in a manner that would infringe  upon the rights of any individual under the First Amendment to the Constitution  of the United States, nor shall the licensee use the information in any way  that would discriminate among individuals on the basis of race, religion,  national origin, sex, or age.
    3. Right to correct and complete information. Prior to any  final adverse determination, the licensee shall make available to the  individual the contents of any criminal records obtained from the FBI for the  purpose of assuring correct and complete information. Written confirmation by  the individual of receipt of this notification must be maintained by the  licensee for a period of one year from the date of the notification. If, after  reviewing the record, an individual believes that it is incorrect or incomplete  in any respect and wishes to change, correct, or update the alleged deficiency,  or to explain any matter in the record, the individual may initiate challenge  procedures. These procedures include either direct application by the  individual challenging the record to the agency (i.e., law-enforcement agency)  that contributed the questioned information, or direct challenge as to the  accuracy or completeness of any entry on the criminal history record to the  Assistant Director, Federal Bureau of Investigation Identification Division,  Washington, DC 20537-9700. In the latter case, the FBI forwards the challenge  to the agency that submitted the data and requests that agency to verify or  correct the challenged entry. Upon receipt of an official communication  directly from the agency that contributed the original information, the FBI  Identification Division makes any changes necessary in accordance with the  information supplied by that agency. 
    The licensee must provide at least 10 days for an individual  to initiate an action challenging the results of an FBI identification and  criminal history records check after the record is made available for his  review. The licensee may make a final unescorted access to certain radioactive  material determination based upon the criminal history record only upon receipt  of the FBI's ultimate confirmation or correction of the record. Upon a final  adverse determination on unescorted access to certain radioactive material, the  licensee shall provide the individual its documented basis for denial.  Unescorted access to certain radioactive material shall not be granted to an  individual during the review process.
    4. Protection of information.
    a. Each licensee who obtains a criminal history record on an  individual pursuant to this section shall establish and maintain a system of  files and procedures for protecting the record and the personal information  from unauthorized disclosure.
    b. The licensee may not disclose the record or personal  information collected and maintained to persons other than the subject  individual, his representative, or to those who have a need to access the  information in performing assigned duties in the process of determining  unescorted access to certain radioactive material. No individual authorized to  have access to the information may re-disseminate the information to any other  individual who does not have a need to know.
    c. The personal information obtained on an individual from a  criminal history record check may be transferred to another licensee if the  licensee holding the criminal history record check receives the individual's  written request to re-disseminate the information contained in his file, and  the gaining licensee verifies information such as the individual's name, date  of birth, social security number, sex, and other applicable physical  characteristics for identification purposes.
    d. The licensee shall make criminal history records obtained  under this section available for examination by an authorized representative of  VDH to determine compliance with the regulations.
    e. The licensee shall retain all fingerprints and criminal  history records from the FBI, or a copy if the individual's file has been  transferred, for three years after termination of employment or determination  of unescorted access to certain radioactive material (whether unescorted access  was approved or denied). After the required three-year period, these documents  shall be destroyed by a method that will prevent reconstruction of the  information in whole or in part.
    5. Trustworthy & Reliability Official.
    a. The licensee shall provide under oath or affirmation, a  certification to the agency that the T & R Official (an individual with the  responsibility to determine the trustworthiness and reliability of another  individual requiring unescorted access to the radioactive materials identified  in subsection A of this section) is deemed trustworthy and reliable by the  licensee as required in subdivision 5 b below.
    b. The T & R Official, if he does not require unescorted  access, must be deemed trustworthy and reliable by the licensee in accordance  with the requirements of subdivision B 1 of this section before making a  determination regarding the trustworthiness and reliability of another  individual. If the T & R Official requires unescorted access, the licensee  must consider the results of fingerprinting and the review of an FBI  identification and criminal history records check as a component in approving a  T & R Official.
    6. The licensee shall notify the agency at (804) 864-6168 and  the NRC HQ Operations Center at (301) 816-5100 within 24 hours if the  results from an FBI identification and criminal history records check indicate  that an individual is identified on the FBI's Terrorist Screening Data Base.
    7. Prior to requesting fingerprints from any individual, the  licensee shall provide a copy of 12VAC5-481-451 to that individual.
    VA.R. Doc. No. R09-1739; Filed May 29, 2009, 10:15 a.m. 
TITLE 12. HEALTH
STATE BOARD OF HEALTH
Proposed Regulation
    Title of Regulation: 12VAC5-650. State Board of  Health Schedule of Civil Penalties (adding 12VAC5-650-10 through 12VAC5-650-100).
    Statutory Authority: § 32.1-164 of the Code of  Virginia.
    Public Hearing Information: No public hearings are  scheduled.
    Public Comments: Public comments may be submitted until  5 p.m. on August 21, 2009.
    Agency Contact: Allen Knapp, Environmental Health  Coordinator, Department of Health, 109 Governor St., Richmond, VA 23219,  telephone (804) 864-7458, FAX (804) 864-7475, or email  allen.knapp@vdh.virginia.gov.
    Basis: Section 32.1-164 J (effective July 1, 2009) of the  Code of Virginia requires the State Board of Health to establish a uniform  schedule of civil penalties for violations of regulations promulgated pursuant  to § 32.1-164 B (collection, conveyance, transportation, treatment, and  disposal of sewage by onsite sewage systems and alternative discharging sewage  systems and the maintenance, inspection, and reuse of alternative onsite sewage  systems) that are not remedied within 30 days after service of notice from the  Department of Health.
    Purpose: The proposed regulation, while fulfilling  specific statutory requirements, allows the Department of Health to employ  civil penalties to enhance existing regulatory programs for supervising and  controlling the safe and sanitary treatment and disposal of sewage. Currently,  the department may ask for criminal penalties (Class I misdemeanor), may  initiate civil proceedings, and may collect civil charges only with the consent  of the affected party. Under the proposed regulation, the department may charge  civil penalties in amounts that are relatively small in comparison to existing  penalties. The goal of the regulation is to enhance the department's ability to  protect public health and the environment by providing an enforcement tool that  may be scaled to match the seriousness of a violation.
    Substance: The proposed regulation specifies uniform  penalties for violations of the board's regulations. The penalty for any one  violation may not exceed $100 for the initial violation and $150 for each  additional violation. Each day during which a violation is found to exist will  constitute a separate offense; however, violations arising from the same set of  operative facts may not be charged more than once in any 10-day period. A  series of violations arising from the same set of operative facts may not  result in civil penalties exceeding a total of $3,000. The department may not  charge civil penalties in cases where an unoccupied structure does not  contribute to pollution of public or private water supplies or to the  contraction or spread of disease. The department may pursue other remedies as  provided by law; however, civil penalties must be in lieu of criminal  penalties, except where a violation contributes to or is likely to contribute  to the pollution of public or private water supplies or the contraction or spread  of disease. The department may issue a civil summons ticket as provided by law  for a scheduled violation.
    Issues: The primary advantage to the public comes from  improving the department's ability to protect citizens and the environment from  the harmful effects of sewage. As the number of alternative onsite sewage  systems in the Commonwealth continues to increase, citizens, local governments,  regulators, and onsite sewage professionals agree that ongoing operation,  maintenance, and monitoring of these systems is essential to ensure that they  function properly. When these systems are not properly maintained and operated,  they may discharge untreated or partially treated sewage directly into the  Commonwealth's ground and surface waters. The board's regulations and policies  increasingly require owners of alternative onsite sewage systems to perform  certain activities, such as monitoring inspections and maintenance, to ensure  that systems are operating properly. The ability to assess civil penalties, as  an alternative to criminal enforcement, is a more effective enforcement  strategy to employ in such a "performance-based" regulatory program.  A disadvantage, expressed by some in the regulated communities, is that  department staff may misuse or abuse the new penalties.
    Civil penalties will improve the department's ability to  enforce the board's regulations by providing another enforcement tool. Existing  statutes provide for enforcement actions via the Administrative Process Act  (APA) such as informal fact-finding conferences to make case decisions, e.g.,  permit suspension, revocation, the issuance of orders by the board, civil  actions in circuit courts, and criminal actions. These are relatively  "heavy" actions that are appropriate in some cases. Currently, civil  charges can only be collected with the consent of the affected party and are  employed in conjunction with a consent order. Properly used, civil penalties  can be viable alternatives when existing enforcement tools are too heavy-handed  for many routine enforcement actions. Civil penalties are not intended to be  punitive, but are intended to encourage compliance with environmental health  regulations before a situation deteriorates to the point that heavier  enforcement is warranted. A disadvantage to the agency will be the perceived  drains on agency staff and resources required to implement the new civil  penalties.
    Civil penalties are particularly critical for managing the  onsite sewage and alternative discharging sewage system programs. Several local  governments have enacted ordinances requiring operation and maintenance of  alternative onsite sewage systems. The department is currently developing new  regulations for the board that will require routine monitoring, maintenance,  and reporting for alternative onsite systems. These are already required in the  alternative discharging system program. Typically, an owner is responsible for  maintaining a contract with a private-sector provider to perform routine  inspections, tests, and maintenance. The owner (or the provider) must forward  inspection reports and test results to the department. Criminal or other  "heavy" enforcement actions are not appropriate for situations, such  as the failure to submit a report or keep a maintenance contract in effect.  Civil penalties will provide options for the department to scale its  enforcement actions to the seriousness of a particular situation. The  department will develop administrative guidelines for implementing the civil  penalties. These guidelines will seek to ensure that the penalties are not  abused or misused by staff.
    The Department of Planning and Budget's Economic Impact  Analysis:
    Summary of the Proposed Amendments to Regulation. Pursuant to  Chapter 514 of the 2007 Virginia Acts of Assembly the State Board of Health  (Board) is proposing to establish a uniform schedule of civil penalties for  violations of regulations pertaining to onsite sewage and alternative discharge  sewage treatment systems.
    Result of Analysis. The benefits likely exceed the costs for  all proposed changes.
    Estimated Economic Impact. Chapter 514 of the 2007 Virginia  Acts of Assembly amended Virginia Code § 32.1-164 to state that: 
    The Board shall establish a uniform schedule of civil penalties  for violations of regulations (concerning the collection, conveyance,  transportation, treatment and disposal of sewage by onsite sewage systems and  alternative discharging sewage systems)… that are not remedied within 30 days  after service of notice from the Department (of Health). Civil penalties  collected pursuant to this chapter shall be credited to the Environmental  Health Education and Training Fund ….
    Further, 
    This schedule of civil penalties shall be uniform for each type  of specified violation, and the penalty for any one violation shall be not more  than $100 for the initial violation and not more than $150 for each additional  violation.  Each day during which the violation is found to have existed  shall constitute a separate offense. However, specified violations arising from  the same operative set of facts shall not be charged more than once in any  10-day period, and a series of specified violations arising from the same  operative set of facts shall not result in civil penalties exceeding a total of  $3,000.
    The Board proposes the following civil penalties, which are  consistent with the statute:
    •  For installation, modification, use, or operation  without a permit, $100 for the first violation, $150 for each additional  violation.
    •  For the discharge of sewage onto the ground or into  water without a permit, $100 for the first violation, $150 for each additional  violation.
    •  For failure to obtain or maintain a contract in  accordance with board regulations, $50 for the first violation, $100 for each  additional violation.
    •  For failure to submit a test result or report in  accordance with board regulations, $50 for the first violation, $100 for each  additional violation.
    •  For engaging in unlawful transportation or handling of  sewage or septage, $100 for the first violation, $150 for each additional  violation.
    •  For other unlawful acts described in the regulations,  $25 for the first violation, $50 for each additional violation.
    Prior to the establishment of civil penalties, the Virginia  Department of Health may only enforce the Board's regulations via permit  suspension or revocation, the issuance of orders by the Board, civil actions in  circuit courts, or by criminal actions, which are all relatively heavy-handed  punishments. The Department and Board have at times been reluctant to issue  these heavy-handed punishments for routine enforcement actions. Additionally,  civil charges can only be collected with the consent of the affected party and  are employed in conjunction with a consent order. The proposed civil penalties,  which do not require a consent order, may be enough to discourage violations  that put public health at risk and cause less harm to recipients (of the  penalties) than the more heavy-handed options. Thus, providing this tool to the  Board and Department will likely provide a net benefit.
    Businesses and Entities Affected. The proposed amendments  potentially affect homeowners and businesses who own onsite and alternative  discharging sewage systems, onsite sewage system installers, and individuals  and businesses that provide maintenance services such as pumpouts, and repair  or replacement of systems or system components. The Virginia Department of  Health estimates that between 175 and 350 entities may be affected each year  because of a sewage system malfunction that is not remedied within 30 days, and  approximately 66 entities may incur a civil penalty.
    Localities Particularly Affected. The proposed amendments do  not disproportionately affect particular localities.
    Projected Impact on Employment. The proposal to establish a  uniform schedule of civil penalties for violations of regulations pertaining to  onsite sewage and alternative discharge sewage treatment systems will not  likely significantly affect employment.
    Effects on the Use and Value of Private Property. The proposal  to establish a uniform schedule of civil penalties for violations of  regulations pertaining to onsite sewage and alternative discharge sewage  treatment systems may result in some homeowners and businesses receiving civil  penalties who may not have otherwise been so fined. Thus, they may have a moderate  reduction in property value. On the other hand, the threat of civil penalties  may encourage homeowners and businesses to not violate the Board's regulations  which could result in higher property values for neighboring properties.
    Small Businesses: Costs and Other Effects. The proposal to  establish a uniform schedule of civil penalties for violations of regulations  pertaining to onsite sewage and alternative discharge sewage treatment systems  may result in some small businesses receiving civil penalties who may not have  otherwise been so fined. On the other hand, the threat of civil penalties may  encourage homeowners and businesses to not violate the Board regulations which  could result in higher property values for neighboring small businesses. 
    Small Businesses: Alternative Method that Minimizes Adverse  Impact. There is no clear alternative that would produce less cost while still  reaping the same benefits.
    Real Estate Development Costs. For firms and other entities  that abide by the Board's regulations pertaining to onsite sewage and  alternative discharge sewage treatment systems, the proposal to establish a  uniform schedule of civil penalties for violations produces no cost. To the  extent that the civil penalties discourage sewage violations from neighbors and  previous property owners, the proposal to establish a uniform schedule of civil  penalties for violations of regulations pertaining to onsite sewage and  alternative discharge sewage treatment systems may reduce real estate  development costs.
    Legal Mandate. The Department of Planning and Budget (DPB) has  analyzed the economic impact of this proposed regulation in accordance with  § 2.2-4007.04 of the Administrative Process Act and Executive Order Number  36 (06). Section 2.2-4007.04 requires that such economic impact analyses  include, but need not be limited to, the projected number of businesses or  other entities to whom the regulation would apply, the identity of any  localities and types of businesses or other entities particularly affected, the  projected number of persons and employment positions to be affected, the  projected costs to affected businesses or entities to implement or comply with  the regulation, and the impact on the use and value of private property.  Further, if the proposed regulation has adverse effect on small businesses,  § 2.2-4007.04 requires that such economic impact analyses include (i) an  identification and estimate of the number of small businesses subject to the  regulation; (ii) the projected reporting, recordkeeping, and other  administrative costs required for small businesses to comply with the  regulation, including the type of professional skills necessary for preparing  required reports and other documents; (iii) a statement of the probable effect  of the regulation on affected small businesses; and (iv) a description of any  less intrusive or less costly alternative methods of achieving the purpose of  the regulation. The analysis presented above represents DPB's best estimate of  these economic impacts.
    Agency's Response to the Department of Planning and Budget's  Economic Impact Analysis: The agency concurs with the economic impact  analysis submitted by the Department of Planning and Budget.
    Summary:
    This proposed regulation establishes a uniform schedule of  civil penalties for violations of the Board of Health's regulations pertaining  to conventional and alternative onsite sewage systems, and for violations of  the Board of Health's regulations pertaining to alternative discharging sewage  treatment systems for individual single family homes.
    CHAPTER 650 
  STATE BOARD OF HEALTH SCHEDULE OF CIVIL PENALTIES 
    12VAC5-650-10. Definitions.
    The following words and terms used in this chapter have  the following meanings unless the context clearly indicates otherwise: 
    "Board" means the State Board of Health.
    "Department" means the Virginia Department of  Health. 
    "Transportation of sewage or septage" means  actions associated with removing septage, sludge, or sewage from an onsite  sewage system, a sewerage system, or other treatment works, including, but not  limited to, using a pump or other device or gravity flow to collect septage,  sludge, or sewage in a tank or other vessel intended to contain the septage,  sludge, or sewage during transport to another location.
    12VAC5-650-20. Purpose and authority.
    The board has promulgated this chapter to:
    1. Establish a uniform schedule of civil penalties for  violations of 12VAC5-610, the Sewage Handling and Disposal Regulations (or  successor), and 12VAC5-640, the Alternative Discharging Sewage Treatment Regulations  for Individual Single Family Dwellings (or successor);
    2. Support enforcement activities necessary to discharge  the board's responsibility to supervise and control the safe and sanitary  collection, conveyance, transportation, treatment, and disposal of sewage as  they affect the public health and welfare; 
    3. Support enforcement activities necessary to discharge  the board's responsibility to exercise due diligence to protect the quality of  ground and surface waters; and 
    4. Guide the State Health Commissioner in charging civil  penalties. 
    12VAC5-650-30. Applicability.
    A. This chapter applies only in those localities where the  local government has entered into a contract with the department for the  operation of local and district health departments.  It does not apply in  any locality that has not entered into such a contract.
    B. This chapter applies to those activities conducted  pursuant to 12VAC5-610 and 12VAC5-640 or successor regulations promulgated by  the board as described herein. Except as provided in § 32.1-164 J of the  Code of Virginia, this chapter may not be construed to limit the board's or the  commissioner's authority to enforce any law or regulation administered by the  board or to enforce any order of the board.
    12VAC5-650-40. Administration.
    A. The board has the responsibility to promulgate, amend,  and repeal regulations necessary to ensure the safe and sanitary handling and  disposal of sewage via onsite sewage systems and alternative discharging sewage  systems as these affect public health. Nothing in this chapter may be construed  to limit the board's authority to enforce any law administered by it, any  regulation promulgated by it, or any case decision rendered by it or by the  commissioner.
    B. The State Health Commissioner is the chief executive  officer of the department. The commissioner has the authority to act, within  the scope of regulations promulgated by the board, for the board when it is not  in session. The department is designated as the primary agent of the  commissioner for the purpose of administering this chapter. The commissioner  may delegate his powers under this chapter.
    C. Section 32.1-30 of the Code of Virginia requires each  county and city to establish and maintain a local department of health that is  responsible for enforcing all health laws of the Commonwealth and regulations  of the board. With the concurrence of each county and city government affected,  the commissioner may create a district health department composed of such local  health departments. The commissioner appoints the local or district health  director in those localities that enter into a contract with the department for  the operation of the local or district health department. In such localities  the local or district health director is responsible for implementing this  chapter. The authority to implement this chapter is hereby delegated to local  and district health directors who are employees of the department; such local  and district health directors may delegate to subordinates as they deem  necessary. Nothing in this section may be construed as limiting the  commissioner's authority to delegate his powers as provided in law.
    12VAC5-650-50. Conduct declared unlawful.
    The following conduct is hereby declared unlawful and  subject to civil penalties in accordance with this chapter:
    1. Violation of any provision of 12VAC5-610, the Sewage  Handling and Disposal Regulations or successor regulation promulgated by the  board, including failure to comply with the provisions, requirements,  conditions, or standards contained in a construction permit or in an operating  permit.
    2. Violation of any provision of 12VAC5-640, the  Alternative Discharging Sewage Treatment Regulations for Individual Single  Family Dwellings or successor regulation promulgated by the board, including  failure to comply with the provisions, requirements, conditions, or standards  contained in a construction permit or in an operating permit.
    3. Failure to comply with any order issued by the board or  commissioner.
    12VAC5-650-60. Uniform schedule of civil penalties.
    A. There is hereby established a uniform schedule of civil  penalties for the following violations of the board's regulations:
    1. Install or cause to install, modify or cause to modify,  use or operate an onsite or alternative discharging sewage system without a  permit issued by the commissioner: $100 for the first violation, $150 for each  additional violation.
    2. Discharge treated or untreated sewage on the surface of  the ground or into the waters of the Commonwealth without a permit: $100 for  the initial violation, $150 for each additional violation.
    3. Fail to obtain or keep a contract for operation,  maintenance, or monitoring of an onsite or alternative discharging system to  the extent that such contract is a requirement of the board's regulations: $50  for the initial violation, $100 for each additional violation.
    4. Fail to submit to the department a laboratory test  result, or an inspection or other report to the extent that such report is a  requirement of the board's regulations: $50 for the initial violation, $100 for  each additional violation.
    5. To the extent such activities are not regulated by  another agency of the Commonwealth, engage in unlawful transportation or  handling of sewage or septage: $100 for the initial violation, $150 for each  additional violation.
    6. Any unlawful act described in 12VAC5-650-60 not  specifically described in this subsection: $25 for the initial violation, $50  for each additional violation.
    B. The department may not charge civil penalties pursuant  to this chapter for activities related to land development.
    C. The department may not charge civil penalties pursuant  to this chapter for an unoccupied structure unless such structure contributes  to the pollution of public or private water supplies or the contraction or spread  of infectious, contagious, or dangerous diseases. 
    12VAC5-650-70. Criminal prosecution precluded.
    In accordance with § 32.1-164 J of the Code of  Virginia, designation of a particular violation for a civil penalty pursuant to  this chapter must be in lieu of criminal penalties, except for any violation  that contributes to or is likely to contribute to the pollution of public or  private water supplies or the contraction or spread of infectious, contagious,  or dangerous diseases.
    12VAC5-650-80. Civil summons ticket.
    A. The department must prepare a civil summons ticket for  use in implementing this chapter.
    B. In addition to any information the department deems  necessary, the ticket must contain the following information:
    1. A statement notifying the recipient that he may make an  appearance in person or in writing by mail to the department prior to the date  fixed for trial in court; 
    2. A statement that any person so appearing may enter a  waiver of trial, admit liability, and pay the civil penalty established for the  offense charged;
    3. The physical address, hours of operation, and mailing  address for the local or district health department responsible for issuing the  civil summons;
    4. A statement that civil penalties may be paid only by  cashier's check or certified check made payable to the Treasurer of Virginia;  and
    5. The date fixed for trial in general district court. 
    12VAC5-650-90. Authority to issue civil summons ticket;  penalties collected.
    A. Any employee of the department who has been delegated  authority pursuant to this chapter may issue a civil summons ticket in  accordance with this chapter.
    1. The civil summons ticket may be delivered in person  after presentation of proper credentials.
    2. The department may deliver a civil summons ticket in any  other manner provided by law.
    B. All civil penalties collected pursuant to this chapter  shall be credited to the Environmental Health Education and Training Fund  established pursuant to § 32.1-248.3 of the Code of Virginia.
    12VAC5-650-100. Requirements for civil summons ticket.
    A. Before the department may issue any civil summons  ticket pursuant to this chapter, the following must occur:
    1. The department shall notify the alleged violator as  required in the board's regulations;
    2. At least 30 days shall have passed from the date the  alleged violator received notice of the violation; and
    3. The violation must remain uncorrected.
    B. Violations arising from the same operative set of facts  shall not be charged more than once in any 10-day period nor shall the department  charge more than one civil penalty from the same set of operative facts.
    VA.R. Doc. No. R08-1522; Filed June 1, 2009, 12:03 p.m. 
TITLE 12. HEALTH
DEPARTMENT OF MEDICAL ASSISTANCE SERVICES
Final Regulation
    Titles of Regulations: 12VAC30-10. State Plan Under  Title XIX of the Social Security Act Medical Assistance Program; General Provisions (amending 12VAC30-10-560).
    12VAC30-20. Administration of Medical Assistance Services (adding 12VAC30-20-141; repealing  12VAC30-20-140).
    Statutory Authority: §§ 32.1-324 and 32.1-325 of  the Code of Virginia.
    Effective Date: July 23, 2009. 
    Agency Contact: Kathy Colley, Fiscal Division,  Department of Medical Assistance Services, 600 East Broad Street, Suite 1300,  Richmond, VA 23219, telephone (804) 786-3839, FAX (804) 786-1680, or email  kathy.colley@dmas.virginia.gov.
    Summary:
    The amendments update and clarify the current regulations  regarding Medicaid estate recovery carried out by the Department of Medical  Assistance Services. This regulatory action more closely reflects current  agency practice based upon language provided by the federal Medicaid agency,  the Centers for Medicare and Medicaid Services, in its guidance document  publication titled "State Medicaid Manual." This change repeals  12VAC30-20-140 (Estate Recoveries) in order to repromulgate this section in a  restructured and revised format as 12VAC30-20-141. This regulatory action adds  new definitions for "cost effective" and "homestead of modest  value." The definitions for "estate" and "applicable  medical payments" are deleted from 12VAC30-10-560 and moved into new  12VAC30-20-141. This revision also includes the exemption from Medicaid estate  recovery for American Indian/Alaska Native income, resources, and property as  defined in the federal State Medicaid Manual.  Consistent with the State  Medicaid Manual, assets or resources that were disregarded due to an authorized  state long-term medicaid insurance partnership policy are being exempted from  estate recovery actions.
    In response to public comment, changes reflected in the  final regulation include (i) modifying the definition of "homestead of  modest value" to incorporate the term "median" in addition to  "average price"; (ii) clarifying new policies by adding references  concerning their application to services received by recipients age 55 or  older; (iii) clarifying new policies by using specific terms more consistently;  and (iv) correcting regulatory text to show that anyone can apply for a  hardship waiver, but DMAS will decide, pursuant to its regulations, if such an application  has merit.
    Summary of Public Comments and Agency's Response: No  public comments were received by the promulgating agency. 
    12VAC30-10-560. Liens and recoveries.
    Liens are not imposed against an individual's property.
    A. Adjustments or recoveries for Medicaid claims correctly  paid are as follows: See 12VAC30-20-140 12VAC30-20-141.
    1. For permanently institutionalized individuals, adjustments  or recoveries are made from the individual's estate.
    2. For any individual who received medical assistance at age  55 or older, recovery of payments are made for nursing facility services, home-  and community-based services, and related hospital and prescription drug  services.
    Payments are recovered for all services covered under the plan  which are provided to individuals at age 55.
    3. For any individual with long-term care insurance  policies, if assets or resources are disregarded, recovery is made for all  Medicaid costs for nursing facility and other long-term care services from the  estate of persons who have such policies.
    4. 3. If an individual covered under a qualified  long-term care partnership insurance policy pursuant to § 32.1-325 of  the Code of Virginia received benefits for which assets or resources were  disregarded as provided for in 12VAC30-40-290 G, the state Commonwealth  does not seek adjustment or recovery from the individual's estate for the  amount of assets or resources disregarded.
    B. No money payments under another program are reduced as a  means of recovering Medicaid claims incorrectly paid.
    C. Liens. See 12VAC30-20-130.
    1. Specifies the process for determining that an  institutionalized individual cannot reasonably be expected to be discharged  from the medical institution and return home; the description of the process  meets the requirements of 42 CFR 433.36(d).
    The Commonwealth does not impose liens [ ;  ]  therefore [ , ] this subsection is not applicable.
    2. Specifies the criteria by which a son or daughter can  establish that he or she has been providing care under 42 CFR 433.36(f).
    [ The Commonwealth does not impose liens; therefore,  this subsection is not applicable. ]
    3. Definitions: individual's home; equity interest in home;  residing in home for at least 1 or 2 years, on a continuing basis; discharge  from the medical institution and return home; and lawfully residing.
    The Commonwealth does not impose liens [ ;  ]  therefore [ , ] this subsection is not applicable.
    D. Estate recoveries. 1. Definitions.
    "Applicable medical assistance payments" means  the amount of any medical assistance payments made on behalf of an individual  under Title XIX of the Social Security Act.
    "Estate" means with respect to a deceased  individual, (i) all real and personal property and other assets held by the  individual at the time of death and (ii) any other real and personal property  and other assets in which the individual had any legal title or interest (to  the extent of such interest) at the time of death. 2. 12VAC30-20-140 further  12VAC30-20-141 (Attachment 4.17-C) specifies the policy for estate  recoveries.
    12VAC30-20-140. Estate recoveries. (Repealed.)
    A. General. Under the authority and consistent with the  requirements of the Social Security Act § 1917, the Commonwealth recovers  certain Medicaid benefits when they have been correctly paid on behalf of  certain individuals. The Commonwealth seeks recovery for all services which  have been paid for consistent with the coverage and reimbursement policies in  the State Plan for Medical Assistance.
    B. Identification of deceased recipients' estates. The  Medical Assistance Title XIX agency shall take all reasonable measures to  determine the existence of deceased eligible individuals with recoverable  estates.
    C. Initiation of claim and recovery.
    1. The Medical Assistance Title XIX agency's estate  recovery unit will review and initiate recovery activities for all deceased  eligible individual's estates identified which meet agency minimum criteria  defined in subsection B of this section. A review of all deceased eligible  individuals' applicable medical assistance payments paid correctly must be  performed to determine the amount of the Commonwealth's claim against the  estate. A "Notice of Claim" shall be sent to the deceased eligible  individual's estate administrator or executor upon determination that estate  recovery meets the minimum criteria. The "Notice of Claim" shall  include, at minimum, (i) the deceased eligible individual's identification  information, (ii) the claim amount, (iii) the agency contact, and (iv) the  attached summary of applicable medical claims paid. The "Notice of  Claim" shall also contain, but not necessarily be limited to, information  regarding the exclusions identified below, the applicant's right to appeal, and  the hardship rule.
    2. The Medical Assistance Title XIX agency will, at a  minimum, initiate recovery when the following conditions are met:
    a. Legal estate administrator or executor has been  verified.
    b. Dollar amount of applicable medical assistance payments  (claim amount) and estate meets agency cost effective threshold. The Title XIX  agency will determine a cost effective threshold based on the administrative  costs to pursue recovery from an estate. The Title XIX agency will adjust the  cost effective threshold as the agency's administrative costs change. Recovery  shall not be initiated unless both the amount of the claim and the value of the  estate at least exceed the administrative cost of recovery.
    c. Deceased eligible was single or surviving spouse is  deceased.
    d. Deceased eligible has no surviving children under 21 or  children who are blind or disabled.
    e. Deceased eligible was 55 years of age or older when the  individual received such medical assistance.
    f. Deceased eligible had no surviving sibling who had an  equity interest in the deceased's home and such sibling resided in the property  for at least one year prior to the deceased's entering a nursing facility.
    3. Appeals related to the recovery of funds will be  administered by the Medical Assistance Title XIX agency.
    4. The Medical Assistance Title XIX agency will pursue  recovery only to the extent that payments for applicable medical claims have  been correctly made under the State Plan for Medical Assistance.
    D. Hardship clause. The Medical Assistance Title XIX  agency shall waive its claim if it determines that enforcement of the claim  would result in substantial hardship to the devisees, legatees, and heirs or  dependents of the individual against whose estate the claim exists. Special  consideration shall be given to cases in which the estate subject to recovery  is (i) the sole income-producing asset of survivors (where such income is  limited), such as a family farm or other business, or (ii) a homestead of  modest value, or (iii) other compelling circumstances. In cases where recovery  is not waived and beneficiaries of the estate from which recovery is sought  wish to satisfy the Commonwealth's claim without selling a nonliquid asset  which is subject to recovery, alternative methods of recovery may be  considered.
    E. If an individual covered under a long-term care  partnership insurance policy received benefits for which assets or resources  were disregarded as provided for in 12VAC30-40-290 G, the state does not seek  adjustment or recovery from the individual's estate for the amount of assets or  resources disregarded.
    12VAC30-20-141. Estate recoveries.
    A. Definitions. The following words and terms when used in  this regulation shall have the following meanings unless the context clearly  indicates otherwise:
    "Act" means the Social Security Act (42 USC  § 1396) as applicable.
    "Applicable medical assistance payment" means  the amount of any medical assistance payments made on behalf of an individual  under Title XIX of the Social Security Act.
    "Claim" means, for the purposes of this section,  action taken by DMAS to recover from the estate of an individual, who was age  55 or older when that person received medical assistance, the total amount of  assistance paid for services consistent with the coverage and reimbursement  policies in the State Plan for Medical Assistance.
    "Cost effective" means that both the dollar amount  of the medical assistance payments (claim) and the value of the estate at least  exceed the administrative costs of recovery.
    "Dual eligibles" mean individuals who are  entitled to Medicare hospital insurance under Part A or supplementary medical  insurance under Part B, or both, and are eligible for some form of Medicaid  benefit.
    "Estate" means, with respect to a deceased  individual, (i) all real and personal property and other assets held by the  individual at the time of death and (ii) any other real and personal property  and other assets in which the individual had any legal title or interest (to  the extent of such interest) at the time of his death.
    "Homestead of modest value" means a home that is  worth 50% or less of the average [ or median ] price,  as contained in the most recent U.S. Census data [ or any other  such source of home value information as published in the agency's guidance  documents ] , of homes in the county or city, as appropriate, where  the homestead is located as of the date of the individual's death.
    "Undue hardship" means that DMAS has determined  that enforcement of a claim to recover Medicaid benefits would result in  substantial hardship to the devisees, legatees, and heirs or dependents of the  deceased individual against whose estate the Medicaid claim exists.
    B. Under the authority and consistent with the  requirements of the Social Security Act § 1917 (the Act), the Commonwealth  shall recover applicable medical assistance payments when such payments have  been correctly or incorrectly paid on behalf of certain individuals. The  Department of Medical Assistance Services (DMAS) shall provide notice of the  Commonwealth's Medicaid estate recovery program at the time of application for  medical assistance.
    C. Adjustment and recovery. Adjustment or recovery can  only be made after the death of the individual's surviving spouse, if any, and  only at a time when the individual has no surviving child under age 21, or a  blind or disabled child as defined in § 1614 of the Act. The Commonwealth  shall seek adjustment or recovery of all medical assistance payments correctly  paid on behalf of an individual [ who is age 55 or older ]  under the State Plan as follows:
    1. The Commonwealth shall seek adjustment or recovery from  the estate of an individual who was age 55 or older when that person received  medical assistance. The Commonwealth shall recover amounts up to the total  amount spent on the individual's behalf for medical assistance for all items or  services provided for the individual under the State Plan.
    2. The Commonwealth shall recover from the estates of the  following dual eligibles who receive full Medicaid benefits in addition to  Medicare: (i) qualified Medicare beneficiaries with full Medicaid benefits (QMB  Plus), (ii) specified low-income Medicare beneficiaries with full Medicaid  benefits (SLMB Plus), and (iii) Medicare beneficiaries eligible for a limited  package of Medicaid benefits [ QMB non-QMB ]  , SLMB, qualified individuals (QI) or qualified disabled and working  individuals (QDWI)). The Commonwealth shall recover from the individual's  estate for all medical assistance payments made on behalf of the individual. In  addition, the Commonwealth shall include in the Commonwealth's claim against  the estate, amounts expended for Medicare cost-sharing or Medicare premiums, or  both.
    3. The Commonwealth shall recover from individuals with  long-term care insurance policies. [ The However, the ]  Commonwealth shall not seek adjustment or recovery from the individual's  estate for all Medicaid costs for nursing facility and other long-term care  services if assets or resources are disregarded to the extent of payments made  under a qualified long-term care partnership insurance policy.
    4. Estate recovery and managed care. When a Medicaid  beneficiary is enrolled in a managed care organization and services are  provided by the managed care organization that are included under the State  Plan, the Commonwealth shall seek adjustment or recovery from the individual's  estate for the [ premium capitation ] payments  in the Commonwealth's claim against the estate. When the individual enrolls in  the managed care organization, the Commonwealth shall provide a separate notice  to the individual that explains that the [ premium  capitation ] payments made to the managed care organization are  included in whole in the claim against the estate. The Commonwealth shall  recover from the individual's estate the total capitation rate for the period  the individual was enrolled in the managed care organization.
    5. The following American Indian/Alaska Native (AI/AN)  income, resources, and property shall be exempt from Medicaid estate recovery  pursuant to § 1917(b)(3) of the Act for hardship applicable to federally  recognized tribes:
    a. Certain AI/AN income and resources (such as interests in  and income derived from tribal land and other resources currently held in trust  status and judgment funds from the Indian Claims Commission and the U.S. Claims  Court) that are exempt from Medicaid estate recovery by other laws and  regulations; 
    b. Ownership interest in trust or nontrust property,  including real property and improvements: 
    (1) Located on a reservation (any federally recognized  Indian tribe's reservation or near a reservation) as designated and approved by  the Bureau of Indian Affairs of the U.S. Department of the Interior; or 
    (2) For any federally recognized tribe not described in  this subdivision, located within the most recent boundaries of a prior federal  reservation.
    (3) Protection of nontrust property described in this  subdivision is limited to circumstances when it passes from an Indian (as  defined in § 4 of the Indian Health Care Improvement Act, 25 USC  §§ 1601-1683) to one or more relatives (by blood, adoption, or marriage),  including Indians not enrolled as members of a tribe and non-Indians, such as  spouses and step-children, that their culture would nevertheless protect as  family members; to a tribe or tribal organization or to one or more Indians, or  all of these; 
    c. Income left as a remainder in an estate derived from property  protected in this subdivision, that was either collected by an Indian, or by a  tribe or tribal organization and distributed to an Indian or Indians, as long  as the individual can clearly trace such income as coming from the protected  property. 
    d. Ownership interests left as a remainder in an estate in  rents, leases, royalties, or usage rights related to natural resources  (including, but not necessarily limited to, extraction of natural resources or  harvesting of timber, other plants and plant products, animals, fish, and  shellfish) resulting from the exercise of federally protected rights, and  income either collected by an Indian, or by a tribe or tribal organization and  distributed to an Indian or Indians derived from these sources as long as the individual  can clearly trace the interest as coming from protected sources.
    e. Ownership interests in or usage rights to items not  covered by this subdivision that have unique religious, spiritual, traditional,  or cultural significance or rights, or all of these, that support subsistence  or a traditional lifestyle according to applicable tribal law or custom.
    6. The Commonwealth shall recover the following income,  resources and property from the estates of American Indians and Alaska Natives:
    a. Ownership interests in assets and property, both real  and personal, that are not described in this subdivision.
    b. Any income and assets left as a remainder in an estate  that do not derive from protected property or sources in this subdivision.
    7. Reparation payments to individuals. Government  reparation payments to special populations shall be exempt from Medicaid estate  recovery.
    8. Annuities. The Commonwealth considers annuities to be  legal devices by which ownership of assets, such as estates, is defined and  therefore may seek recovery from individuals' estates that may include such  annuities. [ This provision is effective for deaths or estates  that are opened 90 days after the Commonwealth meets applicable state and  federal law for appropriate notice and due process.  ]
    D. Undue hardship. Whenever estate recovery would work an  undue hardship on the deceased individual's heirs, the Commonwealth shall waive  adjustment or recovery. Recovery from deceased individuals' estates shall be  waived when the heirs are themselves Medicaid eligible. [ The  Commonwealth shall determine whether individuals who will be affected by  Medicaid estate recovery may have the right to apply for an undue hardship  waiver Anyone who may be affected by Medicaid estate recovery may  apply for an undue hardship waiver. DMAS shall determine the merit of such  applications ].
    1. Special consideration shall be shown in cases in which  the estate subject to recovery is: (i) the sole income-producing asset of  survivors (where such income is limited), such as a family farm or other family  business; (ii) a homestead of modest value; or (iii) [ one in which ]  other compelling circumstances [ exist ] as may be  set out in agency guidance documents.
    2. [ The Commonwealth may determine that an  An ] undue hardship exists when [ the Commonwealth  determines that ] it would not be cost effective to recover the  assistance paid.
    3. In cases where recovery is not waived and heirs of the  estate from which recovery is sought wish to satisfy the Commonwealth's claim  without selling a nonliquid asset that is subject to recovery, alternative  methods of recovery may be considered. DMAS may also establish a reasonable  payment schedule.
    4. The Commonwealth may limit the hardship waiver to the  time period during which the undue hardship circumstances existed or continue  to exist.
    5. An undue hardship shall not exist if the beneficiary  created the hardship by resorting to estate planning methods under which the  beneficiary divested assets in order to avoid estate recovery.
    E. DMAS shall establish collection procedures to include  identification of the estate administrator or executor, determination of the  medical assistance claim amount, notification procedures, and such other  procedures as are appropriate to pursue the recovery of medical assistance  expenditures. Such procedures will be set out in an agency guidance document.
    F. Recovery or adjustment not cost effective. [ DMAS  shall establish a cost effectiveness threshold below which estate recovery will  not be pursued. ]
    1. The Commonwealth may waive adjustment or recovery in  cases in which it is determined that it would not be cost effective for the  Commonwealth to recover from a deceased individual's estate. The estate  administrator, executor, survivor, or heir does not need to assert undue  hardship in such situations.
    2. In determining whether recovery would be cost effective,  the department may consider, but is not limited to consideration of, the  following costs: staff time, litigation costs, expert witness fees, deposition  expenses, travel expenses, office supplies, postage, advertising, and  publishing costs. DMAS shall adjust the cost effective threshold as the  agency's administrative costs change.
    G. Appeals. The DMAS Appeals Division will administer  appeals related to the recovery of funds pursuant to 12VAC30-110.
    VA.R. Doc. No. R07-750; Filed May 28, 2009, 2:43 p.m. 
TITLE 12. HEALTH
DEPARTMENT OF MEDICAL ASSISTANCE SERVICES
Final Regulation
    Titles of Regulations: 12VAC30-10. State Plan Under  Title XIX of the Social Security Act Medical Assistance Program; General Provisions (amending 12VAC30-10-560).
    12VAC30-20. Administration of Medical Assistance Services (adding 12VAC30-20-141; repealing  12VAC30-20-140).
    Statutory Authority: §§ 32.1-324 and 32.1-325 of  the Code of Virginia.
    Effective Date: July 23, 2009. 
    Agency Contact: Kathy Colley, Fiscal Division,  Department of Medical Assistance Services, 600 East Broad Street, Suite 1300,  Richmond, VA 23219, telephone (804) 786-3839, FAX (804) 786-1680, or email  kathy.colley@dmas.virginia.gov.
    Summary:
    The amendments update and clarify the current regulations  regarding Medicaid estate recovery carried out by the Department of Medical  Assistance Services. This regulatory action more closely reflects current  agency practice based upon language provided by the federal Medicaid agency,  the Centers for Medicare and Medicaid Services, in its guidance document  publication titled "State Medicaid Manual." This change repeals  12VAC30-20-140 (Estate Recoveries) in order to repromulgate this section in a  restructured and revised format as 12VAC30-20-141. This regulatory action adds  new definitions for "cost effective" and "homestead of modest  value." The definitions for "estate" and "applicable  medical payments" are deleted from 12VAC30-10-560 and moved into new  12VAC30-20-141. This revision also includes the exemption from Medicaid estate  recovery for American Indian/Alaska Native income, resources, and property as  defined in the federal State Medicaid Manual.  Consistent with the State  Medicaid Manual, assets or resources that were disregarded due to an authorized  state long-term medicaid insurance partnership policy are being exempted from  estate recovery actions.
    In response to public comment, changes reflected in the  final regulation include (i) modifying the definition of "homestead of  modest value" to incorporate the term "median" in addition to  "average price"; (ii) clarifying new policies by adding references  concerning their application to services received by recipients age 55 or  older; (iii) clarifying new policies by using specific terms more consistently;  and (iv) correcting regulatory text to show that anyone can apply for a  hardship waiver, but DMAS will decide, pursuant to its regulations, if such an application  has merit.
    Summary of Public Comments and Agency's Response: No  public comments were received by the promulgating agency. 
    12VAC30-10-560. Liens and recoveries.
    Liens are not imposed against an individual's property.
    A. Adjustments or recoveries for Medicaid claims correctly  paid are as follows: See 12VAC30-20-140 12VAC30-20-141.
    1. For permanently institutionalized individuals, adjustments  or recoveries are made from the individual's estate.
    2. For any individual who received medical assistance at age  55 or older, recovery of payments are made for nursing facility services, home-  and community-based services, and related hospital and prescription drug  services.
    Payments are recovered for all services covered under the plan  which are provided to individuals at age 55.
    3. For any individual with long-term care insurance  policies, if assets or resources are disregarded, recovery is made for all  Medicaid costs for nursing facility and other long-term care services from the  estate of persons who have such policies.
    4. 3. If an individual covered under a qualified  long-term care partnership insurance policy pursuant to § 32.1-325 of  the Code of Virginia received benefits for which assets or resources were  disregarded as provided for in 12VAC30-40-290 G, the state Commonwealth  does not seek adjustment or recovery from the individual's estate for the  amount of assets or resources disregarded.
    B. No money payments under another program are reduced as a  means of recovering Medicaid claims incorrectly paid.
    C. Liens. See 12VAC30-20-130.
    1. Specifies the process for determining that an  institutionalized individual cannot reasonably be expected to be discharged  from the medical institution and return home; the description of the process  meets the requirements of 42 CFR 433.36(d).
    The Commonwealth does not impose liens [ ;  ]  therefore [ , ] this subsection is not applicable.
    2. Specifies the criteria by which a son or daughter can  establish that he or she has been providing care under 42 CFR 433.36(f).
    [ The Commonwealth does not impose liens; therefore,  this subsection is not applicable. ]
    3. Definitions: individual's home; equity interest in home;  residing in home for at least 1 or 2 years, on a continuing basis; discharge  from the medical institution and return home; and lawfully residing.
    The Commonwealth does not impose liens [ ;  ]  therefore [ , ] this subsection is not applicable.
    D. Estate recoveries. 1. Definitions.
    "Applicable medical assistance payments" means  the amount of any medical assistance payments made on behalf of an individual  under Title XIX of the Social Security Act.
    "Estate" means with respect to a deceased  individual, (i) all real and personal property and other assets held by the  individual at the time of death and (ii) any other real and personal property  and other assets in which the individual had any legal title or interest (to  the extent of such interest) at the time of death. 2. 12VAC30-20-140 further  12VAC30-20-141 (Attachment 4.17-C) specifies the policy for estate  recoveries.
    12VAC30-20-140. Estate recoveries. (Repealed.)
    A. General. Under the authority and consistent with the  requirements of the Social Security Act § 1917, the Commonwealth recovers  certain Medicaid benefits when they have been correctly paid on behalf of  certain individuals. The Commonwealth seeks recovery for all services which  have been paid for consistent with the coverage and reimbursement policies in  the State Plan for Medical Assistance.
    B. Identification of deceased recipients' estates. The  Medical Assistance Title XIX agency shall take all reasonable measures to  determine the existence of deceased eligible individuals with recoverable  estates.
    C. Initiation of claim and recovery.
    1. The Medical Assistance Title XIX agency's estate  recovery unit will review and initiate recovery activities for all deceased  eligible individual's estates identified which meet agency minimum criteria  defined in subsection B of this section. A review of all deceased eligible  individuals' applicable medical assistance payments paid correctly must be  performed to determine the amount of the Commonwealth's claim against the  estate. A "Notice of Claim" shall be sent to the deceased eligible  individual's estate administrator or executor upon determination that estate  recovery meets the minimum criteria. The "Notice of Claim" shall  include, at minimum, (i) the deceased eligible individual's identification  information, (ii) the claim amount, (iii) the agency contact, and (iv) the  attached summary of applicable medical claims paid. The "Notice of  Claim" shall also contain, but not necessarily be limited to, information  regarding the exclusions identified below, the applicant's right to appeal, and  the hardship rule.
    2. The Medical Assistance Title XIX agency will, at a  minimum, initiate recovery when the following conditions are met:
    a. Legal estate administrator or executor has been  verified.
    b. Dollar amount of applicable medical assistance payments  (claim amount) and estate meets agency cost effective threshold. The Title XIX  agency will determine a cost effective threshold based on the administrative  costs to pursue recovery from an estate. The Title XIX agency will adjust the  cost effective threshold as the agency's administrative costs change. Recovery  shall not be initiated unless both the amount of the claim and the value of the  estate at least exceed the administrative cost of recovery.
    c. Deceased eligible was single or surviving spouse is  deceased.
    d. Deceased eligible has no surviving children under 21 or  children who are blind or disabled.
    e. Deceased eligible was 55 years of age or older when the  individual received such medical assistance.
    f. Deceased eligible had no surviving sibling who had an  equity interest in the deceased's home and such sibling resided in the property  for at least one year prior to the deceased's entering a nursing facility.
    3. Appeals related to the recovery of funds will be  administered by the Medical Assistance Title XIX agency.
    4. The Medical Assistance Title XIX agency will pursue  recovery only to the extent that payments for applicable medical claims have  been correctly made under the State Plan for Medical Assistance.
    D. Hardship clause. The Medical Assistance Title XIX  agency shall waive its claim if it determines that enforcement of the claim  would result in substantial hardship to the devisees, legatees, and heirs or  dependents of the individual against whose estate the claim exists. Special  consideration shall be given to cases in which the estate subject to recovery  is (i) the sole income-producing asset of survivors (where such income is  limited), such as a family farm or other business, or (ii) a homestead of  modest value, or (iii) other compelling circumstances. In cases where recovery  is not waived and beneficiaries of the estate from which recovery is sought  wish to satisfy the Commonwealth's claim without selling a nonliquid asset  which is subject to recovery, alternative methods of recovery may be  considered.
    E. If an individual covered under a long-term care  partnership insurance policy received benefits for which assets or resources  were disregarded as provided for in 12VAC30-40-290 G, the state does not seek  adjustment or recovery from the individual's estate for the amount of assets or  resources disregarded.
    12VAC30-20-141. Estate recoveries.
    A. Definitions. The following words and terms when used in  this regulation shall have the following meanings unless the context clearly  indicates otherwise:
    "Act" means the Social Security Act (42 USC  § 1396) as applicable.
    "Applicable medical assistance payment" means  the amount of any medical assistance payments made on behalf of an individual  under Title XIX of the Social Security Act.
    "Claim" means, for the purposes of this section,  action taken by DMAS to recover from the estate of an individual, who was age  55 or older when that person received medical assistance, the total amount of  assistance paid for services consistent with the coverage and reimbursement  policies in the State Plan for Medical Assistance.
    "Cost effective" means that both the dollar amount  of the medical assistance payments (claim) and the value of the estate at least  exceed the administrative costs of recovery.
    "Dual eligibles" mean individuals who are  entitled to Medicare hospital insurance under Part A or supplementary medical  insurance under Part B, or both, and are eligible for some form of Medicaid  benefit.
    "Estate" means, with respect to a deceased  individual, (i) all real and personal property and other assets held by the  individual at the time of death and (ii) any other real and personal property  and other assets in which the individual had any legal title or interest (to  the extent of such interest) at the time of his death.
    "Homestead of modest value" means a home that is  worth 50% or less of the average [ or median ] price,  as contained in the most recent U.S. Census data [ or any other  such source of home value information as published in the agency's guidance  documents ] , of homes in the county or city, as appropriate, where  the homestead is located as of the date of the individual's death.
    "Undue hardship" means that DMAS has determined  that enforcement of a claim to recover Medicaid benefits would result in  substantial hardship to the devisees, legatees, and heirs or dependents of the  deceased individual against whose estate the Medicaid claim exists.
    B. Under the authority and consistent with the  requirements of the Social Security Act § 1917 (the Act), the Commonwealth  shall recover applicable medical assistance payments when such payments have  been correctly or incorrectly paid on behalf of certain individuals. The  Department of Medical Assistance Services (DMAS) shall provide notice of the  Commonwealth's Medicaid estate recovery program at the time of application for  medical assistance.
    C. Adjustment and recovery. Adjustment or recovery can  only be made after the death of the individual's surviving spouse, if any, and  only at a time when the individual has no surviving child under age 21, or a  blind or disabled child as defined in § 1614 of the Act. The Commonwealth  shall seek adjustment or recovery of all medical assistance payments correctly  paid on behalf of an individual [ who is age 55 or older ]  under the State Plan as follows:
    1. The Commonwealth shall seek adjustment or recovery from  the estate of an individual who was age 55 or older when that person received  medical assistance. The Commonwealth shall recover amounts up to the total  amount spent on the individual's behalf for medical assistance for all items or  services provided for the individual under the State Plan.
    2. The Commonwealth shall recover from the estates of the  following dual eligibles who receive full Medicaid benefits in addition to  Medicare: (i) qualified Medicare beneficiaries with full Medicaid benefits (QMB  Plus), (ii) specified low-income Medicare beneficiaries with full Medicaid  benefits (SLMB Plus), and (iii) Medicare beneficiaries eligible for a limited  package of Medicaid benefits [ QMB non-QMB ]  , SLMB, qualified individuals (QI) or qualified disabled and working  individuals (QDWI)). The Commonwealth shall recover from the individual's  estate for all medical assistance payments made on behalf of the individual. In  addition, the Commonwealth shall include in the Commonwealth's claim against  the estate, amounts expended for Medicare cost-sharing or Medicare premiums, or  both.
    3. The Commonwealth shall recover from individuals with  long-term care insurance policies. [ The However, the ]  Commonwealth shall not seek adjustment or recovery from the individual's  estate for all Medicaid costs for nursing facility and other long-term care  services if assets or resources are disregarded to the extent of payments made  under a qualified long-term care partnership insurance policy.
    4. Estate recovery and managed care. When a Medicaid  beneficiary is enrolled in a managed care organization and services are  provided by the managed care organization that are included under the State  Plan, the Commonwealth shall seek adjustment or recovery from the individual's  estate for the [ premium capitation ] payments  in the Commonwealth's claim against the estate. When the individual enrolls in  the managed care organization, the Commonwealth shall provide a separate notice  to the individual that explains that the [ premium  capitation ] payments made to the managed care organization are  included in whole in the claim against the estate. The Commonwealth shall  recover from the individual's estate the total capitation rate for the period  the individual was enrolled in the managed care organization.
    5. The following American Indian/Alaska Native (AI/AN)  income, resources, and property shall be exempt from Medicaid estate recovery  pursuant to § 1917(b)(3) of the Act for hardship applicable to federally  recognized tribes:
    a. Certain AI/AN income and resources (such as interests in  and income derived from tribal land and other resources currently held in trust  status and judgment funds from the Indian Claims Commission and the U.S. Claims  Court) that are exempt from Medicaid estate recovery by other laws and  regulations; 
    b. Ownership interest in trust or nontrust property,  including real property and improvements: 
    (1) Located on a reservation (any federally recognized  Indian tribe's reservation or near a reservation) as designated and approved by  the Bureau of Indian Affairs of the U.S. Department of the Interior; or 
    (2) For any federally recognized tribe not described in  this subdivision, located within the most recent boundaries of a prior federal  reservation.
    (3) Protection of nontrust property described in this  subdivision is limited to circumstances when it passes from an Indian (as  defined in § 4 of the Indian Health Care Improvement Act, 25 USC  §§ 1601-1683) to one or more relatives (by blood, adoption, or marriage),  including Indians not enrolled as members of a tribe and non-Indians, such as  spouses and step-children, that their culture would nevertheless protect as  family members; to a tribe or tribal organization or to one or more Indians, or  all of these; 
    c. Income left as a remainder in an estate derived from property  protected in this subdivision, that was either collected by an Indian, or by a  tribe or tribal organization and distributed to an Indian or Indians, as long  as the individual can clearly trace such income as coming from the protected  property. 
    d. Ownership interests left as a remainder in an estate in  rents, leases, royalties, or usage rights related to natural resources  (including, but not necessarily limited to, extraction of natural resources or  harvesting of timber, other plants and plant products, animals, fish, and  shellfish) resulting from the exercise of federally protected rights, and  income either collected by an Indian, or by a tribe or tribal organization and  distributed to an Indian or Indians derived from these sources as long as the individual  can clearly trace the interest as coming from protected sources.
    e. Ownership interests in or usage rights to items not  covered by this subdivision that have unique religious, spiritual, traditional,  or cultural significance or rights, or all of these, that support subsistence  or a traditional lifestyle according to applicable tribal law or custom.
    6. The Commonwealth shall recover the following income,  resources and property from the estates of American Indians and Alaska Natives:
    a. Ownership interests in assets and property, both real  and personal, that are not described in this subdivision.
    b. Any income and assets left as a remainder in an estate  that do not derive from protected property or sources in this subdivision.
    7. Reparation payments to individuals. Government  reparation payments to special populations shall be exempt from Medicaid estate  recovery.
    8. Annuities. The Commonwealth considers annuities to be  legal devices by which ownership of assets, such as estates, is defined and  therefore may seek recovery from individuals' estates that may include such  annuities. [ This provision is effective for deaths or estates  that are opened 90 days after the Commonwealth meets applicable state and  federal law for appropriate notice and due process.  ]
    D. Undue hardship. Whenever estate recovery would work an  undue hardship on the deceased individual's heirs, the Commonwealth shall waive  adjustment or recovery. Recovery from deceased individuals' estates shall be  waived when the heirs are themselves Medicaid eligible. [ The  Commonwealth shall determine whether individuals who will be affected by  Medicaid estate recovery may have the right to apply for an undue hardship  waiver Anyone who may be affected by Medicaid estate recovery may  apply for an undue hardship waiver. DMAS shall determine the merit of such  applications ].
    1. Special consideration shall be shown in cases in which  the estate subject to recovery is: (i) the sole income-producing asset of  survivors (where such income is limited), such as a family farm or other family  business; (ii) a homestead of modest value; or (iii) [ one in which ]  other compelling circumstances [ exist ] as may be  set out in agency guidance documents.
    2. [ The Commonwealth may determine that an  An ] undue hardship exists when [ the Commonwealth  determines that ] it would not be cost effective to recover the  assistance paid.
    3. In cases where recovery is not waived and heirs of the  estate from which recovery is sought wish to satisfy the Commonwealth's claim  without selling a nonliquid asset that is subject to recovery, alternative  methods of recovery may be considered. DMAS may also establish a reasonable  payment schedule.
    4. The Commonwealth may limit the hardship waiver to the  time period during which the undue hardship circumstances existed or continue  to exist.
    5. An undue hardship shall not exist if the beneficiary  created the hardship by resorting to estate planning methods under which the  beneficiary divested assets in order to avoid estate recovery.
    E. DMAS shall establish collection procedures to include  identification of the estate administrator or executor, determination of the  medical assistance claim amount, notification procedures, and such other  procedures as are appropriate to pursue the recovery of medical assistance  expenditures. Such procedures will be set out in an agency guidance document.
    F. Recovery or adjustment not cost effective. [ DMAS  shall establish a cost effectiveness threshold below which estate recovery will  not be pursued. ]
    1. The Commonwealth may waive adjustment or recovery in  cases in which it is determined that it would not be cost effective for the  Commonwealth to recover from a deceased individual's estate. The estate  administrator, executor, survivor, or heir does not need to assert undue  hardship in such situations.
    2. In determining whether recovery would be cost effective,  the department may consider, but is not limited to consideration of, the  following costs: staff time, litigation costs, expert witness fees, deposition  expenses, travel expenses, office supplies, postage, advertising, and  publishing costs. DMAS shall adjust the cost effective threshold as the  agency's administrative costs change.
    G. Appeals. The DMAS Appeals Division will administer  appeals related to the recovery of funds pursuant to 12VAC30-110.
    VA.R. Doc. No. R07-750; Filed May 28, 2009, 2:43 p.m. 
TITLE 12. HEALTH
DEPARTMENT OF MEDICAL ASSISTANCE SERVICES
Final Regulation
    Titles of Regulations:  12VAC30-30. Groups Covered and Agencies Responsible for Eligibility Determination (amending 12VAC30-30-20).
    12VAC30-40. Eligibility  Conditions and Requirements (amending 12VAC30-40-280, 12VAC30-40-290;  adding 12VAC30-40-105).
    12VAC30-60. Standards Established and Methods Used to Assure  High Quality Care (adding 12VAC30-60-200).
    12VAC30-80. Methods and Standards for Establishing Payment  Rates; Other Types of Care (amending 12VAC30-80-30).
    12VAC30-110. Eligibility and Appeals (adding 12VAC30-110-1500).
    Statutory Authority: §§ 32.1-324 and 32.1-325 of the  Code of Virginia.
    Effective Date: July 23, 2009. 
    Agency Contact: Jack Quigley, Policy & Research,  Department of Medical Assistance Services, 600 East Broad Street, Richmond, VA  23219, telephone (804) 786-1300, FAX (804) 786-1680, or email  jack.quigley@dmas.virginia.gov.
    Summary: 
    This regulatory action implements a mandated Medicaid Buy-In  program as required by Item 302 X of Chapter 3 of the 2006 Acts of Assembly.  This new program, called Medicaid Works, requires the amendment of several  subsections of the DMAS regulations in the areas of Medicaid eligibility, new  alternative benefit services, and provider reimbursement. The Medicaid Works  Buy-In program creates an incentive for disabled Medicaid enrollees who desire  to be employed to have added income that will not count against their  eligibility income limits. Presently, Medicaid enrollees who have disabilities,  but who still have the capacity to be gainfully employed, could lose their  Medicaid eligibility due to excess income if they are employed. This change  reduces the financial restrictions to which such enrollees may be subject.
    Summary of Public Comments and Agency's Response: No  public comments were received by the promulgating agency. 
    12VAC30-30-20. Optional groups other than the medically needy.
    The Title IV A agency determines eligibility for Title XIX  services. 
    1. Caretakers and pregnant women who meet the income and  resource requirements of AFDC but who do not receive cash assistance. 
    2. Individuals who would be eligible for AFDC, SSI or an  optional state supplement as specified in 42 CFR 435.230, if they were not in a  medical institution. 
    3. A group or groups of individuals who would be eligible for  Medicaid under the plan if they were in a NF or an ICF/MR, who but for the  provision of home and community-based services under a waiver granted under 42  CFR Part 441, Subpart G would require institutionalization, and who will  receive home and community-based services under the waiver. The group or groups  covered are listed in the waiver request. This option is effective on the  effective date of the state's § 1915(c) waiver under which this group(s) is  covered. In the event an existing § 1915(c) waiver is amended to cover this  group(s), this option is effective on the effective date of the amendment. 
    4. Individuals who would be eligible for Medicaid under the  plan if they were in a medical institution, who are terminally ill, and who  receive hospice care in accordance with a voluntary election described in §  1905(o) of the Act. 
    5. The state does not cover all individuals who are not  described in § 1902(a)(10)(A)(i) of the Act, who meet the income and resource  requirements of the AFDC state plan and who are under the age of 21. The state  does cover reasonable classifications of these individuals as follows: 
    a. Individuals for whom public agencies are assuming full or  partial financial responsibility and who are: 
    (1) In foster homes (and are under the age of 21). 
    (2) In private institutions (and are under the age of 21). 
    (3) In addition to the group under subdivisions 5 a (1) and  (2) of this section, individuals placed in foster homes or private institutions  by private nonprofit agencies (and are under the age of 21). 
    b. Individuals in adoptions subsidized in full or part by a  public agency (who are under the age of 21). 
    c. Individuals in NFs (who are under the age of 21). NF  services are provided under this plan. 
    d. In addition to the group under subdivision 5 c of this  section, individuals in ICFs/MR (who are under the age of 21). 
    6. A child for whom there is in effect a state adoption  assistance agreement (other than under Title IV-E of the Act), who, as  determined by the state adoption agency, cannot be placed for adoption without  medical assistance because the child has special care needs for medical or  rehabilitative care, and who before execution of the agreement: 
    a. Was eligible for Medicaid under the state's approved  Medicaid plan; or 
    b. Would have been eligible for Medicaid if the standards and  methodologies of the Title IV-E foster care program were applied rather than  the AFDC standards and methodologies. 
    The state covers individuals under the age of 21. 
    7. Section 1902(f) states and SSI criteria states without  agreements under §§ 1616 and 1634 of the Act. 
    The following groups of individuals who receive a state  supplementary payment under an approved optional state supplementary payment  program that meets the following conditions. The supplement is: 
    a. Based on need and paid in cash on a regular basis. 
    b. Equal to the difference between the individual's countable  income and the income standard used to determine eligibility for the supplement.  
    c. Available to all individuals in each classification and  available on a statewide basis. 
    d. Paid to one or more of the following classifications of  individuals: 
    (1) Aged individuals in domiciliary facilities or other group  living arrangements as defined under SSI. 
    (2) Blind individuals in domiciliary facilities or other group  living arrangements as defined under SSI. 
    (3) Disabled individuals in domiciliary facilities or other  group living arrangements as defined under SSI. 
    (4) Individuals receiving a state administered optional state  supplement that meets the conditions specified in 42 CFR 435.230. 
    The supplement varies in income standard by political  subdivisions according to cost-of-living differences. 
    The standards for optional state supplementary payments are  listed in 12VAC30-40-250. 
    8. Individuals who are in institutions for at least 30  consecutive days and who are eligible under a special income level. Eligibility  begins on the first day of the 30-day period. These individuals meet the income  standards specified in 12VAC30-40-220. 
    The state covers all individuals as described above. 
    9. Individuals who are 65 years of age or older or who are  disabled as determined under § 1614(a)(3) of the Act, whose income does not  exceed the income level specified in 12VAC30-40-220 for a family of the same  size, and whose resources do not exceed the maximum amount allowed under SSI. 
    10. Individuals required to enroll in cost-effective  employer-based group health plans remain eligible for a minimum enrollment  period of one month. 
    11. Women who have been screened for breast or cervical cancer  under the Centers for Disease Control and Prevention Breast and Cervical Cancer  Early Detection Program established under Title XV of the Public Health Service  Act in accordance with § 1504 of the Act and need treatment for breast or  cervical cancer, including a pre-cancerous condition of the breast or cervix.  These women are not otherwise covered under creditable coverage, as defined in  § 2701(c) of the Public Health Services Act, are not eligible for Medicaid  under any mandatory categorically needy eligibility group, and have not  attained age 65. 
    12. Individuals who may qualify for the Medicaid Buy-In  program under § 1902(a)(10)(A)(ii)(XV) of the Social Security Act (Ticket  to Work Act) [ , ] if they meet the requirements  for the 80% eligibility group described in 12VAC30-40-220, as well as the  requirements described in 12VAC30-40-105 and 12VAC30-110-1500.
    12VAC30-40-105 [ . ] Financial  eligibility.
    Working Individuals with Disabilities; Basic Coverage  Group (Ticket to Work and Work Incentive Improvement Act (TWWIIA)). 
    The following standards and methods shall be applied in  determining financial eligibility:
    1. The agency applies the following income and resource  standards to applicants of this program:
    a. The individual's total countable income shall not exceed  80% of the current federal poverty income guidelines; [ and ]  
    b. The individual's total countable assets shall not exceed  $2,000.
    2. Income methodologies. In determining whether an  individual meets the income standard described in subdivision 1 of this  section, the agency uses more liberal income methodologies than the SSI program  as further described in 12VAC30-40-280.
    3. Resource methodologies. The agency uses resource  methodologies in addition to any indicated in subdivisions 1 and 2 of this  section that are more liberal than those used by the SSI program as described  in 12VAC30-40-290.
    12VAC30-40-280. More liberal income disregards.
    A. For children covered under §§ 1902(a)(10)(A)(i)(III)  and 1905(n) of the Social Security Act, the Commonwealth of Virginia will  disregard one dollar plus an amount equal to the difference between 100% of the  AFDC payment standard for the same family size and 100% of the federal poverty  level for the same family size as updated annually in the Federal Register. 
    B. For ADC-related cases, both categorically and medically  needy, any individual or family applying for or receiving assistance shall be  granted an income exemption consistent with the Act  (§§ 1902(a)(10)(A)(i)(III), (IV), (VI), (VII);  §§ 1902(a)(10)(A)(ii)(VIII), (IX); § 1902(a)(10)(C)(i)(III)). Any  interest earned on one interest-bearing savings or investment account per  assistance unit not to exceed $5,000, if the applicant, applicants, recipient  or recipients designate that the account is reserved for purposes related to  self-sufficiency, shall be exempt when determining eligibility for medical  assistance for so long as the funds and interest remain on deposit in the  account. For purposes of this section, "purposes related to  self-sufficiency" shall include, but are not limited to, (i) paying for  tuition, books, and incidental expenses at any elementary, secondary, or  vocational school, or any college or university; (ii) for making down payment  on a primary residence; or (iii) for establishment of a commercial operation  that is owned by a member of the Medicaid assistance unit. 
    C. For the group described in §§ 1902(a)(10)(A)(i)(VII) and  1902(l)(1)(D), income in the amount of the difference between 100% and 133% of  the federal poverty level (as revised annually in the Federal Register) is  disregarded. 
    D. For aged, blind, and disabled individuals, both  categorically and medically needy, with the exception of the special income  level group of institutionalized individuals, the Commonwealth of Virginia  shall disregard the value of in-kind support and maintenance when determining  eligibility. In-kind support and maintenance means food, clothing, or shelter  or any combination of these provided to an individual. 
    E. For all categorically needy and medically needy children  covered under the family and children covered groups, (§§ 1902(a)(10)(A)(i)(I),  1902(a)(10)(A)(i)(III), 1902(a)(10)(A)(i)(VI), 1902(a)(10)(A)(i)(VII),  1902(a)(10)(A)(ii)(VIII), 1902(a)(10)(C)(ii)(I) and 1905(n) of the Act), the  Commonwealth will disregard all earned income of a child under the age of 19  who is a student. 
    F. For all categorically needy and medically needy  individuals covered under the family and children covered groups (§§  1902(a)(10)(A)(i)(I), 1902(a)(10)(A)(i)(III), 1902(a)(10)(A)(i)(IV),  1902(a)(10)(A)(i)(V), 1902(a)(10)(A)(i)(VI), 1902(a)(10)(A)(i)(VII),  1902(a)(10)(A)(ii)(VIII), 1902(a)(10)(C)(ii)(I) and 1905(n) of the Act), the  Commonwealth will disregard the fair market value of all in-kind support and  maintenance as income in determining financial eligibility. In-kind support and  maintenance means food, clothing or shelter or any combination of these  provided to an individual. 
    G. Working individuals with disabilities eligible for  assistance under § 1902(a)(10)(A)(ii)(XV) of the Act who wish to increase  their earnings while maintaining eligibility for Medicaid must establish Work  Incentive (WIN) accounts (see 12VAC30-40-290). The Commonwealth shall disregard  earned income up to 200% of the federal poverty level for workers with  disabilities eligible for assistance under § 1902(a)(10)(A)(ii)(XV) of the  Act. To be eligible for this earned income disregard, the income is subject to  the following provisions:
    1. Only earnings that are deposited into a Work Incentive  (WIN) account can be disregarded for eligibility purposes.
    2. All funds deposited and their source will be identified  and registered with the department, for which prior approval has been obtained  from the department, and for which the owner authorizes regular monitoring  and/or reporting of these earnings and other information deemed necessary by the  department for the proper administration of this provision.
    3. A spouse's income will not be deemed to the applicant  when determining whether or not the individual meets the financial eligibility  requirements for eligibility under this section. 
    [ G. H. ] For aged, blind and  disabled individuals, both categorically and medically needy, with the  exception of the special income level group of institutionalized individuals,  the Commonwealth of Virginia shall disregard the value of income derived from  temporary employment with the United States Census Bureau for a decennial  census.
    [ H. I. ] For all categorically needy  and medically needy individuals covered under the family and children covered  groups (§§ 1902(a)(10)(A)(i)(I), 1902(a)(10)(A)(i)(III), 1902(a)(10)(A)(i)(IV),  1902(a)(10)(A)(i)(V), 1902(a)(10)(A)(i)(VI), 1902(a)(10)(A)(i)(VII),  1902(a)(10)(A)(ii)(VIII), 1902(a)(10)(C)(ii)(I) and 1905(n) of the Act), the  Commonwealth will disregard income derived from the temporary employment with  the United States Census Bureau for a decennial census. 
    12VAC30-40-290. More liberal methods of treating resources  under § 1902(r)(2) of the Act: § 1902(f) states.
    A. Resources to meet burial expenses. Resources set aside to  meet the burial expenses of an applicant/recipient or that individual's spouse  are excluded from countable assets. In determining eligibility for benefits for  individuals, disregarded from countable resources is an amount not in excess of  $3,500 for the individual and an amount not in excess of $3,500 for his spouse  when such resources have been set aside to meet the burial expenses of the  individual or his spouse. The amount disregarded shall be reduced by:
    1. The face value of life insurance on the life of an  individual owned by the individual or his spouse if the cash surrender value of  such policies has been excluded from countable resources; and
    2. The amount of any other revocable or irrevocable trust,  contract, or other arrangement specifically designated for the purpose of  meeting the individual's or his spouse's burial expenses.
    B. Cemetery plots. Cemetery plots are not counted as  resources regardless of the number owned.
    C. Life rights. Life rights to real property are not counted  as a resource. The purchase of a life right in another individual's home is  subject to transfer of asset rules. See 12VAC30-40-300.
    D. Reasonable effort to sell.
    1. For purposes of this section, "current market  value" is defined as the current tax assessed value. If the property is  listed by a realtor, then the realtor may list it at an amount higher than the  tax assessed value. In no event, however, shall the realtor's list price exceed  150% of the assessed value.
    2. A reasonable effort to sell is considered to have been  made:
    a. As of the date the property becomes subject to a realtor's  listing agreement if:
    (1) It is listed at a price at current market value; and
    (2) The listing realtor verifies that it is unlikely to sell  within 90 days of listing given the particular circumstances involved (e.g.,  owner's fractional interest; zoning restrictions; poor topography; absence of  road frontage or access; absence of improvements; clouds on title, right of way  or easement; local market conditions); or
    b. When at least two realtors refuse to list the property. The  reason for refusal must be that the property is unsaleable at current market  value. Other reasons for refusal are not sufficient; or
    c. When the applicant has personally advertised his property  at or below current market value for 90 days by use of a "Sale By  Owner" sign located on the property and by other reasonable efforts, such  as newspaper advertisements, or reasonable inquiries with all adjoining  landowners or other potential interested purchasers.
    3. Notwithstanding the fact that the recipient made a  reasonable effort to sell the property and failed to sell it, and although the  recipient has become eligible, the recipient must make a continuing reasonable  effort to sell by:
    a. Repeatedly renewing any initial listing agreement until the  property is sold. If the list price was initially higher than the tax-assessed  value, the listed sales price must be reduced after 12 months to no more than  100% of the tax-assessed value.
    b. In the case where at least two realtors have refused to  list the property, the recipient must personally try to sell the property by  efforts described in subdivision 2 c of this subsection for 12 months.
    c. In the case of a recipient who has personally advertised  his property for a year without success (the newspaper advertisements and  "for sale" sign do not have to be continuous; these efforts must be  done for at least 90 days within a 12-month period), the recipient must then:
    (1) Subject his property to a realtor's listing agreement at  price or below current market value; or
    (2) Meet the requirements of subdivision 2 b of this  subsection which are that the recipient must try to list the property and at  least two realtors refuse to list it because it is unsaleable at current market  value; other reasons for refusal to list are not sufficient.
    4. If the recipient has made a continuing effort to sell the  property for 12 months, then the recipient may sell the property between 75%  and 100% of its tax assessed value and such sale shall not result in  disqualification under the transfer of property rules. If the recipient  requests to sell his property at less than 75% of assessed value, he must  submit documentation from the listing realtor, or knowledgeable source if the  property is not listed with a realtor, that the requested sale price is the best  price the recipient can expect to receive for the property at this time. Sale  at such a documented price shall not result in disqualification under the  transfer of property rules. The proceeds of the sale will be counted as a  resource in determining continuing eligibility.
    5. Once the applicant has demonstrated that his property is  unsaleable by following the procedures in subdivision 2 of this subsection, the  property is disregarded in determining eligibility starting the first day of  the month in which the most recent application was filed, or up to three months  prior to this month of application if retroactive coverage is requested and the  applicant met all other eligibility requirements in the period. A recipient  must continue his reasonable efforts to sell the property as required in  subdivision 3 of this subsection.
    E. Automobiles. Ownership of one motor vehicle does not  affect eligibility. If more than one vehicle is owned, the individual's equity  in the least valuable vehicle or vehicles must be counted. The value of the  vehicles is the wholesale value listed in the National Automobile Dealers  Official Used Car Guide (NADA) Book, Eastern Edition (update monthly). In the  event the vehicle is not listed, the value assessed by the locality for tax  purposes may be used. The value of the additional motor vehicles is to be  counted in relation to the amount of assets that could be liquidated that may  be retained.
    F. Life, retirement, and other related types of insurance  policies. Life, retirement, and other related types of insurance policies with  face values totaling $1,500 or less on any one person 21 years old and over are  not considered resources. When the face values of such policies of any one  person exceeds $1,500, the cash surrender value of the policies is counted as a  resource.
    G. Long-term care partnership insurance policy (partnership  policy). Resources equal to the amount of benefits paid on the insured's behalf  by the long-term care insurer through a Virginia issued long-term care  partnership insurance policy shall be disregarded. A long-term care partnership  insurance policy shall meet the following requirements:
    1. The policy is a qualified long-term care partnership  insurance policy as defined in § 7702B(b) of the Internal Revenue Code of 1986.
    2. The policy meets the requirements of the National  Association of Insurance Commissioners (NAIC) Long-Term Care Insurance Model  Regulation and Long-Term Care Insurance Model Act as those requirements are set  forth in § 1917(b)(5)(A) of the Social Security Act (42 USC § 1396p).
    3. The policy was issued no earlier than May 1, 2007.
    4. The insured individual was a resident of a partnership  state when coverage first became effective under the policy. If the policy is  later exchanged for a different long-term care policy, the individual was a  resident of a partnership state when coverage under the earliest policy became  effective.
    5. The policy meets the inflation protection requirements set  forth in § 1917(b)(1)(C)(iii)(IV) of the Social Security Act.
    6. The Insurance Commissioner requires the issuer of the  partnership policy to make regular reports to the federal Secretary of Health  and Human Services that include notification of the date benefits provided  under the policy were paid and the amount paid, the date the policy terminates,  and such other information as the secretary determines may be appropriate to  the administration of such partnerships. Such information shall also be made  available to the Department of Medical Assistance Services upon request. 
    7. The state does not impose any requirement affecting the  terms or benefits of a partnership policy that the state does not also impose  on nonpartnership policies.
    8. The policy meets all the requirements of the Bureau of  Insurance of the State Corporation Commission described in 14VAC5-200.
    H. Reserved.
    I. Resource exemption for Aid to Dependent Children  categorically and medically needy (the Act §§ 1902(a)(10)(A)(i)(III),  (IV), (VI), (VII); §§ 1902(a)(10)(A)(ii)(VIII), (IX); §  1902(a)(10)(C)(i)(III)). For ADC-related cases, both categorically and  medically needy, any individual or family applying for or receiving assistance  may have or establish one interest-bearing savings or investment account per  assistance unit not to exceed $5,000 if the applicant, applicants, recipient or  recipients designate that the account is reserved for purposes related to  self-sufficiency. Any funds deposited in the account shall be exempt when  determining eligibility for medical assistance for so long as the funds and  interest remain on deposit in the account. Any amounts withdrawn and used for  purposes related to self-sufficiency shall be exempt. For purposes of this  section, purposes related to self-sufficiency shall include, but are not  limited to, (i) paying for tuition, books, and incidental expenses at any  elementary, secondary, or vocational school, or any college or university; (ii)  for making down payment on a primary residence; or (iii) for establishment of a  commercial operation that is owned by a member of the medical assistance unit.
    J. Disregard of resources. The Commonwealth of Virginia will  disregard all resources for qualified children covered under  §§ 1902(a)(10)(A)(i)(I), 1902(a)(10)(A)(i)(III), 1902(a)(10)(A)(ii)(VIII),  and 1905(n) of the Social Security Act.
    K. Household goods and personal effects. The Commonwealth of  Virginia will disregard the value of household goods and personal effects.  Household goods are items of personal property customarily found in the home  and used in connection with the maintenance, use and occupancy of the premises  as a home. Examples of household goods are furniture, appliances, televisions,  carpets, cooking and eating utensils and dishes. Personal effects are items of  personal property that are worn or carried by an individual or that have an  intimate relation to the individual. Examples of personal property include  clothing, jewelry, personal care items, prosthetic devices and educational or  recreational items such as books, musical instruments, or hobby materials.
    L. Determining eligibility based on resources. When  determining Medicaid eligibility, an individual shall be eligible in a month if  his countable resources were at or below the resource standard on any day of  such month.
    M. Working individuals with disabilities eligible for  assistance under § 1902(a)(10)(A)(ii)(XV) of the Act who wish to increase  their personal resources while maintaining eligibility for Medicaid shall  establish Work Incentive (WIN) accounts. The Commonwealth will disregard up to  the current annual SSI (Social Security Act, § 1619(b)) threshold amount  (as established for Virginia by the Social Security Administration) held in WIN  accounts for workers with disabilities eligible for assistance under  § 1902(a)(10)(A)(ii)(XV) of the Act. To be eligible for this resource  disregard, WIN accounts are subject to the following provisions:
    1. Deposits to this account shall derive solely from the  individual's income earned after electing to enroll in the Medicaid Buy-In  (MBI) program.
    2. The balance of this account shall not exceed the current  annual SSI (Social Security Act § 1619(b)) threshold amount (as  established for Virginia by the Social Security Administration).
    3. This account will be held separate from nonexempt  resources in accounts for which prior approval has been obtained from the  department, and for which the owner authorizes regular monitoring and reporting  including deposits, withdrawals, and other information deemed necessary by the  department for the proper administration of this provision.
    4. A spouse's resources will not be deemed to the applicant  when determining whether or not the individual meets the financial eligibility  requirements for eligibility under this section.
    5. Resources accumulated in the Work Incentive account  shall be disregarded in determining eligibility for aged, blind [ , ]  and disabled Medicaid-covered groups for one year after the individual  leaves the Medicaid Buy-In program.
    6. In addition, excluded from the resource and asset limit  include amounts deposited in the following types of IRS-approved accounts  established as WIN accounts: retirement accounts, medical savings accounts,  medical reimbursement accounts, education accounts and independence accounts.  Assets retained in these WIN accounts shall be disregarded for all future  Medicaid eligibility determinations for aged, blind, or disabled  Medicaid-covered groups.
    12VAC30-60-200. Ticket to Work and Work Incentives  Improvement Act (TWWIIA) basic coverage group: alternative benefits for  Medicaid Buy-In program.
    A. The state elects to provide alternative benefits under  § 1937 of the Social Security Act. The alternative benefit package will be  available statewide. 
    B. The population who will be offered opt-in alternative  coverage and who will be informed of the available benefit options prior to  having the option to voluntarily enroll in an alternative benefit package  consists of working individuals with disabilities enrolled pursuant to the  Social Security Act, § 1902(a)(10)(A)(ii)(XV) (Ticket to Work and Work  Incentives Improvement Act) covered group or who meet the income, resource and  eligibility requirements for the § 1902(a)(10)(A)(ii)(XV) covered group.
    C. Medicaid Buy-In: program outreach.
    1. Future Medicaid Works solicitations will be geared  towards individuals who are currently covered in the SSI and blind and disabled  80% federal poverty level groups; the letter will be an invitation to consider  going to work, or to increase how much they work, and inform them that they  will still be able to keep their Medicaid health care coverage. 
    2. They will be advised that this is voluntary and will  enable them to earn higher income and retain more assets from their earnings.  It will also explain that this option includes an alternative benefits package  comprised of their regular Medicaid benefits plus personal assistance services  for those who need personal assistance and related services in order to live  and work in the community. It will be clearly stated that this program is  optional. Their local eligibility worker will be able to review the advantages  and disadvantages of this option in order to assist individuals in making an  informed choice. 
    3. Current Medicaid Works enrollees will each receive  personal communication by mail advising them of the new alternative benefits  package and the steps needed in order to access personal assistance services.  Should an enrolled individual be dissatisfied with this option or be unable to  continue to be employed, their eligibility worker will reevaluate eligibility  for other covered groups pursuant to changing the individual back to regular  Medicaid coverage and, if necessary, to accessing personal assistance and  related services through the existing home- and community-based services  waivers. 
    4. Brochures describing this work incentive opportunity and  alternative benefits option shall be prominently displayed and readily  available at local departments of social services.
    D. Description of Medicaid Buy-In alternative benefit  package.
    1. The state will offer an alternative benefit package that  the secretary determines provides appropriate coverage for the population  served.
    2. This alternative benefits package includes all federally  mandated and optional Medicaid State Plan services, as described and limited in  12VAC30-50, plus personal assistance services (PAS) for enrollees who otherwise  meet the standards to receive PAS, defined as follows:
    a. "Personal assistance services" or  "PAS" means support services provided in home and community settings  necessary to maintain or improve an individual's current health status.  Personal care services are defined as help with activities of daily living,  monitoring of self-administered medications, and the monitoring of health  status and physical condition. 
    b. These services may be provided in home and community  settings to enable an individual to maintain the health status and functional  skills necessary to live in the community or participate in community  activities. An additional component of PAS is work-related and postsecondary  education personal services. This service will extend the ability of the  personal assistance attendant to provide assistance in the workplace. 
    c. These services include filing, retrieving work materials  that are out of reach; providing travel assistance for an individual with a  mobility impairment; helping an individual with organizational skills; reading  handwritten mail to an individual with a visual impairment; or ensuring that a  sign language interpreter is present during staff meetings to accommodate an  employee with a hearing impairment.
    d. This service is only available to individuals who also  require personal assistance services to meet their ADLs. Workplace or school  supports are not provided if they are services provided by the Department of  Rehabilitative Services, under IDEA, or if they are an employer's  responsibility under the Americans with Disabilities Act or § 504 of the  Rehabilitation Act. 
    e. Following an individual's assessment of the need for PAS  and development of a plan of care, the individual will decide whether to have  PAS through a personal care agency or whether to self direct his care. For  individuals who choose consumer-directed care, DMAS will provide for the services  of a fiscal agent to perform certain tasks as an agent for the  recipient/employer who is receiving consumer-directed services. The fiscal  agent will handle certain responsibilities for the individual, including but  not limited to, employment taxes. 
    f. All governmental and private PAS providers are  reimbursed according to the same published fee schedule, located on the  agency's website at the following address:  http://www.dmas.virginia.gov/pr-fee_files.htm. The agency's rates, based upon  one-hour increments, were set as of July 1, 2006, and are effective for  services on or after said dates. The agency's rates are updated periodically. 
    E. Wrap-around/additional services.
    1. The state assures that wrap-around or additional  benefits will be provided for individuals under 21 who are covered under the  state plan pursuant to § 1902(a)(10)(A) of the Social Security Act to ensure  early and periodic screening, diagnostic and treatment (EPSDT) services are  provided when medically necessary.
    2. Wraparound benefits must be sufficient so that, in  combination with the Medicaid Buy-In package, these individuals receive the  full EPSDT benefit, as medically necessary. The wraparound services provided  are described in 12VAC30-50-130.
    F. Delivery system.
    1. The alternative benefit package will be furnished  through a combination of the following methods:
    a. On a fee-for-service basis consistent with the  requirements of § 1902(a) and implementing regulations relating to payment  and beneficiary free choice of provider;
    b. On a fee-for-service basis consistent with the  requirements cited in subdivision 1 a of this subsection, except that it will  be operated with a primary care case management system consistent with  § 1915(b)(1);
    c. Through a managed care entity consistent with applicable  managed care requirements; [ or ] 
    d. Through premium assistance for benchmark-equivalent in  employer-sponsored coverage.
    2. Personal assistance services will always be  fee-for-service, whereas all other Medicaid-covered services shall be through  one of three models: fee-for-service, primary care case management or through  managed care organizations.
    G. Additional assurances.
    1. The state assures that individuals will have access,  through the Medicaid Buy-In alternative benefit package, to rural health clinic  (RHC) services and federally qualified health center (FQHC) services as defined  in subparagraphs (B) and (C) of § 1905(a)(2).
    2. The state assures that payment for RHC and FQHC services  is made in accordance with the requirements of § 1902(bb) of the Social  Security Act.
    H. Cost effectiveness of plans: the Medicaid Buy-In  alternative benefit package and any additional benefits must be provided in  accordance with economy and efficiency principles.
    I. Compliance with the law: The state will continue to  comply with all other provisions of the Social Security Act in the  administration of the state plan under this title.
    12VAC30-80-30. Fee-for-service providers. 
    A. Payment for the following services, except for physician  services, shall be the lower of the state agency fee schedule (12VAC30-80-190  has information about the state agency fee schedule) or actual charge (charge  to the general public):
    1. Physicians' services (12VAC30-80-160 has  obstetric/pediatric fees). Payment for physician services shall be the lower of  the state agency fee schedule or actual charge (charge to the general public),  except that reimbursement rates for designated physician services when  performed in hospital outpatient settings shall be 50% of the reimbursement  rate established for those services when performed in a physician's office. The  following limitations shall apply to emergency physician services.
    a. Definitions. The following words and terms, when used in  this subdivision 1 shall have the following meanings when applied to emergency  services unless the context clearly indicates otherwise:
    "All-inclusive" means all emergency service and  ancillary service charges claimed in association with the emergency department  visit, with the exception of laboratory services.
    "DMAS" means the Department of Medical Assistance  Services consistent with Chapter 10 (§ 32.1-323 et seq.) of Title 32.1 of the  Code of Virginia.
    "Emergency physician services" means services that  are necessary to prevent the death or serious impairment of the health of the  recipient. The threat to the life or health of the recipient necessitates the  use of the most accessible hospital available that is equipped to furnish the  services.
    "Recent injury" means an injury that has occurred  less than 72 hours prior to the emergency department visit.
    b. Scope. DMAS shall differentiate, as determined by the  attending physician's diagnosis, the kinds of care routinely rendered in  emergency departments and reimburse physicians for nonemergency care rendered  in emergency departments at a reduced rate.
    (1) DMAS shall reimburse at a reduced and all-inclusive  reimbursement rate for all physician services, including those obstetric and  pediatric procedures contained in 12VAC30-80-160, rendered in emergency  departments that DMAS determines are nonemergency care.
    (2) Services determined by the attending physician to be  emergencies shall be reimbursed under the existing methodologies and at the  existing rates.
    (3) Services determined by the attending physician that may be  emergencies shall be manually reviewed. If such services meet certain criteria,  they shall be paid under the methodology in subdivision 1 b (2) of this  subsection. Services not meeting certain criteria shall be paid under the  methodology in subdivision 1 b (1) of this subsection. Such criteria shall  include, but not be limited to:
    (a) The initial treatment following a recent obvious injury.
    (b) Treatment related to an injury sustained more than 72  hours prior to the visit with the deterioration of the symptoms to the point of  requiring medical treatment for stabilization.
    (c) The initial treatment for medical emergencies including  indications of severe chest pain, dyspnea, gastrointestinal hemorrhage,  spontaneous abortion, loss of consciousness, status epilepticus, or other  conditions considered life threatening.
    (d) A visit in which the recipient's condition requires  immediate hospital admission or the transfer to another facility for further  treatment or a visit in which the recipient dies.
    (e) Services provided for acute vital sign changes as  specified in the provider manual.
    (f) Services provided for severe pain when combined with one  or more of the other guidelines.
    (4) Payment shall be determined based on ICD-9-CM diagnosis  codes and necessary supporting documentation.
    (5) DMAS shall review on an ongoing basis the effectiveness of  this program in achieving its objectives and for its effect on recipients,  physicians, and hospitals. Program components may be revised subject to  achieving program intent objectives, the accuracy and effectiveness of the  ICD-9-CM code designations, and the impact on recipients and providers.
    2. Dentists' services.
    3. Mental health services including: (i) community mental  health services; (ii) services of a licensed clinical psychologist; or (iii)  mental health services provided by a physician.
    a. Services provided by licensed clinical psychologists shall  be reimbursed at 90% of the reimbursement rate for psychiatrists.
    b. Services provided by independently enrolled licensed  clinical social workers, licensed professional counselors or licensed clinical  nurse specialists-psychiatric shall be reimbursed at 75% of the reimbursement  rate for licensed clinical psychologists.
    4. Podiatry.
    5. Nurse-midwife services.
    6. Durable medical equipment (DME).
    a. For those items that have a national Healthcare Common  Procedure Coding System (HCPCS) code, the rate for durable medical equipment  shall be set at the Durable Medical Equipment Regional Carrier (DMERC)  reimbursement level.
    b. The rate paid for all items of durable medical equipment  except nutritional supplements shall be the lower of the state agency fee  schedule that existed prior to July 1, 1996, less 4.5%, or the actual charge.
    c. The rate paid for nutritional supplements shall be the  lower of the state agency fee schedule or the actual charge.
    d. Certain durable medical equipment used for intravenous  therapy and oxygen therapy shall be bundled under specified procedure codes and  reimbursed as determined by the agency. Certain services/durable medical  equipment such as service maintenance agreements shall be bundled under  specified procedure codes and reimbursed as determined by the agency.
    (1) Intravenous therapies. The DME for a single therapy,  administered in one day, shall be reimbursed at the established service day  rate for the bundled durable medical equipment and the standard pharmacy  payment, consistent with the ingredient cost as described in 12VAC30-80-40,  plus the pharmacy service day and dispensing fee. Multiple applications of the  same therapy shall be included in one service day rate of reimbursement.  Multiple applications of different therapies administered in one day shall be  reimbursed for the bundled durable medical equipment service day rate as  follows: the most expensive therapy shall be reimbursed at 100% of cost; the  second and all subsequent most expensive therapies shall be reimbursed at 50%  of cost. Multiple therapies administered in one day shall be reimbursed at the  pharmacy service day rate plus 100% of every active therapeutic ingredient in  the compound (at the lowest ingredient cost methodology) plus the appropriate  pharmacy dispensing fee.
    (2) Respiratory therapies. The DME for oxygen therapy shall  have supplies or components bundled under a service day rate based on oxygen  liter flow rate or blood gas levels. Equipment associated with respiratory  therapy may have ancillary components bundled with the main component for  reimbursement. The reimbursement shall be a service day per diem rate for  rental of equipment or a total amount of purchase for the purchase of  equipment. Such respiratory equipment shall include, but not be limited to,  oxygen tanks and tubing, ventilators, noncontinuous ventilators, and suction  machines. Ventilators, noncontinuous ventilators, and suction machines may be  purchased based on the individual patient's medical necessity and length of  need.
    (3) Service maintenance agreements. Provision shall be made  for a combination of services, routine maintenance, and supplies, to be known  as agreements, under a single reimbursement code only for equipment that is  recipient owned. Such bundled agreements shall be reimbursed either monthly or  in units per year based on the individual agreement between the DME provider  and DMAS. Such bundled agreements may apply to, but not necessarily be limited  to, either respiratory equipment or apnea monitors.
    7. Local health services.
    8. Laboratory services (other than inpatient hospital).
    9. Payments to physicians who handle laboratory specimens, but  do not perform laboratory analysis (limited to payment for handling).
    10. X-Ray services.
    11. Optometry services.
    12. Medical supplies and equipment.
    13. Home health services. Effective June 30, 1991, cost  reimbursement for home health services is eliminated. A rate per visit by  discipline shall be established as set forth by 12VAC30-80-180.
    14. Physical therapy; occupational therapy; and speech,  hearing, language disorders services when rendered to noninstitutionalized  recipients.
    15. Clinic services, as defined under 42 CFR 440.90.
    16. Supplemental payments for services provided by Type I  physicians.
    a. In addition to payments for physician services specified  elsewhere in this State Plan, DMAS provides supplemental payments to Type I  physicians for furnished services provided on or after July 2, 2002. A Type I  physician is a member of a practice group organized by or under the control of  a state academic health system or an academic health system that operates under  a state authority and includes a hospital, who has entered into contractual  agreements for the assignment of payments in accordance with 42 CFR  447.10.
    b. Effective July 2, 2002, the supplemental payment amount for  Type I physician services shall be the difference between the Medicaid payments  otherwise made for Type I physician services and Medicare rates. Effective  August 13, 2002, the supplemental payment amount for Type I physician services  shall be the difference between the Medicaid payments otherwise made for  physician services and 143% of Medicare rates. This percentage was determined  by dividing the total commercial allowed amounts for Type I physicians for at  least the top five commercial insurers in CY 2004 by what Medicare would have  allowed. The average commercial allowed amount was determined by multiplying  the relative value units times the conversion factor for RBRVS procedures and  by multiplying the unit cost times anesthesia units for anesthesia procedures  for each insurer and practice group with Type I physicians and summing for all  insurers and practice groups. The Medicare equivalent amount was determined by  multiplying the total commercial relative value units for Type I physicians  times the Medicare conversion factor for RBRVS procedures and by multiplying  the Medicare unit cost times total commercial anesthesia units for anesthesia  procedures for all Type I physicians and summing. 
    c. Supplemental payments shall be made quarterly.
    d. Payment will not be made to the extent that this would  duplicate payments based on physician costs covered by the supplemental  payments.
    17. Supplemental payments to nonstate government-owned or  operated clinics. 
    a. In addition to payments for clinic services specified  elsewhere in the regulations, DMAS provides supplemental payments to qualifying  nonstate government-owned or operated clinics for outpatient services provided  to Medicaid patients on or after July 2, 2002. Clinic means a facility that is  not part of a hospital but is organized and operated to provide medical care to  outpatients. Outpatient services include those furnished by or under the  direction of a physician, dentist or other medical professional acting within  the scope of his license to an eligible individual. Effective July 1, 2005, a  qualifying clinic is a clinic operated by a community services board. The state  share for supplemental clinic payments will be funded by general fund  appropriations. 
    b. The amount of the supplemental payment made to each  qualifying nonstate government-owned or operated clinic is determined by: 
    (1) Calculating for each clinic the annual difference between  the upper payment limit attributed to each clinic according to subdivision 17 d  and the amount otherwise actually paid for the services by the Medicaid  program; 
    (2) Dividing the difference determined in subdivision 17 b (1)  for each qualifying clinic by the aggregate difference for all such qualifying  clinics; and 
    (3) Multiplying the proportion determined in subdivision (2)  of this subdivision 17 b by the aggregate upper payment limit amount for all  such clinics as determined in accordance with 42 CFR 447.321 less all payments  made to such clinics other than under this section. 
    c. Payments for furnished services made under this section may  be made in one or more installments at such times, within the fiscal year or  thereafter, as is determined by DMAS. 
    d. To determine the aggregate upper payment limit referred to  in subdivision 17 b (3), Medicaid payments to nonstate government-owned or  operated clinics will be divided by the "additional factor" whose  calculation is described in Attachment 4.19-B, Supplement 4 (12VAC30-80-190 B  2) in regard to the state agency fee schedule for RBRVS. Medicaid payments will  be estimated using payments for dates of service from the prior fiscal year  adjusted for expected claim payments. Additional adjustments will be made for  any program changes in Medicare or Medicaid payments. 
    18. Reserved.
    19. Personal Assistance Services (PAS) for individuals  enrolled in the Medicaid Buy-In program described in 12VAC30-60-200. These  services are reimbursed in accordance with the state agency fee schedule  described in 12VAC30-80-190. The state agency fee schedule is published on the  Single State Agency Website. 
    B. Hospice services payments must be no lower than the  amounts using the same methodology used under Part A of Title XVIII, and take  into account the room and board furnished by the facility, equal to at least  95% of the rate that would have been paid by the state under the plan for  facility services in that facility for that individual. Hospice services shall  be paid according to the location of the service delivery and not the location  of the agency's home office.
    12VAC30-110-1500. Working individuals with disabilities;  basic coverage group (Ticket to Work and Work Incentive Improvement Act  (TWWIIA)).
    A. Definitions.
    "Eligible person" means someone who is (i)  disabled: an applicant is deemed to be disabled for the purposes of program  eligibility if he is enrolled in the Supplemental Security Income (SSI) or  Social Security Disability Insurance (SSDI) programs. If the applicant has not  had a disability determination through the Social Security Administration, he  must have such a determination through the Disability Determination Services  program, (ii) employed or can show proof of imminent prospective employment;  (iii) between the ages of 16 years and 64 years; (iv) not subject to spending  down of excess resources; (v) not an inpatient in an institution of mental  disease (IMD), nor an inmate in a public institution that is not medical  facility pursuant to the Act § 1902(a)(10)(A)(ii)(XV).
    B. Scope/purpose. The purpose of this program shall be to afford  persons who are disabled with the opportunity to be employed and retain more of  their earned income without risking the loss of their Medicaid coverage of  critical health care benefits.
    C. In conformance with 12VAC30-30-20, 12VAC30-40-280,  12VAC30-40-290, and 12VAC30-40-105, eligible persons must meet the definition  in subsection A of this section to be approved for this program.
    D. In conformance with 12VAC30-40-105, working individuals  with disabilities must meet these requirements for continuing eligibility  pursuant to the Act § 1902(a)(10)(A)(ii)(XV):
    1. Continue to meet the disability, age, and employment  criteria described in this section. Individuals who, as enrollees, are unable  to maintain employment due to illness or unavoidable job loss may remain in the  program as unemployed for up to six months;
    2. Have enrollee-countable earned income of no more than  200% FPL;
    (a) The standard SSI methodology shall be used to determine  "countable" income; 
    (b) The enrollee shall be treated as a "household of  one" and spousal income shall be disregarded for ongoing enrollee  eligibility; [ and ] 
    3. Have resources or assets up to the annual SSI  "threshold amount" (Social Security Act, § 1619(b)) as  established for Virginia by the Social Security Administration (SSA), if such  resources or assets are accumulated solely from enrollee earnings after the  individual is enrolled with Medicaid Buy-In under  § 1902(a)(10)(A)(ii)(XV).
    VA.R. Doc. No. R07-219; Filed May 28, 2009, 2:44 p.m. 
TITLE 12. HEALTH
DEPARTMENT OF MEDICAL ASSISTANCE SERVICES
Final Regulation
    Titles of Regulations:  12VAC30-30. Groups Covered and Agencies Responsible for Eligibility Determination (amending 12VAC30-30-20).
    12VAC30-40. Eligibility  Conditions and Requirements (amending 12VAC30-40-280, 12VAC30-40-290;  adding 12VAC30-40-105).
    12VAC30-60. Standards Established and Methods Used to Assure  High Quality Care (adding 12VAC30-60-200).
    12VAC30-80. Methods and Standards for Establishing Payment  Rates; Other Types of Care (amending 12VAC30-80-30).
    12VAC30-110. Eligibility and Appeals (adding 12VAC30-110-1500).
    Statutory Authority: §§ 32.1-324 and 32.1-325 of the  Code of Virginia.
    Effective Date: July 23, 2009. 
    Agency Contact: Jack Quigley, Policy & Research,  Department of Medical Assistance Services, 600 East Broad Street, Richmond, VA  23219, telephone (804) 786-1300, FAX (804) 786-1680, or email  jack.quigley@dmas.virginia.gov.
    Summary: 
    This regulatory action implements a mandated Medicaid Buy-In  program as required by Item 302 X of Chapter 3 of the 2006 Acts of Assembly.  This new program, called Medicaid Works, requires the amendment of several  subsections of the DMAS regulations in the areas of Medicaid eligibility, new  alternative benefit services, and provider reimbursement. The Medicaid Works  Buy-In program creates an incentive for disabled Medicaid enrollees who desire  to be employed to have added income that will not count against their  eligibility income limits. Presently, Medicaid enrollees who have disabilities,  but who still have the capacity to be gainfully employed, could lose their  Medicaid eligibility due to excess income if they are employed. This change  reduces the financial restrictions to which such enrollees may be subject.
    Summary of Public Comments and Agency's Response: No  public comments were received by the promulgating agency. 
    12VAC30-30-20. Optional groups other than the medically needy.
    The Title IV A agency determines eligibility for Title XIX  services. 
    1. Caretakers and pregnant women who meet the income and  resource requirements of AFDC but who do not receive cash assistance. 
    2. Individuals who would be eligible for AFDC, SSI or an  optional state supplement as specified in 42 CFR 435.230, if they were not in a  medical institution. 
    3. A group or groups of individuals who would be eligible for  Medicaid under the plan if they were in a NF or an ICF/MR, who but for the  provision of home and community-based services under a waiver granted under 42  CFR Part 441, Subpart G would require institutionalization, and who will  receive home and community-based services under the waiver. The group or groups  covered are listed in the waiver request. This option is effective on the  effective date of the state's § 1915(c) waiver under which this group(s) is  covered. In the event an existing § 1915(c) waiver is amended to cover this  group(s), this option is effective on the effective date of the amendment. 
    4. Individuals who would be eligible for Medicaid under the  plan if they were in a medical institution, who are terminally ill, and who  receive hospice care in accordance with a voluntary election described in §  1905(o) of the Act. 
    5. The state does not cover all individuals who are not  described in § 1902(a)(10)(A)(i) of the Act, who meet the income and resource  requirements of the AFDC state plan and who are under the age of 21. The state  does cover reasonable classifications of these individuals as follows: 
    a. Individuals for whom public agencies are assuming full or  partial financial responsibility and who are: 
    (1) In foster homes (and are under the age of 21). 
    (2) In private institutions (and are under the age of 21). 
    (3) In addition to the group under subdivisions 5 a (1) and  (2) of this section, individuals placed in foster homes or private institutions  by private nonprofit agencies (and are under the age of 21). 
    b. Individuals in adoptions subsidized in full or part by a  public agency (who are under the age of 21). 
    c. Individuals in NFs (who are under the age of 21). NF  services are provided under this plan. 
    d. In addition to the group under subdivision 5 c of this  section, individuals in ICFs/MR (who are under the age of 21). 
    6. A child for whom there is in effect a state adoption  assistance agreement (other than under Title IV-E of the Act), who, as  determined by the state adoption agency, cannot be placed for adoption without  medical assistance because the child has special care needs for medical or  rehabilitative care, and who before execution of the agreement: 
    a. Was eligible for Medicaid under the state's approved  Medicaid plan; or 
    b. Would have been eligible for Medicaid if the standards and  methodologies of the Title IV-E foster care program were applied rather than  the AFDC standards and methodologies. 
    The state covers individuals under the age of 21. 
    7. Section 1902(f) states and SSI criteria states without  agreements under §§ 1616 and 1634 of the Act. 
    The following groups of individuals who receive a state  supplementary payment under an approved optional state supplementary payment  program that meets the following conditions. The supplement is: 
    a. Based on need and paid in cash on a regular basis. 
    b. Equal to the difference between the individual's countable  income and the income standard used to determine eligibility for the supplement.  
    c. Available to all individuals in each classification and  available on a statewide basis. 
    d. Paid to one or more of the following classifications of  individuals: 
    (1) Aged individuals in domiciliary facilities or other group  living arrangements as defined under SSI. 
    (2) Blind individuals in domiciliary facilities or other group  living arrangements as defined under SSI. 
    (3) Disabled individuals in domiciliary facilities or other  group living arrangements as defined under SSI. 
    (4) Individuals receiving a state administered optional state  supplement that meets the conditions specified in 42 CFR 435.230. 
    The supplement varies in income standard by political  subdivisions according to cost-of-living differences. 
    The standards for optional state supplementary payments are  listed in 12VAC30-40-250. 
    8. Individuals who are in institutions for at least 30  consecutive days and who are eligible under a special income level. Eligibility  begins on the first day of the 30-day period. These individuals meet the income  standards specified in 12VAC30-40-220. 
    The state covers all individuals as described above. 
    9. Individuals who are 65 years of age or older or who are  disabled as determined under § 1614(a)(3) of the Act, whose income does not  exceed the income level specified in 12VAC30-40-220 for a family of the same  size, and whose resources do not exceed the maximum amount allowed under SSI. 
    10. Individuals required to enroll in cost-effective  employer-based group health plans remain eligible for a minimum enrollment  period of one month. 
    11. Women who have been screened for breast or cervical cancer  under the Centers for Disease Control and Prevention Breast and Cervical Cancer  Early Detection Program established under Title XV of the Public Health Service  Act in accordance with § 1504 of the Act and need treatment for breast or  cervical cancer, including a pre-cancerous condition of the breast or cervix.  These women are not otherwise covered under creditable coverage, as defined in  § 2701(c) of the Public Health Services Act, are not eligible for Medicaid  under any mandatory categorically needy eligibility group, and have not  attained age 65. 
    12. Individuals who may qualify for the Medicaid Buy-In  program under § 1902(a)(10)(A)(ii)(XV) of the Social Security Act (Ticket  to Work Act) [ , ] if they meet the requirements  for the 80% eligibility group described in 12VAC30-40-220, as well as the  requirements described in 12VAC30-40-105 and 12VAC30-110-1500.
    12VAC30-40-105 [ . ] Financial  eligibility.
    Working Individuals with Disabilities; Basic Coverage  Group (Ticket to Work and Work Incentive Improvement Act (TWWIIA)). 
    The following standards and methods shall be applied in  determining financial eligibility:
    1. The agency applies the following income and resource  standards to applicants of this program:
    a. The individual's total countable income shall not exceed  80% of the current federal poverty income guidelines; [ and ]  
    b. The individual's total countable assets shall not exceed  $2,000.
    2. Income methodologies. In determining whether an  individual meets the income standard described in subdivision 1 of this  section, the agency uses more liberal income methodologies than the SSI program  as further described in 12VAC30-40-280.
    3. Resource methodologies. The agency uses resource  methodologies in addition to any indicated in subdivisions 1 and 2 of this  section that are more liberal than those used by the SSI program as described  in 12VAC30-40-290.
    12VAC30-40-280. More liberal income disregards.
    A. For children covered under §§ 1902(a)(10)(A)(i)(III)  and 1905(n) of the Social Security Act, the Commonwealth of Virginia will  disregard one dollar plus an amount equal to the difference between 100% of the  AFDC payment standard for the same family size and 100% of the federal poverty  level for the same family size as updated annually in the Federal Register. 
    B. For ADC-related cases, both categorically and medically  needy, any individual or family applying for or receiving assistance shall be  granted an income exemption consistent with the Act  (§§ 1902(a)(10)(A)(i)(III), (IV), (VI), (VII);  §§ 1902(a)(10)(A)(ii)(VIII), (IX); § 1902(a)(10)(C)(i)(III)). Any  interest earned on one interest-bearing savings or investment account per  assistance unit not to exceed $5,000, if the applicant, applicants, recipient  or recipients designate that the account is reserved for purposes related to  self-sufficiency, shall be exempt when determining eligibility for medical  assistance for so long as the funds and interest remain on deposit in the  account. For purposes of this section, "purposes related to  self-sufficiency" shall include, but are not limited to, (i) paying for  tuition, books, and incidental expenses at any elementary, secondary, or  vocational school, or any college or university; (ii) for making down payment  on a primary residence; or (iii) for establishment of a commercial operation  that is owned by a member of the Medicaid assistance unit. 
    C. For the group described in §§ 1902(a)(10)(A)(i)(VII) and  1902(l)(1)(D), income in the amount of the difference between 100% and 133% of  the federal poverty level (as revised annually in the Federal Register) is  disregarded. 
    D. For aged, blind, and disabled individuals, both  categorically and medically needy, with the exception of the special income  level group of institutionalized individuals, the Commonwealth of Virginia  shall disregard the value of in-kind support and maintenance when determining  eligibility. In-kind support and maintenance means food, clothing, or shelter  or any combination of these provided to an individual. 
    E. For all categorically needy and medically needy children  covered under the family and children covered groups, (§§ 1902(a)(10)(A)(i)(I),  1902(a)(10)(A)(i)(III), 1902(a)(10)(A)(i)(VI), 1902(a)(10)(A)(i)(VII),  1902(a)(10)(A)(ii)(VIII), 1902(a)(10)(C)(ii)(I) and 1905(n) of the Act), the  Commonwealth will disregard all earned income of a child under the age of 19  who is a student. 
    F. For all categorically needy and medically needy  individuals covered under the family and children covered groups (§§  1902(a)(10)(A)(i)(I), 1902(a)(10)(A)(i)(III), 1902(a)(10)(A)(i)(IV),  1902(a)(10)(A)(i)(V), 1902(a)(10)(A)(i)(VI), 1902(a)(10)(A)(i)(VII),  1902(a)(10)(A)(ii)(VIII), 1902(a)(10)(C)(ii)(I) and 1905(n) of the Act), the  Commonwealth will disregard the fair market value of all in-kind support and  maintenance as income in determining financial eligibility. In-kind support and  maintenance means food, clothing or shelter or any combination of these  provided to an individual. 
    G. Working individuals with disabilities eligible for  assistance under § 1902(a)(10)(A)(ii)(XV) of the Act who wish to increase  their earnings while maintaining eligibility for Medicaid must establish Work  Incentive (WIN) accounts (see 12VAC30-40-290). The Commonwealth shall disregard  earned income up to 200% of the federal poverty level for workers with  disabilities eligible for assistance under § 1902(a)(10)(A)(ii)(XV) of the  Act. To be eligible for this earned income disregard, the income is subject to  the following provisions:
    1. Only earnings that are deposited into a Work Incentive  (WIN) account can be disregarded for eligibility purposes.
    2. All funds deposited and their source will be identified  and registered with the department, for which prior approval has been obtained  from the department, and for which the owner authorizes regular monitoring  and/or reporting of these earnings and other information deemed necessary by the  department for the proper administration of this provision.
    3. A spouse's income will not be deemed to the applicant  when determining whether or not the individual meets the financial eligibility  requirements for eligibility under this section. 
    [ G. H. ] For aged, blind and  disabled individuals, both categorically and medically needy, with the  exception of the special income level group of institutionalized individuals,  the Commonwealth of Virginia shall disregard the value of income derived from  temporary employment with the United States Census Bureau for a decennial  census.
    [ H. I. ] For all categorically needy  and medically needy individuals covered under the family and children covered  groups (§§ 1902(a)(10)(A)(i)(I), 1902(a)(10)(A)(i)(III), 1902(a)(10)(A)(i)(IV),  1902(a)(10)(A)(i)(V), 1902(a)(10)(A)(i)(VI), 1902(a)(10)(A)(i)(VII),  1902(a)(10)(A)(ii)(VIII), 1902(a)(10)(C)(ii)(I) and 1905(n) of the Act), the  Commonwealth will disregard income derived from the temporary employment with  the United States Census Bureau for a decennial census. 
    12VAC30-40-290. More liberal methods of treating resources  under § 1902(r)(2) of the Act: § 1902(f) states.
    A. Resources to meet burial expenses. Resources set aside to  meet the burial expenses of an applicant/recipient or that individual's spouse  are excluded from countable assets. In determining eligibility for benefits for  individuals, disregarded from countable resources is an amount not in excess of  $3,500 for the individual and an amount not in excess of $3,500 for his spouse  when such resources have been set aside to meet the burial expenses of the  individual or his spouse. The amount disregarded shall be reduced by:
    1. The face value of life insurance on the life of an  individual owned by the individual or his spouse if the cash surrender value of  such policies has been excluded from countable resources; and
    2. The amount of any other revocable or irrevocable trust,  contract, or other arrangement specifically designated for the purpose of  meeting the individual's or his spouse's burial expenses.
    B. Cemetery plots. Cemetery plots are not counted as  resources regardless of the number owned.
    C. Life rights. Life rights to real property are not counted  as a resource. The purchase of a life right in another individual's home is  subject to transfer of asset rules. See 12VAC30-40-300.
    D. Reasonable effort to sell.
    1. For purposes of this section, "current market  value" is defined as the current tax assessed value. If the property is  listed by a realtor, then the realtor may list it at an amount higher than the  tax assessed value. In no event, however, shall the realtor's list price exceed  150% of the assessed value.
    2. A reasonable effort to sell is considered to have been  made:
    a. As of the date the property becomes subject to a realtor's  listing agreement if:
    (1) It is listed at a price at current market value; and
    (2) The listing realtor verifies that it is unlikely to sell  within 90 days of listing given the particular circumstances involved (e.g.,  owner's fractional interest; zoning restrictions; poor topography; absence of  road frontage or access; absence of improvements; clouds on title, right of way  or easement; local market conditions); or
    b. When at least two realtors refuse to list the property. The  reason for refusal must be that the property is unsaleable at current market  value. Other reasons for refusal are not sufficient; or
    c. When the applicant has personally advertised his property  at or below current market value for 90 days by use of a "Sale By  Owner" sign located on the property and by other reasonable efforts, such  as newspaper advertisements, or reasonable inquiries with all adjoining  landowners or other potential interested purchasers.
    3. Notwithstanding the fact that the recipient made a  reasonable effort to sell the property and failed to sell it, and although the  recipient has become eligible, the recipient must make a continuing reasonable  effort to sell by:
    a. Repeatedly renewing any initial listing agreement until the  property is sold. If the list price was initially higher than the tax-assessed  value, the listed sales price must be reduced after 12 months to no more than  100% of the tax-assessed value.
    b. In the case where at least two realtors have refused to  list the property, the recipient must personally try to sell the property by  efforts described in subdivision 2 c of this subsection for 12 months.
    c. In the case of a recipient who has personally advertised  his property for a year without success (the newspaper advertisements and  "for sale" sign do not have to be continuous; these efforts must be  done for at least 90 days within a 12-month period), the recipient must then:
    (1) Subject his property to a realtor's listing agreement at  price or below current market value; or
    (2) Meet the requirements of subdivision 2 b of this  subsection which are that the recipient must try to list the property and at  least two realtors refuse to list it because it is unsaleable at current market  value; other reasons for refusal to list are not sufficient.
    4. If the recipient has made a continuing effort to sell the  property for 12 months, then the recipient may sell the property between 75%  and 100% of its tax assessed value and such sale shall not result in  disqualification under the transfer of property rules. If the recipient  requests to sell his property at less than 75% of assessed value, he must  submit documentation from the listing realtor, or knowledgeable source if the  property is not listed with a realtor, that the requested sale price is the best  price the recipient can expect to receive for the property at this time. Sale  at such a documented price shall not result in disqualification under the  transfer of property rules. The proceeds of the sale will be counted as a  resource in determining continuing eligibility.
    5. Once the applicant has demonstrated that his property is  unsaleable by following the procedures in subdivision 2 of this subsection, the  property is disregarded in determining eligibility starting the first day of  the month in which the most recent application was filed, or up to three months  prior to this month of application if retroactive coverage is requested and the  applicant met all other eligibility requirements in the period. A recipient  must continue his reasonable efforts to sell the property as required in  subdivision 3 of this subsection.
    E. Automobiles. Ownership of one motor vehicle does not  affect eligibility. If more than one vehicle is owned, the individual's equity  in the least valuable vehicle or vehicles must be counted. The value of the  vehicles is the wholesale value listed in the National Automobile Dealers  Official Used Car Guide (NADA) Book, Eastern Edition (update monthly). In the  event the vehicle is not listed, the value assessed by the locality for tax  purposes may be used. The value of the additional motor vehicles is to be  counted in relation to the amount of assets that could be liquidated that may  be retained.
    F. Life, retirement, and other related types of insurance  policies. Life, retirement, and other related types of insurance policies with  face values totaling $1,500 or less on any one person 21 years old and over are  not considered resources. When the face values of such policies of any one  person exceeds $1,500, the cash surrender value of the policies is counted as a  resource.
    G. Long-term care partnership insurance policy (partnership  policy). Resources equal to the amount of benefits paid on the insured's behalf  by the long-term care insurer through a Virginia issued long-term care  partnership insurance policy shall be disregarded. A long-term care partnership  insurance policy shall meet the following requirements:
    1. The policy is a qualified long-term care partnership  insurance policy as defined in § 7702B(b) of the Internal Revenue Code of 1986.
    2. The policy meets the requirements of the National  Association of Insurance Commissioners (NAIC) Long-Term Care Insurance Model  Regulation and Long-Term Care Insurance Model Act as those requirements are set  forth in § 1917(b)(5)(A) of the Social Security Act (42 USC § 1396p).
    3. The policy was issued no earlier than May 1, 2007.
    4. The insured individual was a resident of a partnership  state when coverage first became effective under the policy. If the policy is  later exchanged for a different long-term care policy, the individual was a  resident of a partnership state when coverage under the earliest policy became  effective.
    5. The policy meets the inflation protection requirements set  forth in § 1917(b)(1)(C)(iii)(IV) of the Social Security Act.
    6. The Insurance Commissioner requires the issuer of the  partnership policy to make regular reports to the federal Secretary of Health  and Human Services that include notification of the date benefits provided  under the policy were paid and the amount paid, the date the policy terminates,  and such other information as the secretary determines may be appropriate to  the administration of such partnerships. Such information shall also be made  available to the Department of Medical Assistance Services upon request. 
    7. The state does not impose any requirement affecting the  terms or benefits of a partnership policy that the state does not also impose  on nonpartnership policies.
    8. The policy meets all the requirements of the Bureau of  Insurance of the State Corporation Commission described in 14VAC5-200.
    H. Reserved.
    I. Resource exemption for Aid to Dependent Children  categorically and medically needy (the Act §§ 1902(a)(10)(A)(i)(III),  (IV), (VI), (VII); §§ 1902(a)(10)(A)(ii)(VIII), (IX); §  1902(a)(10)(C)(i)(III)). For ADC-related cases, both categorically and  medically needy, any individual or family applying for or receiving assistance  may have or establish one interest-bearing savings or investment account per  assistance unit not to exceed $5,000 if the applicant, applicants, recipient or  recipients designate that the account is reserved for purposes related to  self-sufficiency. Any funds deposited in the account shall be exempt when  determining eligibility for medical assistance for so long as the funds and  interest remain on deposit in the account. Any amounts withdrawn and used for  purposes related to self-sufficiency shall be exempt. For purposes of this  section, purposes related to self-sufficiency shall include, but are not  limited to, (i) paying for tuition, books, and incidental expenses at any  elementary, secondary, or vocational school, or any college or university; (ii)  for making down payment on a primary residence; or (iii) for establishment of a  commercial operation that is owned by a member of the medical assistance unit.
    J. Disregard of resources. The Commonwealth of Virginia will  disregard all resources for qualified children covered under  §§ 1902(a)(10)(A)(i)(I), 1902(a)(10)(A)(i)(III), 1902(a)(10)(A)(ii)(VIII),  and 1905(n) of the Social Security Act.
    K. Household goods and personal effects. The Commonwealth of  Virginia will disregard the value of household goods and personal effects.  Household goods are items of personal property customarily found in the home  and used in connection with the maintenance, use and occupancy of the premises  as a home. Examples of household goods are furniture, appliances, televisions,  carpets, cooking and eating utensils and dishes. Personal effects are items of  personal property that are worn or carried by an individual or that have an  intimate relation to the individual. Examples of personal property include  clothing, jewelry, personal care items, prosthetic devices and educational or  recreational items such as books, musical instruments, or hobby materials.
    L. Determining eligibility based on resources. When  determining Medicaid eligibility, an individual shall be eligible in a month if  his countable resources were at or below the resource standard on any day of  such month.
    M. Working individuals with disabilities eligible for  assistance under § 1902(a)(10)(A)(ii)(XV) of the Act who wish to increase  their personal resources while maintaining eligibility for Medicaid shall  establish Work Incentive (WIN) accounts. The Commonwealth will disregard up to  the current annual SSI (Social Security Act, § 1619(b)) threshold amount  (as established for Virginia by the Social Security Administration) held in WIN  accounts for workers with disabilities eligible for assistance under  § 1902(a)(10)(A)(ii)(XV) of the Act. To be eligible for this resource  disregard, WIN accounts are subject to the following provisions:
    1. Deposits to this account shall derive solely from the  individual's income earned after electing to enroll in the Medicaid Buy-In  (MBI) program.
    2. The balance of this account shall not exceed the current  annual SSI (Social Security Act § 1619(b)) threshold amount (as  established for Virginia by the Social Security Administration).
    3. This account will be held separate from nonexempt  resources in accounts for which prior approval has been obtained from the  department, and for which the owner authorizes regular monitoring and reporting  including deposits, withdrawals, and other information deemed necessary by the  department for the proper administration of this provision.
    4. A spouse's resources will not be deemed to the applicant  when determining whether or not the individual meets the financial eligibility  requirements for eligibility under this section.
    5. Resources accumulated in the Work Incentive account  shall be disregarded in determining eligibility for aged, blind [ , ]  and disabled Medicaid-covered groups for one year after the individual  leaves the Medicaid Buy-In program.
    6. In addition, excluded from the resource and asset limit  include amounts deposited in the following types of IRS-approved accounts  established as WIN accounts: retirement accounts, medical savings accounts,  medical reimbursement accounts, education accounts and independence accounts.  Assets retained in these WIN accounts shall be disregarded for all future  Medicaid eligibility determinations for aged, blind, or disabled  Medicaid-covered groups.
    12VAC30-60-200. Ticket to Work and Work Incentives  Improvement Act (TWWIIA) basic coverage group: alternative benefits for  Medicaid Buy-In program.
    A. The state elects to provide alternative benefits under  § 1937 of the Social Security Act. The alternative benefit package will be  available statewide. 
    B. The population who will be offered opt-in alternative  coverage and who will be informed of the available benefit options prior to  having the option to voluntarily enroll in an alternative benefit package  consists of working individuals with disabilities enrolled pursuant to the  Social Security Act, § 1902(a)(10)(A)(ii)(XV) (Ticket to Work and Work  Incentives Improvement Act) covered group or who meet the income, resource and  eligibility requirements for the § 1902(a)(10)(A)(ii)(XV) covered group.
    C. Medicaid Buy-In: program outreach.
    1. Future Medicaid Works solicitations will be geared  towards individuals who are currently covered in the SSI and blind and disabled  80% federal poverty level groups; the letter will be an invitation to consider  going to work, or to increase how much they work, and inform them that they  will still be able to keep their Medicaid health care coverage. 
    2. They will be advised that this is voluntary and will  enable them to earn higher income and retain more assets from their earnings.  It will also explain that this option includes an alternative benefits package  comprised of their regular Medicaid benefits plus personal assistance services  for those who need personal assistance and related services in order to live  and work in the community. It will be clearly stated that this program is  optional. Their local eligibility worker will be able to review the advantages  and disadvantages of this option in order to assist individuals in making an  informed choice. 
    3. Current Medicaid Works enrollees will each receive  personal communication by mail advising them of the new alternative benefits  package and the steps needed in order to access personal assistance services.  Should an enrolled individual be dissatisfied with this option or be unable to  continue to be employed, their eligibility worker will reevaluate eligibility  for other covered groups pursuant to changing the individual back to regular  Medicaid coverage and, if necessary, to accessing personal assistance and  related services through the existing home- and community-based services  waivers. 
    4. Brochures describing this work incentive opportunity and  alternative benefits option shall be prominently displayed and readily  available at local departments of social services.
    D. Description of Medicaid Buy-In alternative benefit  package.
    1. The state will offer an alternative benefit package that  the secretary determines provides appropriate coverage for the population  served.
    2. This alternative benefits package includes all federally  mandated and optional Medicaid State Plan services, as described and limited in  12VAC30-50, plus personal assistance services (PAS) for enrollees who otherwise  meet the standards to receive PAS, defined as follows:
    a. "Personal assistance services" or  "PAS" means support services provided in home and community settings  necessary to maintain or improve an individual's current health status.  Personal care services are defined as help with activities of daily living,  monitoring of self-administered medications, and the monitoring of health  status and physical condition. 
    b. These services may be provided in home and community  settings to enable an individual to maintain the health status and functional  skills necessary to live in the community or participate in community  activities. An additional component of PAS is work-related and postsecondary  education personal services. This service will extend the ability of the  personal assistance attendant to provide assistance in the workplace. 
    c. These services include filing, retrieving work materials  that are out of reach; providing travel assistance for an individual with a  mobility impairment; helping an individual with organizational skills; reading  handwritten mail to an individual with a visual impairment; or ensuring that a  sign language interpreter is present during staff meetings to accommodate an  employee with a hearing impairment.
    d. This service is only available to individuals who also  require personal assistance services to meet their ADLs. Workplace or school  supports are not provided if they are services provided by the Department of  Rehabilitative Services, under IDEA, or if they are an employer's  responsibility under the Americans with Disabilities Act or § 504 of the  Rehabilitation Act. 
    e. Following an individual's assessment of the need for PAS  and development of a plan of care, the individual will decide whether to have  PAS through a personal care agency or whether to self direct his care. For  individuals who choose consumer-directed care, DMAS will provide for the services  of a fiscal agent to perform certain tasks as an agent for the  recipient/employer who is receiving consumer-directed services. The fiscal  agent will handle certain responsibilities for the individual, including but  not limited to, employment taxes. 
    f. All governmental and private PAS providers are  reimbursed according to the same published fee schedule, located on the  agency's website at the following address:  http://www.dmas.virginia.gov/pr-fee_files.htm. The agency's rates, based upon  one-hour increments, were set as of July 1, 2006, and are effective for  services on or after said dates. The agency's rates are updated periodically. 
    E. Wrap-around/additional services.
    1. The state assures that wrap-around or additional  benefits will be provided for individuals under 21 who are covered under the  state plan pursuant to § 1902(a)(10)(A) of the Social Security Act to ensure  early and periodic screening, diagnostic and treatment (EPSDT) services are  provided when medically necessary.
    2. Wraparound benefits must be sufficient so that, in  combination with the Medicaid Buy-In package, these individuals receive the  full EPSDT benefit, as medically necessary. The wraparound services provided  are described in 12VAC30-50-130.
    F. Delivery system.
    1. The alternative benefit package will be furnished  through a combination of the following methods:
    a. On a fee-for-service basis consistent with the  requirements of § 1902(a) and implementing regulations relating to payment  and beneficiary free choice of provider;
    b. On a fee-for-service basis consistent with the  requirements cited in subdivision 1 a of this subsection, except that it will  be operated with a primary care case management system consistent with  § 1915(b)(1);
    c. Through a managed care entity consistent with applicable  managed care requirements; [ or ] 
    d. Through premium assistance for benchmark-equivalent in  employer-sponsored coverage.
    2. Personal assistance services will always be  fee-for-service, whereas all other Medicaid-covered services shall be through  one of three models: fee-for-service, primary care case management or through  managed care organizations.
    G. Additional assurances.
    1. The state assures that individuals will have access,  through the Medicaid Buy-In alternative benefit package, to rural health clinic  (RHC) services and federally qualified health center (FQHC) services as defined  in subparagraphs (B) and (C) of § 1905(a)(2).
    2. The state assures that payment for RHC and FQHC services  is made in accordance with the requirements of § 1902(bb) of the Social  Security Act.
    H. Cost effectiveness of plans: the Medicaid Buy-In  alternative benefit package and any additional benefits must be provided in  accordance with economy and efficiency principles.
    I. Compliance with the law: The state will continue to  comply with all other provisions of the Social Security Act in the  administration of the state plan under this title.
    12VAC30-80-30. Fee-for-service providers. 
    A. Payment for the following services, except for physician  services, shall be the lower of the state agency fee schedule (12VAC30-80-190  has information about the state agency fee schedule) or actual charge (charge  to the general public):
    1. Physicians' services (12VAC30-80-160 has  obstetric/pediatric fees). Payment for physician services shall be the lower of  the state agency fee schedule or actual charge (charge to the general public),  except that reimbursement rates for designated physician services when  performed in hospital outpatient settings shall be 50% of the reimbursement  rate established for those services when performed in a physician's office. The  following limitations shall apply to emergency physician services.
    a. Definitions. The following words and terms, when used in  this subdivision 1 shall have the following meanings when applied to emergency  services unless the context clearly indicates otherwise:
    "All-inclusive" means all emergency service and  ancillary service charges claimed in association with the emergency department  visit, with the exception of laboratory services.
    "DMAS" means the Department of Medical Assistance  Services consistent with Chapter 10 (§ 32.1-323 et seq.) of Title 32.1 of the  Code of Virginia.
    "Emergency physician services" means services that  are necessary to prevent the death or serious impairment of the health of the  recipient. The threat to the life or health of the recipient necessitates the  use of the most accessible hospital available that is equipped to furnish the  services.
    "Recent injury" means an injury that has occurred  less than 72 hours prior to the emergency department visit.
    b. Scope. DMAS shall differentiate, as determined by the  attending physician's diagnosis, the kinds of care routinely rendered in  emergency departments and reimburse physicians for nonemergency care rendered  in emergency departments at a reduced rate.
    (1) DMAS shall reimburse at a reduced and all-inclusive  reimbursement rate for all physician services, including those obstetric and  pediatric procedures contained in 12VAC30-80-160, rendered in emergency  departments that DMAS determines are nonemergency care.
    (2) Services determined by the attending physician to be  emergencies shall be reimbursed under the existing methodologies and at the  existing rates.
    (3) Services determined by the attending physician that may be  emergencies shall be manually reviewed. If such services meet certain criteria,  they shall be paid under the methodology in subdivision 1 b (2) of this  subsection. Services not meeting certain criteria shall be paid under the  methodology in subdivision 1 b (1) of this subsection. Such criteria shall  include, but not be limited to:
    (a) The initial treatment following a recent obvious injury.
    (b) Treatment related to an injury sustained more than 72  hours prior to the visit with the deterioration of the symptoms to the point of  requiring medical treatment for stabilization.
    (c) The initial treatment for medical emergencies including  indications of severe chest pain, dyspnea, gastrointestinal hemorrhage,  spontaneous abortion, loss of consciousness, status epilepticus, or other  conditions considered life threatening.
    (d) A visit in which the recipient's condition requires  immediate hospital admission or the transfer to another facility for further  treatment or a visit in which the recipient dies.
    (e) Services provided for acute vital sign changes as  specified in the provider manual.
    (f) Services provided for severe pain when combined with one  or more of the other guidelines.
    (4) Payment shall be determined based on ICD-9-CM diagnosis  codes and necessary supporting documentation.
    (5) DMAS shall review on an ongoing basis the effectiveness of  this program in achieving its objectives and for its effect on recipients,  physicians, and hospitals. Program components may be revised subject to  achieving program intent objectives, the accuracy and effectiveness of the  ICD-9-CM code designations, and the impact on recipients and providers.
    2. Dentists' services.
    3. Mental health services including: (i) community mental  health services; (ii) services of a licensed clinical psychologist; or (iii)  mental health services provided by a physician.
    a. Services provided by licensed clinical psychologists shall  be reimbursed at 90% of the reimbursement rate for psychiatrists.
    b. Services provided by independently enrolled licensed  clinical social workers, licensed professional counselors or licensed clinical  nurse specialists-psychiatric shall be reimbursed at 75% of the reimbursement  rate for licensed clinical psychologists.
    4. Podiatry.
    5. Nurse-midwife services.
    6. Durable medical equipment (DME).
    a. For those items that have a national Healthcare Common  Procedure Coding System (HCPCS) code, the rate for durable medical equipment  shall be set at the Durable Medical Equipment Regional Carrier (DMERC)  reimbursement level.
    b. The rate paid for all items of durable medical equipment  except nutritional supplements shall be the lower of the state agency fee  schedule that existed prior to July 1, 1996, less 4.5%, or the actual charge.
    c. The rate paid for nutritional supplements shall be the  lower of the state agency fee schedule or the actual charge.
    d. Certain durable medical equipment used for intravenous  therapy and oxygen therapy shall be bundled under specified procedure codes and  reimbursed as determined by the agency. Certain services/durable medical  equipment such as service maintenance agreements shall be bundled under  specified procedure codes and reimbursed as determined by the agency.
    (1) Intravenous therapies. The DME for a single therapy,  administered in one day, shall be reimbursed at the established service day  rate for the bundled durable medical equipment and the standard pharmacy  payment, consistent with the ingredient cost as described in 12VAC30-80-40,  plus the pharmacy service day and dispensing fee. Multiple applications of the  same therapy shall be included in one service day rate of reimbursement.  Multiple applications of different therapies administered in one day shall be  reimbursed for the bundled durable medical equipment service day rate as  follows: the most expensive therapy shall be reimbursed at 100% of cost; the  second and all subsequent most expensive therapies shall be reimbursed at 50%  of cost. Multiple therapies administered in one day shall be reimbursed at the  pharmacy service day rate plus 100% of every active therapeutic ingredient in  the compound (at the lowest ingredient cost methodology) plus the appropriate  pharmacy dispensing fee.
    (2) Respiratory therapies. The DME for oxygen therapy shall  have supplies or components bundled under a service day rate based on oxygen  liter flow rate or blood gas levels. Equipment associated with respiratory  therapy may have ancillary components bundled with the main component for  reimbursement. The reimbursement shall be a service day per diem rate for  rental of equipment or a total amount of purchase for the purchase of  equipment. Such respiratory equipment shall include, but not be limited to,  oxygen tanks and tubing, ventilators, noncontinuous ventilators, and suction  machines. Ventilators, noncontinuous ventilators, and suction machines may be  purchased based on the individual patient's medical necessity and length of  need.
    (3) Service maintenance agreements. Provision shall be made  for a combination of services, routine maintenance, and supplies, to be known  as agreements, under a single reimbursement code only for equipment that is  recipient owned. Such bundled agreements shall be reimbursed either monthly or  in units per year based on the individual agreement between the DME provider  and DMAS. Such bundled agreements may apply to, but not necessarily be limited  to, either respiratory equipment or apnea monitors.
    7. Local health services.
    8. Laboratory services (other than inpatient hospital).
    9. Payments to physicians who handle laboratory specimens, but  do not perform laboratory analysis (limited to payment for handling).
    10. X-Ray services.
    11. Optometry services.
    12. Medical supplies and equipment.
    13. Home health services. Effective June 30, 1991, cost  reimbursement for home health services is eliminated. A rate per visit by  discipline shall be established as set forth by 12VAC30-80-180.
    14. Physical therapy; occupational therapy; and speech,  hearing, language disorders services when rendered to noninstitutionalized  recipients.
    15. Clinic services, as defined under 42 CFR 440.90.
    16. Supplemental payments for services provided by Type I  physicians.
    a. In addition to payments for physician services specified  elsewhere in this State Plan, DMAS provides supplemental payments to Type I  physicians for furnished services provided on or after July 2, 2002. A Type I  physician is a member of a practice group organized by or under the control of  a state academic health system or an academic health system that operates under  a state authority and includes a hospital, who has entered into contractual  agreements for the assignment of payments in accordance with 42 CFR  447.10.
    b. Effective July 2, 2002, the supplemental payment amount for  Type I physician services shall be the difference between the Medicaid payments  otherwise made for Type I physician services and Medicare rates. Effective  August 13, 2002, the supplemental payment amount for Type I physician services  shall be the difference between the Medicaid payments otherwise made for  physician services and 143% of Medicare rates. This percentage was determined  by dividing the total commercial allowed amounts for Type I physicians for at  least the top five commercial insurers in CY 2004 by what Medicare would have  allowed. The average commercial allowed amount was determined by multiplying  the relative value units times the conversion factor for RBRVS procedures and  by multiplying the unit cost times anesthesia units for anesthesia procedures  for each insurer and practice group with Type I physicians and summing for all  insurers and practice groups. The Medicare equivalent amount was determined by  multiplying the total commercial relative value units for Type I physicians  times the Medicare conversion factor for RBRVS procedures and by multiplying  the Medicare unit cost times total commercial anesthesia units for anesthesia  procedures for all Type I physicians and summing. 
    c. Supplemental payments shall be made quarterly.
    d. Payment will not be made to the extent that this would  duplicate payments based on physician costs covered by the supplemental  payments.
    17. Supplemental payments to nonstate government-owned or  operated clinics. 
    a. In addition to payments for clinic services specified  elsewhere in the regulations, DMAS provides supplemental payments to qualifying  nonstate government-owned or operated clinics for outpatient services provided  to Medicaid patients on or after July 2, 2002. Clinic means a facility that is  not part of a hospital but is organized and operated to provide medical care to  outpatients. Outpatient services include those furnished by or under the  direction of a physician, dentist or other medical professional acting within  the scope of his license to an eligible individual. Effective July 1, 2005, a  qualifying clinic is a clinic operated by a community services board. The state  share for supplemental clinic payments will be funded by general fund  appropriations. 
    b. The amount of the supplemental payment made to each  qualifying nonstate government-owned or operated clinic is determined by: 
    (1) Calculating for each clinic the annual difference between  the upper payment limit attributed to each clinic according to subdivision 17 d  and the amount otherwise actually paid for the services by the Medicaid  program; 
    (2) Dividing the difference determined in subdivision 17 b (1)  for each qualifying clinic by the aggregate difference for all such qualifying  clinics; and 
    (3) Multiplying the proportion determined in subdivision (2)  of this subdivision 17 b by the aggregate upper payment limit amount for all  such clinics as determined in accordance with 42 CFR 447.321 less all payments  made to such clinics other than under this section. 
    c. Payments for furnished services made under this section may  be made in one or more installments at such times, within the fiscal year or  thereafter, as is determined by DMAS. 
    d. To determine the aggregate upper payment limit referred to  in subdivision 17 b (3), Medicaid payments to nonstate government-owned or  operated clinics will be divided by the "additional factor" whose  calculation is described in Attachment 4.19-B, Supplement 4 (12VAC30-80-190 B  2) in regard to the state agency fee schedule for RBRVS. Medicaid payments will  be estimated using payments for dates of service from the prior fiscal year  adjusted for expected claim payments. Additional adjustments will be made for  any program changes in Medicare or Medicaid payments. 
    18. Reserved.
    19. Personal Assistance Services (PAS) for individuals  enrolled in the Medicaid Buy-In program described in 12VAC30-60-200. These  services are reimbursed in accordance with the state agency fee schedule  described in 12VAC30-80-190. The state agency fee schedule is published on the  Single State Agency Website. 
    B. Hospice services payments must be no lower than the  amounts using the same methodology used under Part A of Title XVIII, and take  into account the room and board furnished by the facility, equal to at least  95% of the rate that would have been paid by the state under the plan for  facility services in that facility for that individual. Hospice services shall  be paid according to the location of the service delivery and not the location  of the agency's home office.
    12VAC30-110-1500. Working individuals with disabilities;  basic coverage group (Ticket to Work and Work Incentive Improvement Act  (TWWIIA)).
    A. Definitions.
    "Eligible person" means someone who is (i)  disabled: an applicant is deemed to be disabled for the purposes of program  eligibility if he is enrolled in the Supplemental Security Income (SSI) or  Social Security Disability Insurance (SSDI) programs. If the applicant has not  had a disability determination through the Social Security Administration, he  must have such a determination through the Disability Determination Services  program, (ii) employed or can show proof of imminent prospective employment;  (iii) between the ages of 16 years and 64 years; (iv) not subject to spending  down of excess resources; (v) not an inpatient in an institution of mental  disease (IMD), nor an inmate in a public institution that is not medical  facility pursuant to the Act § 1902(a)(10)(A)(ii)(XV).
    B. Scope/purpose. The purpose of this program shall be to afford  persons who are disabled with the opportunity to be employed and retain more of  their earned income without risking the loss of their Medicaid coverage of  critical health care benefits.
    C. In conformance with 12VAC30-30-20, 12VAC30-40-280,  12VAC30-40-290, and 12VAC30-40-105, eligible persons must meet the definition  in subsection A of this section to be approved for this program.
    D. In conformance with 12VAC30-40-105, working individuals  with disabilities must meet these requirements for continuing eligibility  pursuant to the Act § 1902(a)(10)(A)(ii)(XV):
    1. Continue to meet the disability, age, and employment  criteria described in this section. Individuals who, as enrollees, are unable  to maintain employment due to illness or unavoidable job loss may remain in the  program as unemployed for up to six months;
    2. Have enrollee-countable earned income of no more than  200% FPL;
    (a) The standard SSI methodology shall be used to determine  "countable" income; 
    (b) The enrollee shall be treated as a "household of  one" and spousal income shall be disregarded for ongoing enrollee  eligibility; [ and ] 
    3. Have resources or assets up to the annual SSI  "threshold amount" (Social Security Act, § 1619(b)) as  established for Virginia by the Social Security Administration (SSA), if such  resources or assets are accumulated solely from enrollee earnings after the  individual is enrolled with Medicaid Buy-In under  § 1902(a)(10)(A)(ii)(XV).
    VA.R. Doc. No. R07-219; Filed May 28, 2009, 2:44 p.m. 
TITLE 12. HEALTH
DEPARTMENT OF MEDICAL ASSISTANCE SERVICES
Final Regulation
    Titles of Regulations:  12VAC30-30. Groups Covered and Agencies Responsible for Eligibility Determination (amending 12VAC30-30-20).
    12VAC30-40. Eligibility  Conditions and Requirements (amending 12VAC30-40-280, 12VAC30-40-290;  adding 12VAC30-40-105).
    12VAC30-60. Standards Established and Methods Used to Assure  High Quality Care (adding 12VAC30-60-200).
    12VAC30-80. Methods and Standards for Establishing Payment  Rates; Other Types of Care (amending 12VAC30-80-30).
    12VAC30-110. Eligibility and Appeals (adding 12VAC30-110-1500).
    Statutory Authority: §§ 32.1-324 and 32.1-325 of the  Code of Virginia.
    Effective Date: July 23, 2009. 
    Agency Contact: Jack Quigley, Policy & Research,  Department of Medical Assistance Services, 600 East Broad Street, Richmond, VA  23219, telephone (804) 786-1300, FAX (804) 786-1680, or email  jack.quigley@dmas.virginia.gov.
    Summary: 
    This regulatory action implements a mandated Medicaid Buy-In  program as required by Item 302 X of Chapter 3 of the 2006 Acts of Assembly.  This new program, called Medicaid Works, requires the amendment of several  subsections of the DMAS regulations in the areas of Medicaid eligibility, new  alternative benefit services, and provider reimbursement. The Medicaid Works  Buy-In program creates an incentive for disabled Medicaid enrollees who desire  to be employed to have added income that will not count against their  eligibility income limits. Presently, Medicaid enrollees who have disabilities,  but who still have the capacity to be gainfully employed, could lose their  Medicaid eligibility due to excess income if they are employed. This change  reduces the financial restrictions to which such enrollees may be subject.
    Summary of Public Comments and Agency's Response: No  public comments were received by the promulgating agency. 
    12VAC30-30-20. Optional groups other than the medically needy.
    The Title IV A agency determines eligibility for Title XIX  services. 
    1. Caretakers and pregnant women who meet the income and  resource requirements of AFDC but who do not receive cash assistance. 
    2. Individuals who would be eligible for AFDC, SSI or an  optional state supplement as specified in 42 CFR 435.230, if they were not in a  medical institution. 
    3. A group or groups of individuals who would be eligible for  Medicaid under the plan if they were in a NF or an ICF/MR, who but for the  provision of home and community-based services under a waiver granted under 42  CFR Part 441, Subpart G would require institutionalization, and who will  receive home and community-based services under the waiver. The group or groups  covered are listed in the waiver request. This option is effective on the  effective date of the state's § 1915(c) waiver under which this group(s) is  covered. In the event an existing § 1915(c) waiver is amended to cover this  group(s), this option is effective on the effective date of the amendment. 
    4. Individuals who would be eligible for Medicaid under the  plan if they were in a medical institution, who are terminally ill, and who  receive hospice care in accordance with a voluntary election described in §  1905(o) of the Act. 
    5. The state does not cover all individuals who are not  described in § 1902(a)(10)(A)(i) of the Act, who meet the income and resource  requirements of the AFDC state plan and who are under the age of 21. The state  does cover reasonable classifications of these individuals as follows: 
    a. Individuals for whom public agencies are assuming full or  partial financial responsibility and who are: 
    (1) In foster homes (and are under the age of 21). 
    (2) In private institutions (and are under the age of 21). 
    (3) In addition to the group under subdivisions 5 a (1) and  (2) of this section, individuals placed in foster homes or private institutions  by private nonprofit agencies (and are under the age of 21). 
    b. Individuals in adoptions subsidized in full or part by a  public agency (who are under the age of 21). 
    c. Individuals in NFs (who are under the age of 21). NF  services are provided under this plan. 
    d. In addition to the group under subdivision 5 c of this  section, individuals in ICFs/MR (who are under the age of 21). 
    6. A child for whom there is in effect a state adoption  assistance agreement (other than under Title IV-E of the Act), who, as  determined by the state adoption agency, cannot be placed for adoption without  medical assistance because the child has special care needs for medical or  rehabilitative care, and who before execution of the agreement: 
    a. Was eligible for Medicaid under the state's approved  Medicaid plan; or 
    b. Would have been eligible for Medicaid if the standards and  methodologies of the Title IV-E foster care program were applied rather than  the AFDC standards and methodologies. 
    The state covers individuals under the age of 21. 
    7. Section 1902(f) states and SSI criteria states without  agreements under §§ 1616 and 1634 of the Act. 
    The following groups of individuals who receive a state  supplementary payment under an approved optional state supplementary payment  program that meets the following conditions. The supplement is: 
    a. Based on need and paid in cash on a regular basis. 
    b. Equal to the difference between the individual's countable  income and the income standard used to determine eligibility for the supplement.  
    c. Available to all individuals in each classification and  available on a statewide basis. 
    d. Paid to one or more of the following classifications of  individuals: 
    (1) Aged individuals in domiciliary facilities or other group  living arrangements as defined under SSI. 
    (2) Blind individuals in domiciliary facilities or other group  living arrangements as defined under SSI. 
    (3) Disabled individuals in domiciliary facilities or other  group living arrangements as defined under SSI. 
    (4) Individuals receiving a state administered optional state  supplement that meets the conditions specified in 42 CFR 435.230. 
    The supplement varies in income standard by political  subdivisions according to cost-of-living differences. 
    The standards for optional state supplementary payments are  listed in 12VAC30-40-250. 
    8. Individuals who are in institutions for at least 30  consecutive days and who are eligible under a special income level. Eligibility  begins on the first day of the 30-day period. These individuals meet the income  standards specified in 12VAC30-40-220. 
    The state covers all individuals as described above. 
    9. Individuals who are 65 years of age or older or who are  disabled as determined under § 1614(a)(3) of the Act, whose income does not  exceed the income level specified in 12VAC30-40-220 for a family of the same  size, and whose resources do not exceed the maximum amount allowed under SSI. 
    10. Individuals required to enroll in cost-effective  employer-based group health plans remain eligible for a minimum enrollment  period of one month. 
    11. Women who have been screened for breast or cervical cancer  under the Centers for Disease Control and Prevention Breast and Cervical Cancer  Early Detection Program established under Title XV of the Public Health Service  Act in accordance with § 1504 of the Act and need treatment for breast or  cervical cancer, including a pre-cancerous condition of the breast or cervix.  These women are not otherwise covered under creditable coverage, as defined in  § 2701(c) of the Public Health Services Act, are not eligible for Medicaid  under any mandatory categorically needy eligibility group, and have not  attained age 65. 
    12. Individuals who may qualify for the Medicaid Buy-In  program under § 1902(a)(10)(A)(ii)(XV) of the Social Security Act (Ticket  to Work Act) [ , ] if they meet the requirements  for the 80% eligibility group described in 12VAC30-40-220, as well as the  requirements described in 12VAC30-40-105 and 12VAC30-110-1500.
    12VAC30-40-105 [ . ] Financial  eligibility.
    Working Individuals with Disabilities; Basic Coverage  Group (Ticket to Work and Work Incentive Improvement Act (TWWIIA)). 
    The following standards and methods shall be applied in  determining financial eligibility:
    1. The agency applies the following income and resource  standards to applicants of this program:
    a. The individual's total countable income shall not exceed  80% of the current federal poverty income guidelines; [ and ]  
    b. The individual's total countable assets shall not exceed  $2,000.
    2. Income methodologies. In determining whether an  individual meets the income standard described in subdivision 1 of this  section, the agency uses more liberal income methodologies than the SSI program  as further described in 12VAC30-40-280.
    3. Resource methodologies. The agency uses resource  methodologies in addition to any indicated in subdivisions 1 and 2 of this  section that are more liberal than those used by the SSI program as described  in 12VAC30-40-290.
    12VAC30-40-280. More liberal income disregards.
    A. For children covered under §§ 1902(a)(10)(A)(i)(III)  and 1905(n) of the Social Security Act, the Commonwealth of Virginia will  disregard one dollar plus an amount equal to the difference between 100% of the  AFDC payment standard for the same family size and 100% of the federal poverty  level for the same family size as updated annually in the Federal Register. 
    B. For ADC-related cases, both categorically and medically  needy, any individual or family applying for or receiving assistance shall be  granted an income exemption consistent with the Act  (§§ 1902(a)(10)(A)(i)(III), (IV), (VI), (VII);  §§ 1902(a)(10)(A)(ii)(VIII), (IX); § 1902(a)(10)(C)(i)(III)). Any  interest earned on one interest-bearing savings or investment account per  assistance unit not to exceed $5,000, if the applicant, applicants, recipient  or recipients designate that the account is reserved for purposes related to  self-sufficiency, shall be exempt when determining eligibility for medical  assistance for so long as the funds and interest remain on deposit in the  account. For purposes of this section, "purposes related to  self-sufficiency" shall include, but are not limited to, (i) paying for  tuition, books, and incidental expenses at any elementary, secondary, or  vocational school, or any college or university; (ii) for making down payment  on a primary residence; or (iii) for establishment of a commercial operation  that is owned by a member of the Medicaid assistance unit. 
    C. For the group described in §§ 1902(a)(10)(A)(i)(VII) and  1902(l)(1)(D), income in the amount of the difference between 100% and 133% of  the federal poverty level (as revised annually in the Federal Register) is  disregarded. 
    D. For aged, blind, and disabled individuals, both  categorically and medically needy, with the exception of the special income  level group of institutionalized individuals, the Commonwealth of Virginia  shall disregard the value of in-kind support and maintenance when determining  eligibility. In-kind support and maintenance means food, clothing, or shelter  or any combination of these provided to an individual. 
    E. For all categorically needy and medically needy children  covered under the family and children covered groups, (§§ 1902(a)(10)(A)(i)(I),  1902(a)(10)(A)(i)(III), 1902(a)(10)(A)(i)(VI), 1902(a)(10)(A)(i)(VII),  1902(a)(10)(A)(ii)(VIII), 1902(a)(10)(C)(ii)(I) and 1905(n) of the Act), the  Commonwealth will disregard all earned income of a child under the age of 19  who is a student. 
    F. For all categorically needy and medically needy  individuals covered under the family and children covered groups (§§  1902(a)(10)(A)(i)(I), 1902(a)(10)(A)(i)(III), 1902(a)(10)(A)(i)(IV),  1902(a)(10)(A)(i)(V), 1902(a)(10)(A)(i)(VI), 1902(a)(10)(A)(i)(VII),  1902(a)(10)(A)(ii)(VIII), 1902(a)(10)(C)(ii)(I) and 1905(n) of the Act), the  Commonwealth will disregard the fair market value of all in-kind support and  maintenance as income in determining financial eligibility. In-kind support and  maintenance means food, clothing or shelter or any combination of these  provided to an individual. 
    G. Working individuals with disabilities eligible for  assistance under § 1902(a)(10)(A)(ii)(XV) of the Act who wish to increase  their earnings while maintaining eligibility for Medicaid must establish Work  Incentive (WIN) accounts (see 12VAC30-40-290). The Commonwealth shall disregard  earned income up to 200% of the federal poverty level for workers with  disabilities eligible for assistance under § 1902(a)(10)(A)(ii)(XV) of the  Act. To be eligible for this earned income disregard, the income is subject to  the following provisions:
    1. Only earnings that are deposited into a Work Incentive  (WIN) account can be disregarded for eligibility purposes.
    2. All funds deposited and their source will be identified  and registered with the department, for which prior approval has been obtained  from the department, and for which the owner authorizes regular monitoring  and/or reporting of these earnings and other information deemed necessary by the  department for the proper administration of this provision.
    3. A spouse's income will not be deemed to the applicant  when determining whether or not the individual meets the financial eligibility  requirements for eligibility under this section. 
    [ G. H. ] For aged, blind and  disabled individuals, both categorically and medically needy, with the  exception of the special income level group of institutionalized individuals,  the Commonwealth of Virginia shall disregard the value of income derived from  temporary employment with the United States Census Bureau for a decennial  census.
    [ H. I. ] For all categorically needy  and medically needy individuals covered under the family and children covered  groups (§§ 1902(a)(10)(A)(i)(I), 1902(a)(10)(A)(i)(III), 1902(a)(10)(A)(i)(IV),  1902(a)(10)(A)(i)(V), 1902(a)(10)(A)(i)(VI), 1902(a)(10)(A)(i)(VII),  1902(a)(10)(A)(ii)(VIII), 1902(a)(10)(C)(ii)(I) and 1905(n) of the Act), the  Commonwealth will disregard income derived from the temporary employment with  the United States Census Bureau for a decennial census. 
    12VAC30-40-290. More liberal methods of treating resources  under § 1902(r)(2) of the Act: § 1902(f) states.
    A. Resources to meet burial expenses. Resources set aside to  meet the burial expenses of an applicant/recipient or that individual's spouse  are excluded from countable assets. In determining eligibility for benefits for  individuals, disregarded from countable resources is an amount not in excess of  $3,500 for the individual and an amount not in excess of $3,500 for his spouse  when such resources have been set aside to meet the burial expenses of the  individual or his spouse. The amount disregarded shall be reduced by:
    1. The face value of life insurance on the life of an  individual owned by the individual or his spouse if the cash surrender value of  such policies has been excluded from countable resources; and
    2. The amount of any other revocable or irrevocable trust,  contract, or other arrangement specifically designated for the purpose of  meeting the individual's or his spouse's burial expenses.
    B. Cemetery plots. Cemetery plots are not counted as  resources regardless of the number owned.
    C. Life rights. Life rights to real property are not counted  as a resource. The purchase of a life right in another individual's home is  subject to transfer of asset rules. See 12VAC30-40-300.
    D. Reasonable effort to sell.
    1. For purposes of this section, "current market  value" is defined as the current tax assessed value. If the property is  listed by a realtor, then the realtor may list it at an amount higher than the  tax assessed value. In no event, however, shall the realtor's list price exceed  150% of the assessed value.
    2. A reasonable effort to sell is considered to have been  made:
    a. As of the date the property becomes subject to a realtor's  listing agreement if:
    (1) It is listed at a price at current market value; and
    (2) The listing realtor verifies that it is unlikely to sell  within 90 days of listing given the particular circumstances involved (e.g.,  owner's fractional interest; zoning restrictions; poor topography; absence of  road frontage or access; absence of improvements; clouds on title, right of way  or easement; local market conditions); or
    b. When at least two realtors refuse to list the property. The  reason for refusal must be that the property is unsaleable at current market  value. Other reasons for refusal are not sufficient; or
    c. When the applicant has personally advertised his property  at or below current market value for 90 days by use of a "Sale By  Owner" sign located on the property and by other reasonable efforts, such  as newspaper advertisements, or reasonable inquiries with all adjoining  landowners or other potential interested purchasers.
    3. Notwithstanding the fact that the recipient made a  reasonable effort to sell the property and failed to sell it, and although the  recipient has become eligible, the recipient must make a continuing reasonable  effort to sell by:
    a. Repeatedly renewing any initial listing agreement until the  property is sold. If the list price was initially higher than the tax-assessed  value, the listed sales price must be reduced after 12 months to no more than  100% of the tax-assessed value.
    b. In the case where at least two realtors have refused to  list the property, the recipient must personally try to sell the property by  efforts described in subdivision 2 c of this subsection for 12 months.
    c. In the case of a recipient who has personally advertised  his property for a year without success (the newspaper advertisements and  "for sale" sign do not have to be continuous; these efforts must be  done for at least 90 days within a 12-month period), the recipient must then:
    (1) Subject his property to a realtor's listing agreement at  price or below current market value; or
    (2) Meet the requirements of subdivision 2 b of this  subsection which are that the recipient must try to list the property and at  least two realtors refuse to list it because it is unsaleable at current market  value; other reasons for refusal to list are not sufficient.
    4. If the recipient has made a continuing effort to sell the  property for 12 months, then the recipient may sell the property between 75%  and 100% of its tax assessed value and such sale shall not result in  disqualification under the transfer of property rules. If the recipient  requests to sell his property at less than 75% of assessed value, he must  submit documentation from the listing realtor, or knowledgeable source if the  property is not listed with a realtor, that the requested sale price is the best  price the recipient can expect to receive for the property at this time. Sale  at such a documented price shall not result in disqualification under the  transfer of property rules. The proceeds of the sale will be counted as a  resource in determining continuing eligibility.
    5. Once the applicant has demonstrated that his property is  unsaleable by following the procedures in subdivision 2 of this subsection, the  property is disregarded in determining eligibility starting the first day of  the month in which the most recent application was filed, or up to three months  prior to this month of application if retroactive coverage is requested and the  applicant met all other eligibility requirements in the period. A recipient  must continue his reasonable efforts to sell the property as required in  subdivision 3 of this subsection.
    E. Automobiles. Ownership of one motor vehicle does not  affect eligibility. If more than one vehicle is owned, the individual's equity  in the least valuable vehicle or vehicles must be counted. The value of the  vehicles is the wholesale value listed in the National Automobile Dealers  Official Used Car Guide (NADA) Book, Eastern Edition (update monthly). In the  event the vehicle is not listed, the value assessed by the locality for tax  purposes may be used. The value of the additional motor vehicles is to be  counted in relation to the amount of assets that could be liquidated that may  be retained.
    F. Life, retirement, and other related types of insurance  policies. Life, retirement, and other related types of insurance policies with  face values totaling $1,500 or less on any one person 21 years old and over are  not considered resources. When the face values of such policies of any one  person exceeds $1,500, the cash surrender value of the policies is counted as a  resource.
    G. Long-term care partnership insurance policy (partnership  policy). Resources equal to the amount of benefits paid on the insured's behalf  by the long-term care insurer through a Virginia issued long-term care  partnership insurance policy shall be disregarded. A long-term care partnership  insurance policy shall meet the following requirements:
    1. The policy is a qualified long-term care partnership  insurance policy as defined in § 7702B(b) of the Internal Revenue Code of 1986.
    2. The policy meets the requirements of the National  Association of Insurance Commissioners (NAIC) Long-Term Care Insurance Model  Regulation and Long-Term Care Insurance Model Act as those requirements are set  forth in § 1917(b)(5)(A) of the Social Security Act (42 USC § 1396p).
    3. The policy was issued no earlier than May 1, 2007.
    4. The insured individual was a resident of a partnership  state when coverage first became effective under the policy. If the policy is  later exchanged for a different long-term care policy, the individual was a  resident of a partnership state when coverage under the earliest policy became  effective.
    5. The policy meets the inflation protection requirements set  forth in § 1917(b)(1)(C)(iii)(IV) of the Social Security Act.
    6. The Insurance Commissioner requires the issuer of the  partnership policy to make regular reports to the federal Secretary of Health  and Human Services that include notification of the date benefits provided  under the policy were paid and the amount paid, the date the policy terminates,  and such other information as the secretary determines may be appropriate to  the administration of such partnerships. Such information shall also be made  available to the Department of Medical Assistance Services upon request. 
    7. The state does not impose any requirement affecting the  terms or benefits of a partnership policy that the state does not also impose  on nonpartnership policies.
    8. The policy meets all the requirements of the Bureau of  Insurance of the State Corporation Commission described in 14VAC5-200.
    H. Reserved.
    I. Resource exemption for Aid to Dependent Children  categorically and medically needy (the Act §§ 1902(a)(10)(A)(i)(III),  (IV), (VI), (VII); §§ 1902(a)(10)(A)(ii)(VIII), (IX); §  1902(a)(10)(C)(i)(III)). For ADC-related cases, both categorically and  medically needy, any individual or family applying for or receiving assistance  may have or establish one interest-bearing savings or investment account per  assistance unit not to exceed $5,000 if the applicant, applicants, recipient or  recipients designate that the account is reserved for purposes related to  self-sufficiency. Any funds deposited in the account shall be exempt when  determining eligibility for medical assistance for so long as the funds and  interest remain on deposit in the account. Any amounts withdrawn and used for  purposes related to self-sufficiency shall be exempt. For purposes of this  section, purposes related to self-sufficiency shall include, but are not  limited to, (i) paying for tuition, books, and incidental expenses at any  elementary, secondary, or vocational school, or any college or university; (ii)  for making down payment on a primary residence; or (iii) for establishment of a  commercial operation that is owned by a member of the medical assistance unit.
    J. Disregard of resources. The Commonwealth of Virginia will  disregard all resources for qualified children covered under  §§ 1902(a)(10)(A)(i)(I), 1902(a)(10)(A)(i)(III), 1902(a)(10)(A)(ii)(VIII),  and 1905(n) of the Social Security Act.
    K. Household goods and personal effects. The Commonwealth of  Virginia will disregard the value of household goods and personal effects.  Household goods are items of personal property customarily found in the home  and used in connection with the maintenance, use and occupancy of the premises  as a home. Examples of household goods are furniture, appliances, televisions,  carpets, cooking and eating utensils and dishes. Personal effects are items of  personal property that are worn or carried by an individual or that have an  intimate relation to the individual. Examples of personal property include  clothing, jewelry, personal care items, prosthetic devices and educational or  recreational items such as books, musical instruments, or hobby materials.
    L. Determining eligibility based on resources. When  determining Medicaid eligibility, an individual shall be eligible in a month if  his countable resources were at or below the resource standard on any day of  such month.
    M. Working individuals with disabilities eligible for  assistance under § 1902(a)(10)(A)(ii)(XV) of the Act who wish to increase  their personal resources while maintaining eligibility for Medicaid shall  establish Work Incentive (WIN) accounts. The Commonwealth will disregard up to  the current annual SSI (Social Security Act, § 1619(b)) threshold amount  (as established for Virginia by the Social Security Administration) held in WIN  accounts for workers with disabilities eligible for assistance under  § 1902(a)(10)(A)(ii)(XV) of the Act. To be eligible for this resource  disregard, WIN accounts are subject to the following provisions:
    1. Deposits to this account shall derive solely from the  individual's income earned after electing to enroll in the Medicaid Buy-In  (MBI) program.
    2. The balance of this account shall not exceed the current  annual SSI (Social Security Act § 1619(b)) threshold amount (as  established for Virginia by the Social Security Administration).
    3. This account will be held separate from nonexempt  resources in accounts for which prior approval has been obtained from the  department, and for which the owner authorizes regular monitoring and reporting  including deposits, withdrawals, and other information deemed necessary by the  department for the proper administration of this provision.
    4. A spouse's resources will not be deemed to the applicant  when determining whether or not the individual meets the financial eligibility  requirements for eligibility under this section.
    5. Resources accumulated in the Work Incentive account  shall be disregarded in determining eligibility for aged, blind [ , ]  and disabled Medicaid-covered groups for one year after the individual  leaves the Medicaid Buy-In program.
    6. In addition, excluded from the resource and asset limit  include amounts deposited in the following types of IRS-approved accounts  established as WIN accounts: retirement accounts, medical savings accounts,  medical reimbursement accounts, education accounts and independence accounts.  Assets retained in these WIN accounts shall be disregarded for all future  Medicaid eligibility determinations for aged, blind, or disabled  Medicaid-covered groups.
    12VAC30-60-200. Ticket to Work and Work Incentives  Improvement Act (TWWIIA) basic coverage group: alternative benefits for  Medicaid Buy-In program.
    A. The state elects to provide alternative benefits under  § 1937 of the Social Security Act. The alternative benefit package will be  available statewide. 
    B. The population who will be offered opt-in alternative  coverage and who will be informed of the available benefit options prior to  having the option to voluntarily enroll in an alternative benefit package  consists of working individuals with disabilities enrolled pursuant to the  Social Security Act, § 1902(a)(10)(A)(ii)(XV) (Ticket to Work and Work  Incentives Improvement Act) covered group or who meet the income, resource and  eligibility requirements for the § 1902(a)(10)(A)(ii)(XV) covered group.
    C. Medicaid Buy-In: program outreach.
    1. Future Medicaid Works solicitations will be geared  towards individuals who are currently covered in the SSI and blind and disabled  80% federal poverty level groups; the letter will be an invitation to consider  going to work, or to increase how much they work, and inform them that they  will still be able to keep their Medicaid health care coverage. 
    2. They will be advised that this is voluntary and will  enable them to earn higher income and retain more assets from their earnings.  It will also explain that this option includes an alternative benefits package  comprised of their regular Medicaid benefits plus personal assistance services  for those who need personal assistance and related services in order to live  and work in the community. It will be clearly stated that this program is  optional. Their local eligibility worker will be able to review the advantages  and disadvantages of this option in order to assist individuals in making an  informed choice. 
    3. Current Medicaid Works enrollees will each receive  personal communication by mail advising them of the new alternative benefits  package and the steps needed in order to access personal assistance services.  Should an enrolled individual be dissatisfied with this option or be unable to  continue to be employed, their eligibility worker will reevaluate eligibility  for other covered groups pursuant to changing the individual back to regular  Medicaid coverage and, if necessary, to accessing personal assistance and  related services through the existing home- and community-based services  waivers. 
    4. Brochures describing this work incentive opportunity and  alternative benefits option shall be prominently displayed and readily  available at local departments of social services.
    D. Description of Medicaid Buy-In alternative benefit  package.
    1. The state will offer an alternative benefit package that  the secretary determines provides appropriate coverage for the population  served.
    2. This alternative benefits package includes all federally  mandated and optional Medicaid State Plan services, as described and limited in  12VAC30-50, plus personal assistance services (PAS) for enrollees who otherwise  meet the standards to receive PAS, defined as follows:
    a. "Personal assistance services" or  "PAS" means support services provided in home and community settings  necessary to maintain or improve an individual's current health status.  Personal care services are defined as help with activities of daily living,  monitoring of self-administered medications, and the monitoring of health  status and physical condition. 
    b. These services may be provided in home and community  settings to enable an individual to maintain the health status and functional  skills necessary to live in the community or participate in community  activities. An additional component of PAS is work-related and postsecondary  education personal services. This service will extend the ability of the  personal assistance attendant to provide assistance in the workplace. 
    c. These services include filing, retrieving work materials  that are out of reach; providing travel assistance for an individual with a  mobility impairment; helping an individual with organizational skills; reading  handwritten mail to an individual with a visual impairment; or ensuring that a  sign language interpreter is present during staff meetings to accommodate an  employee with a hearing impairment.
    d. This service is only available to individuals who also  require personal assistance services to meet their ADLs. Workplace or school  supports are not provided if they are services provided by the Department of  Rehabilitative Services, under IDEA, or if they are an employer's  responsibility under the Americans with Disabilities Act or § 504 of the  Rehabilitation Act. 
    e. Following an individual's assessment of the need for PAS  and development of a plan of care, the individual will decide whether to have  PAS through a personal care agency or whether to self direct his care. For  individuals who choose consumer-directed care, DMAS will provide for the services  of a fiscal agent to perform certain tasks as an agent for the  recipient/employer who is receiving consumer-directed services. The fiscal  agent will handle certain responsibilities for the individual, including but  not limited to, employment taxes. 
    f. All governmental and private PAS providers are  reimbursed according to the same published fee schedule, located on the  agency's website at the following address:  http://www.dmas.virginia.gov/pr-fee_files.htm. The agency's rates, based upon  one-hour increments, were set as of July 1, 2006, and are effective for  services on or after said dates. The agency's rates are updated periodically. 
    E. Wrap-around/additional services.
    1. The state assures that wrap-around or additional  benefits will be provided for individuals under 21 who are covered under the  state plan pursuant to § 1902(a)(10)(A) of the Social Security Act to ensure  early and periodic screening, diagnostic and treatment (EPSDT) services are  provided when medically necessary.
    2. Wraparound benefits must be sufficient so that, in  combination with the Medicaid Buy-In package, these individuals receive the  full EPSDT benefit, as medically necessary. The wraparound services provided  are described in 12VAC30-50-130.
    F. Delivery system.
    1. The alternative benefit package will be furnished  through a combination of the following methods:
    a. On a fee-for-service basis consistent with the  requirements of § 1902(a) and implementing regulations relating to payment  and beneficiary free choice of provider;
    b. On a fee-for-service basis consistent with the  requirements cited in subdivision 1 a of this subsection, except that it will  be operated with a primary care case management system consistent with  § 1915(b)(1);
    c. Through a managed care entity consistent with applicable  managed care requirements; [ or ] 
    d. Through premium assistance for benchmark-equivalent in  employer-sponsored coverage.
    2. Personal assistance services will always be  fee-for-service, whereas all other Medicaid-covered services shall be through  one of three models: fee-for-service, primary care case management or through  managed care organizations.
    G. Additional assurances.
    1. The state assures that individuals will have access,  through the Medicaid Buy-In alternative benefit package, to rural health clinic  (RHC) services and federally qualified health center (FQHC) services as defined  in subparagraphs (B) and (C) of § 1905(a)(2).
    2. The state assures that payment for RHC and FQHC services  is made in accordance with the requirements of § 1902(bb) of the Social  Security Act.
    H. Cost effectiveness of plans: the Medicaid Buy-In  alternative benefit package and any additional benefits must be provided in  accordance with economy and efficiency principles.
    I. Compliance with the law: The state will continue to  comply with all other provisions of the Social Security Act in the  administration of the state plan under this title.
    12VAC30-80-30. Fee-for-service providers. 
    A. Payment for the following services, except for physician  services, shall be the lower of the state agency fee schedule (12VAC30-80-190  has information about the state agency fee schedule) or actual charge (charge  to the general public):
    1. Physicians' services (12VAC30-80-160 has  obstetric/pediatric fees). Payment for physician services shall be the lower of  the state agency fee schedule or actual charge (charge to the general public),  except that reimbursement rates for designated physician services when  performed in hospital outpatient settings shall be 50% of the reimbursement  rate established for those services when performed in a physician's office. The  following limitations shall apply to emergency physician services.
    a. Definitions. The following words and terms, when used in  this subdivision 1 shall have the following meanings when applied to emergency  services unless the context clearly indicates otherwise:
    "All-inclusive" means all emergency service and  ancillary service charges claimed in association with the emergency department  visit, with the exception of laboratory services.
    "DMAS" means the Department of Medical Assistance  Services consistent with Chapter 10 (§ 32.1-323 et seq.) of Title 32.1 of the  Code of Virginia.
    "Emergency physician services" means services that  are necessary to prevent the death or serious impairment of the health of the  recipient. The threat to the life or health of the recipient necessitates the  use of the most accessible hospital available that is equipped to furnish the  services.
    "Recent injury" means an injury that has occurred  less than 72 hours prior to the emergency department visit.
    b. Scope. DMAS shall differentiate, as determined by the  attending physician's diagnosis, the kinds of care routinely rendered in  emergency departments and reimburse physicians for nonemergency care rendered  in emergency departments at a reduced rate.
    (1) DMAS shall reimburse at a reduced and all-inclusive  reimbursement rate for all physician services, including those obstetric and  pediatric procedures contained in 12VAC30-80-160, rendered in emergency  departments that DMAS determines are nonemergency care.
    (2) Services determined by the attending physician to be  emergencies shall be reimbursed under the existing methodologies and at the  existing rates.
    (3) Services determined by the attending physician that may be  emergencies shall be manually reviewed. If such services meet certain criteria,  they shall be paid under the methodology in subdivision 1 b (2) of this  subsection. Services not meeting certain criteria shall be paid under the  methodology in subdivision 1 b (1) of this subsection. Such criteria shall  include, but not be limited to:
    (a) The initial treatment following a recent obvious injury.
    (b) Treatment related to an injury sustained more than 72  hours prior to the visit with the deterioration of the symptoms to the point of  requiring medical treatment for stabilization.
    (c) The initial treatment for medical emergencies including  indications of severe chest pain, dyspnea, gastrointestinal hemorrhage,  spontaneous abortion, loss of consciousness, status epilepticus, or other  conditions considered life threatening.
    (d) A visit in which the recipient's condition requires  immediate hospital admission or the transfer to another facility for further  treatment or a visit in which the recipient dies.
    (e) Services provided for acute vital sign changes as  specified in the provider manual.
    (f) Services provided for severe pain when combined with one  or more of the other guidelines.
    (4) Payment shall be determined based on ICD-9-CM diagnosis  codes and necessary supporting documentation.
    (5) DMAS shall review on an ongoing basis the effectiveness of  this program in achieving its objectives and for its effect on recipients,  physicians, and hospitals. Program components may be revised subject to  achieving program intent objectives, the accuracy and effectiveness of the  ICD-9-CM code designations, and the impact on recipients and providers.
    2. Dentists' services.
    3. Mental health services including: (i) community mental  health services; (ii) services of a licensed clinical psychologist; or (iii)  mental health services provided by a physician.
    a. Services provided by licensed clinical psychologists shall  be reimbursed at 90% of the reimbursement rate for psychiatrists.
    b. Services provided by independently enrolled licensed  clinical social workers, licensed professional counselors or licensed clinical  nurse specialists-psychiatric shall be reimbursed at 75% of the reimbursement  rate for licensed clinical psychologists.
    4. Podiatry.
    5. Nurse-midwife services.
    6. Durable medical equipment (DME).
    a. For those items that have a national Healthcare Common  Procedure Coding System (HCPCS) code, the rate for durable medical equipment  shall be set at the Durable Medical Equipment Regional Carrier (DMERC)  reimbursement level.
    b. The rate paid for all items of durable medical equipment  except nutritional supplements shall be the lower of the state agency fee  schedule that existed prior to July 1, 1996, less 4.5%, or the actual charge.
    c. The rate paid for nutritional supplements shall be the  lower of the state agency fee schedule or the actual charge.
    d. Certain durable medical equipment used for intravenous  therapy and oxygen therapy shall be bundled under specified procedure codes and  reimbursed as determined by the agency. Certain services/durable medical  equipment such as service maintenance agreements shall be bundled under  specified procedure codes and reimbursed as determined by the agency.
    (1) Intravenous therapies. The DME for a single therapy,  administered in one day, shall be reimbursed at the established service day  rate for the bundled durable medical equipment and the standard pharmacy  payment, consistent with the ingredient cost as described in 12VAC30-80-40,  plus the pharmacy service day and dispensing fee. Multiple applications of the  same therapy shall be included in one service day rate of reimbursement.  Multiple applications of different therapies administered in one day shall be  reimbursed for the bundled durable medical equipment service day rate as  follows: the most expensive therapy shall be reimbursed at 100% of cost; the  second and all subsequent most expensive therapies shall be reimbursed at 50%  of cost. Multiple therapies administered in one day shall be reimbursed at the  pharmacy service day rate plus 100% of every active therapeutic ingredient in  the compound (at the lowest ingredient cost methodology) plus the appropriate  pharmacy dispensing fee.
    (2) Respiratory therapies. The DME for oxygen therapy shall  have supplies or components bundled under a service day rate based on oxygen  liter flow rate or blood gas levels. Equipment associated with respiratory  therapy may have ancillary components bundled with the main component for  reimbursement. The reimbursement shall be a service day per diem rate for  rental of equipment or a total amount of purchase for the purchase of  equipment. Such respiratory equipment shall include, but not be limited to,  oxygen tanks and tubing, ventilators, noncontinuous ventilators, and suction  machines. Ventilators, noncontinuous ventilators, and suction machines may be  purchased based on the individual patient's medical necessity and length of  need.
    (3) Service maintenance agreements. Provision shall be made  for a combination of services, routine maintenance, and supplies, to be known  as agreements, under a single reimbursement code only for equipment that is  recipient owned. Such bundled agreements shall be reimbursed either monthly or  in units per year based on the individual agreement between the DME provider  and DMAS. Such bundled agreements may apply to, but not necessarily be limited  to, either respiratory equipment or apnea monitors.
    7. Local health services.
    8. Laboratory services (other than inpatient hospital).
    9. Payments to physicians who handle laboratory specimens, but  do not perform laboratory analysis (limited to payment for handling).
    10. X-Ray services.
    11. Optometry services.
    12. Medical supplies and equipment.
    13. Home health services. Effective June 30, 1991, cost  reimbursement for home health services is eliminated. A rate per visit by  discipline shall be established as set forth by 12VAC30-80-180.
    14. Physical therapy; occupational therapy; and speech,  hearing, language disorders services when rendered to noninstitutionalized  recipients.
    15. Clinic services, as defined under 42 CFR 440.90.
    16. Supplemental payments for services provided by Type I  physicians.
    a. In addition to payments for physician services specified  elsewhere in this State Plan, DMAS provides supplemental payments to Type I  physicians for furnished services provided on or after July 2, 2002. A Type I  physician is a member of a practice group organized by or under the control of  a state academic health system or an academic health system that operates under  a state authority and includes a hospital, who has entered into contractual  agreements for the assignment of payments in accordance with 42 CFR  447.10.
    b. Effective July 2, 2002, the supplemental payment amount for  Type I physician services shall be the difference between the Medicaid payments  otherwise made for Type I physician services and Medicare rates. Effective  August 13, 2002, the supplemental payment amount for Type I physician services  shall be the difference between the Medicaid payments otherwise made for  physician services and 143% of Medicare rates. This percentage was determined  by dividing the total commercial allowed amounts for Type I physicians for at  least the top five commercial insurers in CY 2004 by what Medicare would have  allowed. The average commercial allowed amount was determined by multiplying  the relative value units times the conversion factor for RBRVS procedures and  by multiplying the unit cost times anesthesia units for anesthesia procedures  for each insurer and practice group with Type I physicians and summing for all  insurers and practice groups. The Medicare equivalent amount was determined by  multiplying the total commercial relative value units for Type I physicians  times the Medicare conversion factor for RBRVS procedures and by multiplying  the Medicare unit cost times total commercial anesthesia units for anesthesia  procedures for all Type I physicians and summing. 
    c. Supplemental payments shall be made quarterly.
    d. Payment will not be made to the extent that this would  duplicate payments based on physician costs covered by the supplemental  payments.
    17. Supplemental payments to nonstate government-owned or  operated clinics. 
    a. In addition to payments for clinic services specified  elsewhere in the regulations, DMAS provides supplemental payments to qualifying  nonstate government-owned or operated clinics for outpatient services provided  to Medicaid patients on or after July 2, 2002. Clinic means a facility that is  not part of a hospital but is organized and operated to provide medical care to  outpatients. Outpatient services include those furnished by or under the  direction of a physician, dentist or other medical professional acting within  the scope of his license to an eligible individual. Effective July 1, 2005, a  qualifying clinic is a clinic operated by a community services board. The state  share for supplemental clinic payments will be funded by general fund  appropriations. 
    b. The amount of the supplemental payment made to each  qualifying nonstate government-owned or operated clinic is determined by: 
    (1) Calculating for each clinic the annual difference between  the upper payment limit attributed to each clinic according to subdivision 17 d  and the amount otherwise actually paid for the services by the Medicaid  program; 
    (2) Dividing the difference determined in subdivision 17 b (1)  for each qualifying clinic by the aggregate difference for all such qualifying  clinics; and 
    (3) Multiplying the proportion determined in subdivision (2)  of this subdivision 17 b by the aggregate upper payment limit amount for all  such clinics as determined in accordance with 42 CFR 447.321 less all payments  made to such clinics other than under this section. 
    c. Payments for furnished services made under this section may  be made in one or more installments at such times, within the fiscal year or  thereafter, as is determined by DMAS. 
    d. To determine the aggregate upper payment limit referred to  in subdivision 17 b (3), Medicaid payments to nonstate government-owned or  operated clinics will be divided by the "additional factor" whose  calculation is described in Attachment 4.19-B, Supplement 4 (12VAC30-80-190 B  2) in regard to the state agency fee schedule for RBRVS. Medicaid payments will  be estimated using payments for dates of service from the prior fiscal year  adjusted for expected claim payments. Additional adjustments will be made for  any program changes in Medicare or Medicaid payments. 
    18. Reserved.
    19. Personal Assistance Services (PAS) for individuals  enrolled in the Medicaid Buy-In program described in 12VAC30-60-200. These  services are reimbursed in accordance with the state agency fee schedule  described in 12VAC30-80-190. The state agency fee schedule is published on the  Single State Agency Website. 
    B. Hospice services payments must be no lower than the  amounts using the same methodology used under Part A of Title XVIII, and take  into account the room and board furnished by the facility, equal to at least  95% of the rate that would have been paid by the state under the plan for  facility services in that facility for that individual. Hospice services shall  be paid according to the location of the service delivery and not the location  of the agency's home office.
    12VAC30-110-1500. Working individuals with disabilities;  basic coverage group (Ticket to Work and Work Incentive Improvement Act  (TWWIIA)).
    A. Definitions.
    "Eligible person" means someone who is (i)  disabled: an applicant is deemed to be disabled for the purposes of program  eligibility if he is enrolled in the Supplemental Security Income (SSI) or  Social Security Disability Insurance (SSDI) programs. If the applicant has not  had a disability determination through the Social Security Administration, he  must have such a determination through the Disability Determination Services  program, (ii) employed or can show proof of imminent prospective employment;  (iii) between the ages of 16 years and 64 years; (iv) not subject to spending  down of excess resources; (v) not an inpatient in an institution of mental  disease (IMD), nor an inmate in a public institution that is not medical  facility pursuant to the Act § 1902(a)(10)(A)(ii)(XV).
    B. Scope/purpose. The purpose of this program shall be to afford  persons who are disabled with the opportunity to be employed and retain more of  their earned income without risking the loss of their Medicaid coverage of  critical health care benefits.
    C. In conformance with 12VAC30-30-20, 12VAC30-40-280,  12VAC30-40-290, and 12VAC30-40-105, eligible persons must meet the definition  in subsection A of this section to be approved for this program.
    D. In conformance with 12VAC30-40-105, working individuals  with disabilities must meet these requirements for continuing eligibility  pursuant to the Act § 1902(a)(10)(A)(ii)(XV):
    1. Continue to meet the disability, age, and employment  criteria described in this section. Individuals who, as enrollees, are unable  to maintain employment due to illness or unavoidable job loss may remain in the  program as unemployed for up to six months;
    2. Have enrollee-countable earned income of no more than  200% FPL;
    (a) The standard SSI methodology shall be used to determine  "countable" income; 
    (b) The enrollee shall be treated as a "household of  one" and spousal income shall be disregarded for ongoing enrollee  eligibility; [ and ] 
    3. Have resources or assets up to the annual SSI  "threshold amount" (Social Security Act, § 1619(b)) as  established for Virginia by the Social Security Administration (SSA), if such  resources or assets are accumulated solely from enrollee earnings after the  individual is enrolled with Medicaid Buy-In under  § 1902(a)(10)(A)(ii)(XV).
    VA.R. Doc. No. R07-219; Filed May 28, 2009, 2:44 p.m. 
TITLE 12. HEALTH
DEPARTMENT OF MEDICAL ASSISTANCE SERVICES
Final Regulation
    Titles of Regulations:  12VAC30-30. Groups Covered and Agencies Responsible for Eligibility Determination (amending 12VAC30-30-20).
    12VAC30-40. Eligibility  Conditions and Requirements (amending 12VAC30-40-280, 12VAC30-40-290;  adding 12VAC30-40-105).
    12VAC30-60. Standards Established and Methods Used to Assure  High Quality Care (adding 12VAC30-60-200).
    12VAC30-80. Methods and Standards for Establishing Payment  Rates; Other Types of Care (amending 12VAC30-80-30).
    12VAC30-110. Eligibility and Appeals (adding 12VAC30-110-1500).
    Statutory Authority: §§ 32.1-324 and 32.1-325 of the  Code of Virginia.
    Effective Date: July 23, 2009. 
    Agency Contact: Jack Quigley, Policy & Research,  Department of Medical Assistance Services, 600 East Broad Street, Richmond, VA  23219, telephone (804) 786-1300, FAX (804) 786-1680, or email  jack.quigley@dmas.virginia.gov.
    Summary: 
    This regulatory action implements a mandated Medicaid Buy-In  program as required by Item 302 X of Chapter 3 of the 2006 Acts of Assembly.  This new program, called Medicaid Works, requires the amendment of several  subsections of the DMAS regulations in the areas of Medicaid eligibility, new  alternative benefit services, and provider reimbursement. The Medicaid Works  Buy-In program creates an incentive for disabled Medicaid enrollees who desire  to be employed to have added income that will not count against their  eligibility income limits. Presently, Medicaid enrollees who have disabilities,  but who still have the capacity to be gainfully employed, could lose their  Medicaid eligibility due to excess income if they are employed. This change  reduces the financial restrictions to which such enrollees may be subject.
    Summary of Public Comments and Agency's Response: No  public comments were received by the promulgating agency. 
    12VAC30-30-20. Optional groups other than the medically needy.
    The Title IV A agency determines eligibility for Title XIX  services. 
    1. Caretakers and pregnant women who meet the income and  resource requirements of AFDC but who do not receive cash assistance. 
    2. Individuals who would be eligible for AFDC, SSI or an  optional state supplement as specified in 42 CFR 435.230, if they were not in a  medical institution. 
    3. A group or groups of individuals who would be eligible for  Medicaid under the plan if they were in a NF or an ICF/MR, who but for the  provision of home and community-based services under a waiver granted under 42  CFR Part 441, Subpart G would require institutionalization, and who will  receive home and community-based services under the waiver. The group or groups  covered are listed in the waiver request. This option is effective on the  effective date of the state's § 1915(c) waiver under which this group(s) is  covered. In the event an existing § 1915(c) waiver is amended to cover this  group(s), this option is effective on the effective date of the amendment. 
    4. Individuals who would be eligible for Medicaid under the  plan if they were in a medical institution, who are terminally ill, and who  receive hospice care in accordance with a voluntary election described in §  1905(o) of the Act. 
    5. The state does not cover all individuals who are not  described in § 1902(a)(10)(A)(i) of the Act, who meet the income and resource  requirements of the AFDC state plan and who are under the age of 21. The state  does cover reasonable classifications of these individuals as follows: 
    a. Individuals for whom public agencies are assuming full or  partial financial responsibility and who are: 
    (1) In foster homes (and are under the age of 21). 
    (2) In private institutions (and are under the age of 21). 
    (3) In addition to the group under subdivisions 5 a (1) and  (2) of this section, individuals placed in foster homes or private institutions  by private nonprofit agencies (and are under the age of 21). 
    b. Individuals in adoptions subsidized in full or part by a  public agency (who are under the age of 21). 
    c. Individuals in NFs (who are under the age of 21). NF  services are provided under this plan. 
    d. In addition to the group under subdivision 5 c of this  section, individuals in ICFs/MR (who are under the age of 21). 
    6. A child for whom there is in effect a state adoption  assistance agreement (other than under Title IV-E of the Act), who, as  determined by the state adoption agency, cannot be placed for adoption without  medical assistance because the child has special care needs for medical or  rehabilitative care, and who before execution of the agreement: 
    a. Was eligible for Medicaid under the state's approved  Medicaid plan; or 
    b. Would have been eligible for Medicaid if the standards and  methodologies of the Title IV-E foster care program were applied rather than  the AFDC standards and methodologies. 
    The state covers individuals under the age of 21. 
    7. Section 1902(f) states and SSI criteria states without  agreements under §§ 1616 and 1634 of the Act. 
    The following groups of individuals who receive a state  supplementary payment under an approved optional state supplementary payment  program that meets the following conditions. The supplement is: 
    a. Based on need and paid in cash on a regular basis. 
    b. Equal to the difference between the individual's countable  income and the income standard used to determine eligibility for the supplement.  
    c. Available to all individuals in each classification and  available on a statewide basis. 
    d. Paid to one or more of the following classifications of  individuals: 
    (1) Aged individuals in domiciliary facilities or other group  living arrangements as defined under SSI. 
    (2) Blind individuals in domiciliary facilities or other group  living arrangements as defined under SSI. 
    (3) Disabled individuals in domiciliary facilities or other  group living arrangements as defined under SSI. 
    (4) Individuals receiving a state administered optional state  supplement that meets the conditions specified in 42 CFR 435.230. 
    The supplement varies in income standard by political  subdivisions according to cost-of-living differences. 
    The standards for optional state supplementary payments are  listed in 12VAC30-40-250. 
    8. Individuals who are in institutions for at least 30  consecutive days and who are eligible under a special income level. Eligibility  begins on the first day of the 30-day period. These individuals meet the income  standards specified in 12VAC30-40-220. 
    The state covers all individuals as described above. 
    9. Individuals who are 65 years of age or older or who are  disabled as determined under § 1614(a)(3) of the Act, whose income does not  exceed the income level specified in 12VAC30-40-220 for a family of the same  size, and whose resources do not exceed the maximum amount allowed under SSI. 
    10. Individuals required to enroll in cost-effective  employer-based group health plans remain eligible for a minimum enrollment  period of one month. 
    11. Women who have been screened for breast or cervical cancer  under the Centers for Disease Control and Prevention Breast and Cervical Cancer  Early Detection Program established under Title XV of the Public Health Service  Act in accordance with § 1504 of the Act and need treatment for breast or  cervical cancer, including a pre-cancerous condition of the breast or cervix.  These women are not otherwise covered under creditable coverage, as defined in  § 2701(c) of the Public Health Services Act, are not eligible for Medicaid  under any mandatory categorically needy eligibility group, and have not  attained age 65. 
    12. Individuals who may qualify for the Medicaid Buy-In  program under § 1902(a)(10)(A)(ii)(XV) of the Social Security Act (Ticket  to Work Act) [ , ] if they meet the requirements  for the 80% eligibility group described in 12VAC30-40-220, as well as the  requirements described in 12VAC30-40-105 and 12VAC30-110-1500.
    12VAC30-40-105 [ . ] Financial  eligibility.
    Working Individuals with Disabilities; Basic Coverage  Group (Ticket to Work and Work Incentive Improvement Act (TWWIIA)). 
    The following standards and methods shall be applied in  determining financial eligibility:
    1. The agency applies the following income and resource  standards to applicants of this program:
    a. The individual's total countable income shall not exceed  80% of the current federal poverty income guidelines; [ and ]  
    b. The individual's total countable assets shall not exceed  $2,000.
    2. Income methodologies. In determining whether an  individual meets the income standard described in subdivision 1 of this  section, the agency uses more liberal income methodologies than the SSI program  as further described in 12VAC30-40-280.
    3. Resource methodologies. The agency uses resource  methodologies in addition to any indicated in subdivisions 1 and 2 of this  section that are more liberal than those used by the SSI program as described  in 12VAC30-40-290.
    12VAC30-40-280. More liberal income disregards.
    A. For children covered under §§ 1902(a)(10)(A)(i)(III)  and 1905(n) of the Social Security Act, the Commonwealth of Virginia will  disregard one dollar plus an amount equal to the difference between 100% of the  AFDC payment standard for the same family size and 100% of the federal poverty  level for the same family size as updated annually in the Federal Register. 
    B. For ADC-related cases, both categorically and medically  needy, any individual or family applying for or receiving assistance shall be  granted an income exemption consistent with the Act  (§§ 1902(a)(10)(A)(i)(III), (IV), (VI), (VII);  §§ 1902(a)(10)(A)(ii)(VIII), (IX); § 1902(a)(10)(C)(i)(III)). Any  interest earned on one interest-bearing savings or investment account per  assistance unit not to exceed $5,000, if the applicant, applicants, recipient  or recipients designate that the account is reserved for purposes related to  self-sufficiency, shall be exempt when determining eligibility for medical  assistance for so long as the funds and interest remain on deposit in the  account. For purposes of this section, "purposes related to  self-sufficiency" shall include, but are not limited to, (i) paying for  tuition, books, and incidental expenses at any elementary, secondary, or  vocational school, or any college or university; (ii) for making down payment  on a primary residence; or (iii) for establishment of a commercial operation  that is owned by a member of the Medicaid assistance unit. 
    C. For the group described in §§ 1902(a)(10)(A)(i)(VII) and  1902(l)(1)(D), income in the amount of the difference between 100% and 133% of  the federal poverty level (as revised annually in the Federal Register) is  disregarded. 
    D. For aged, blind, and disabled individuals, both  categorically and medically needy, with the exception of the special income  level group of institutionalized individuals, the Commonwealth of Virginia  shall disregard the value of in-kind support and maintenance when determining  eligibility. In-kind support and maintenance means food, clothing, or shelter  or any combination of these provided to an individual. 
    E. For all categorically needy and medically needy children  covered under the family and children covered groups, (§§ 1902(a)(10)(A)(i)(I),  1902(a)(10)(A)(i)(III), 1902(a)(10)(A)(i)(VI), 1902(a)(10)(A)(i)(VII),  1902(a)(10)(A)(ii)(VIII), 1902(a)(10)(C)(ii)(I) and 1905(n) of the Act), the  Commonwealth will disregard all earned income of a child under the age of 19  who is a student. 
    F. For all categorically needy and medically needy  individuals covered under the family and children covered groups (§§  1902(a)(10)(A)(i)(I), 1902(a)(10)(A)(i)(III), 1902(a)(10)(A)(i)(IV),  1902(a)(10)(A)(i)(V), 1902(a)(10)(A)(i)(VI), 1902(a)(10)(A)(i)(VII),  1902(a)(10)(A)(ii)(VIII), 1902(a)(10)(C)(ii)(I) and 1905(n) of the Act), the  Commonwealth will disregard the fair market value of all in-kind support and  maintenance as income in determining financial eligibility. In-kind support and  maintenance means food, clothing or shelter or any combination of these  provided to an individual. 
    G. Working individuals with disabilities eligible for  assistance under § 1902(a)(10)(A)(ii)(XV) of the Act who wish to increase  their earnings while maintaining eligibility for Medicaid must establish Work  Incentive (WIN) accounts (see 12VAC30-40-290). The Commonwealth shall disregard  earned income up to 200% of the federal poverty level for workers with  disabilities eligible for assistance under § 1902(a)(10)(A)(ii)(XV) of the  Act. To be eligible for this earned income disregard, the income is subject to  the following provisions:
    1. Only earnings that are deposited into a Work Incentive  (WIN) account can be disregarded for eligibility purposes.
    2. All funds deposited and their source will be identified  and registered with the department, for which prior approval has been obtained  from the department, and for which the owner authorizes regular monitoring  and/or reporting of these earnings and other information deemed necessary by the  department for the proper administration of this provision.
    3. A spouse's income will not be deemed to the applicant  when determining whether or not the individual meets the financial eligibility  requirements for eligibility under this section. 
    [ G. H. ] For aged, blind and  disabled individuals, both categorically and medically needy, with the  exception of the special income level group of institutionalized individuals,  the Commonwealth of Virginia shall disregard the value of income derived from  temporary employment with the United States Census Bureau for a decennial  census.
    [ H. I. ] For all categorically needy  and medically needy individuals covered under the family and children covered  groups (§§ 1902(a)(10)(A)(i)(I), 1902(a)(10)(A)(i)(III), 1902(a)(10)(A)(i)(IV),  1902(a)(10)(A)(i)(V), 1902(a)(10)(A)(i)(VI), 1902(a)(10)(A)(i)(VII),  1902(a)(10)(A)(ii)(VIII), 1902(a)(10)(C)(ii)(I) and 1905(n) of the Act), the  Commonwealth will disregard income derived from the temporary employment with  the United States Census Bureau for a decennial census. 
    12VAC30-40-290. More liberal methods of treating resources  under § 1902(r)(2) of the Act: § 1902(f) states.
    A. Resources to meet burial expenses. Resources set aside to  meet the burial expenses of an applicant/recipient or that individual's spouse  are excluded from countable assets. In determining eligibility for benefits for  individuals, disregarded from countable resources is an amount not in excess of  $3,500 for the individual and an amount not in excess of $3,500 for his spouse  when such resources have been set aside to meet the burial expenses of the  individual or his spouse. The amount disregarded shall be reduced by:
    1. The face value of life insurance on the life of an  individual owned by the individual or his spouse if the cash surrender value of  such policies has been excluded from countable resources; and
    2. The amount of any other revocable or irrevocable trust,  contract, or other arrangement specifically designated for the purpose of  meeting the individual's or his spouse's burial expenses.
    B. Cemetery plots. Cemetery plots are not counted as  resources regardless of the number owned.
    C. Life rights. Life rights to real property are not counted  as a resource. The purchase of a life right in another individual's home is  subject to transfer of asset rules. See 12VAC30-40-300.
    D. Reasonable effort to sell.
    1. For purposes of this section, "current market  value" is defined as the current tax assessed value. If the property is  listed by a realtor, then the realtor may list it at an amount higher than the  tax assessed value. In no event, however, shall the realtor's list price exceed  150% of the assessed value.
    2. A reasonable effort to sell is considered to have been  made:
    a. As of the date the property becomes subject to a realtor's  listing agreement if:
    (1) It is listed at a price at current market value; and
    (2) The listing realtor verifies that it is unlikely to sell  within 90 days of listing given the particular circumstances involved (e.g.,  owner's fractional interest; zoning restrictions; poor topography; absence of  road frontage or access; absence of improvements; clouds on title, right of way  or easement; local market conditions); or
    b. When at least two realtors refuse to list the property. The  reason for refusal must be that the property is unsaleable at current market  value. Other reasons for refusal are not sufficient; or
    c. When the applicant has personally advertised his property  at or below current market value for 90 days by use of a "Sale By  Owner" sign located on the property and by other reasonable efforts, such  as newspaper advertisements, or reasonable inquiries with all adjoining  landowners or other potential interested purchasers.
    3. Notwithstanding the fact that the recipient made a  reasonable effort to sell the property and failed to sell it, and although the  recipient has become eligible, the recipient must make a continuing reasonable  effort to sell by:
    a. Repeatedly renewing any initial listing agreement until the  property is sold. If the list price was initially higher than the tax-assessed  value, the listed sales price must be reduced after 12 months to no more than  100% of the tax-assessed value.
    b. In the case where at least two realtors have refused to  list the property, the recipient must personally try to sell the property by  efforts described in subdivision 2 c of this subsection for 12 months.
    c. In the case of a recipient who has personally advertised  his property for a year without success (the newspaper advertisements and  "for sale" sign do not have to be continuous; these efforts must be  done for at least 90 days within a 12-month period), the recipient must then:
    (1) Subject his property to a realtor's listing agreement at  price or below current market value; or
    (2) Meet the requirements of subdivision 2 b of this  subsection which are that the recipient must try to list the property and at  least two realtors refuse to list it because it is unsaleable at current market  value; other reasons for refusal to list are not sufficient.
    4. If the recipient has made a continuing effort to sell the  property for 12 months, then the recipient may sell the property between 75%  and 100% of its tax assessed value and such sale shall not result in  disqualification under the transfer of property rules. If the recipient  requests to sell his property at less than 75% of assessed value, he must  submit documentation from the listing realtor, or knowledgeable source if the  property is not listed with a realtor, that the requested sale price is the best  price the recipient can expect to receive for the property at this time. Sale  at such a documented price shall not result in disqualification under the  transfer of property rules. The proceeds of the sale will be counted as a  resource in determining continuing eligibility.
    5. Once the applicant has demonstrated that his property is  unsaleable by following the procedures in subdivision 2 of this subsection, the  property is disregarded in determining eligibility starting the first day of  the month in which the most recent application was filed, or up to three months  prior to this month of application if retroactive coverage is requested and the  applicant met all other eligibility requirements in the period. A recipient  must continue his reasonable efforts to sell the property as required in  subdivision 3 of this subsection.
    E. Automobiles. Ownership of one motor vehicle does not  affect eligibility. If more than one vehicle is owned, the individual's equity  in the least valuable vehicle or vehicles must be counted. The value of the  vehicles is the wholesale value listed in the National Automobile Dealers  Official Used Car Guide (NADA) Book, Eastern Edition (update monthly). In the  event the vehicle is not listed, the value assessed by the locality for tax  purposes may be used. The value of the additional motor vehicles is to be  counted in relation to the amount of assets that could be liquidated that may  be retained.
    F. Life, retirement, and other related types of insurance  policies. Life, retirement, and other related types of insurance policies with  face values totaling $1,500 or less on any one person 21 years old and over are  not considered resources. When the face values of such policies of any one  person exceeds $1,500, the cash surrender value of the policies is counted as a  resource.
    G. Long-term care partnership insurance policy (partnership  policy). Resources equal to the amount of benefits paid on the insured's behalf  by the long-term care insurer through a Virginia issued long-term care  partnership insurance policy shall be disregarded. A long-term care partnership  insurance policy shall meet the following requirements:
    1. The policy is a qualified long-term care partnership  insurance policy as defined in § 7702B(b) of the Internal Revenue Code of 1986.
    2. The policy meets the requirements of the National  Association of Insurance Commissioners (NAIC) Long-Term Care Insurance Model  Regulation and Long-Term Care Insurance Model Act as those requirements are set  forth in § 1917(b)(5)(A) of the Social Security Act (42 USC § 1396p).
    3. The policy was issued no earlier than May 1, 2007.
    4. The insured individual was a resident of a partnership  state when coverage first became effective under the policy. If the policy is  later exchanged for a different long-term care policy, the individual was a  resident of a partnership state when coverage under the earliest policy became  effective.
    5. The policy meets the inflation protection requirements set  forth in § 1917(b)(1)(C)(iii)(IV) of the Social Security Act.
    6. The Insurance Commissioner requires the issuer of the  partnership policy to make regular reports to the federal Secretary of Health  and Human Services that include notification of the date benefits provided  under the policy were paid and the amount paid, the date the policy terminates,  and such other information as the secretary determines may be appropriate to  the administration of such partnerships. Such information shall also be made  available to the Department of Medical Assistance Services upon request. 
    7. The state does not impose any requirement affecting the  terms or benefits of a partnership policy that the state does not also impose  on nonpartnership policies.
    8. The policy meets all the requirements of the Bureau of  Insurance of the State Corporation Commission described in 14VAC5-200.
    H. Reserved.
    I. Resource exemption for Aid to Dependent Children  categorically and medically needy (the Act §§ 1902(a)(10)(A)(i)(III),  (IV), (VI), (VII); §§ 1902(a)(10)(A)(ii)(VIII), (IX); §  1902(a)(10)(C)(i)(III)). For ADC-related cases, both categorically and  medically needy, any individual or family applying for or receiving assistance  may have or establish one interest-bearing savings or investment account per  assistance unit not to exceed $5,000 if the applicant, applicants, recipient or  recipients designate that the account is reserved for purposes related to  self-sufficiency. Any funds deposited in the account shall be exempt when  determining eligibility for medical assistance for so long as the funds and  interest remain on deposit in the account. Any amounts withdrawn and used for  purposes related to self-sufficiency shall be exempt. For purposes of this  section, purposes related to self-sufficiency shall include, but are not  limited to, (i) paying for tuition, books, and incidental expenses at any  elementary, secondary, or vocational school, or any college or university; (ii)  for making down payment on a primary residence; or (iii) for establishment of a  commercial operation that is owned by a member of the medical assistance unit.
    J. Disregard of resources. The Commonwealth of Virginia will  disregard all resources for qualified children covered under  §§ 1902(a)(10)(A)(i)(I), 1902(a)(10)(A)(i)(III), 1902(a)(10)(A)(ii)(VIII),  and 1905(n) of the Social Security Act.
    K. Household goods and personal effects. The Commonwealth of  Virginia will disregard the value of household goods and personal effects.  Household goods are items of personal property customarily found in the home  and used in connection with the maintenance, use and occupancy of the premises  as a home. Examples of household goods are furniture, appliances, televisions,  carpets, cooking and eating utensils and dishes. Personal effects are items of  personal property that are worn or carried by an individual or that have an  intimate relation to the individual. Examples of personal property include  clothing, jewelry, personal care items, prosthetic devices and educational or  recreational items such as books, musical instruments, or hobby materials.
    L. Determining eligibility based on resources. When  determining Medicaid eligibility, an individual shall be eligible in a month if  his countable resources were at or below the resource standard on any day of  such month.
    M. Working individuals with disabilities eligible for  assistance under § 1902(a)(10)(A)(ii)(XV) of the Act who wish to increase  their personal resources while maintaining eligibility for Medicaid shall  establish Work Incentive (WIN) accounts. The Commonwealth will disregard up to  the current annual SSI (Social Security Act, § 1619(b)) threshold amount  (as established for Virginia by the Social Security Administration) held in WIN  accounts for workers with disabilities eligible for assistance under  § 1902(a)(10)(A)(ii)(XV) of the Act. To be eligible for this resource  disregard, WIN accounts are subject to the following provisions:
    1. Deposits to this account shall derive solely from the  individual's income earned after electing to enroll in the Medicaid Buy-In  (MBI) program.
    2. The balance of this account shall not exceed the current  annual SSI (Social Security Act § 1619(b)) threshold amount (as  established for Virginia by the Social Security Administration).
    3. This account will be held separate from nonexempt  resources in accounts for which prior approval has been obtained from the  department, and for which the owner authorizes regular monitoring and reporting  including deposits, withdrawals, and other information deemed necessary by the  department for the proper administration of this provision.
    4. A spouse's resources will not be deemed to the applicant  when determining whether or not the individual meets the financial eligibility  requirements for eligibility under this section.
    5. Resources accumulated in the Work Incentive account  shall be disregarded in determining eligibility for aged, blind [ , ]  and disabled Medicaid-covered groups for one year after the individual  leaves the Medicaid Buy-In program.
    6. In addition, excluded from the resource and asset limit  include amounts deposited in the following types of IRS-approved accounts  established as WIN accounts: retirement accounts, medical savings accounts,  medical reimbursement accounts, education accounts and independence accounts.  Assets retained in these WIN accounts shall be disregarded for all future  Medicaid eligibility determinations for aged, blind, or disabled  Medicaid-covered groups.
    12VAC30-60-200. Ticket to Work and Work Incentives  Improvement Act (TWWIIA) basic coverage group: alternative benefits for  Medicaid Buy-In program.
    A. The state elects to provide alternative benefits under  § 1937 of the Social Security Act. The alternative benefit package will be  available statewide. 
    B. The population who will be offered opt-in alternative  coverage and who will be informed of the available benefit options prior to  having the option to voluntarily enroll in an alternative benefit package  consists of working individuals with disabilities enrolled pursuant to the  Social Security Act, § 1902(a)(10)(A)(ii)(XV) (Ticket to Work and Work  Incentives Improvement Act) covered group or who meet the income, resource and  eligibility requirements for the § 1902(a)(10)(A)(ii)(XV) covered group.
    C. Medicaid Buy-In: program outreach.
    1. Future Medicaid Works solicitations will be geared  towards individuals who are currently covered in the SSI and blind and disabled  80% federal poverty level groups; the letter will be an invitation to consider  going to work, or to increase how much they work, and inform them that they  will still be able to keep their Medicaid health care coverage. 
    2. They will be advised that this is voluntary and will  enable them to earn higher income and retain more assets from their earnings.  It will also explain that this option includes an alternative benefits package  comprised of their regular Medicaid benefits plus personal assistance services  for those who need personal assistance and related services in order to live  and work in the community. It will be clearly stated that this program is  optional. Their local eligibility worker will be able to review the advantages  and disadvantages of this option in order to assist individuals in making an  informed choice. 
    3. Current Medicaid Works enrollees will each receive  personal communication by mail advising them of the new alternative benefits  package and the steps needed in order to access personal assistance services.  Should an enrolled individual be dissatisfied with this option or be unable to  continue to be employed, their eligibility worker will reevaluate eligibility  for other covered groups pursuant to changing the individual back to regular  Medicaid coverage and, if necessary, to accessing personal assistance and  related services through the existing home- and community-based services  waivers. 
    4. Brochures describing this work incentive opportunity and  alternative benefits option shall be prominently displayed and readily  available at local departments of social services.
    D. Description of Medicaid Buy-In alternative benefit  package.
    1. The state will offer an alternative benefit package that  the secretary determines provides appropriate coverage for the population  served.
    2. This alternative benefits package includes all federally  mandated and optional Medicaid State Plan services, as described and limited in  12VAC30-50, plus personal assistance services (PAS) for enrollees who otherwise  meet the standards to receive PAS, defined as follows:
    a. "Personal assistance services" or  "PAS" means support services provided in home and community settings  necessary to maintain or improve an individual's current health status.  Personal care services are defined as help with activities of daily living,  monitoring of self-administered medications, and the monitoring of health  status and physical condition. 
    b. These services may be provided in home and community  settings to enable an individual to maintain the health status and functional  skills necessary to live in the community or participate in community  activities. An additional component of PAS is work-related and postsecondary  education personal services. This service will extend the ability of the  personal assistance attendant to provide assistance in the workplace. 
    c. These services include filing, retrieving work materials  that are out of reach; providing travel assistance for an individual with a  mobility impairment; helping an individual with organizational skills; reading  handwritten mail to an individual with a visual impairment; or ensuring that a  sign language interpreter is present during staff meetings to accommodate an  employee with a hearing impairment.
    d. This service is only available to individuals who also  require personal assistance services to meet their ADLs. Workplace or school  supports are not provided if they are services provided by the Department of  Rehabilitative Services, under IDEA, or if they are an employer's  responsibility under the Americans with Disabilities Act or § 504 of the  Rehabilitation Act. 
    e. Following an individual's assessment of the need for PAS  and development of a plan of care, the individual will decide whether to have  PAS through a personal care agency or whether to self direct his care. For  individuals who choose consumer-directed care, DMAS will provide for the services  of a fiscal agent to perform certain tasks as an agent for the  recipient/employer who is receiving consumer-directed services. The fiscal  agent will handle certain responsibilities for the individual, including but  not limited to, employment taxes. 
    f. All governmental and private PAS providers are  reimbursed according to the same published fee schedule, located on the  agency's website at the following address:  http://www.dmas.virginia.gov/pr-fee_files.htm. The agency's rates, based upon  one-hour increments, were set as of July 1, 2006, and are effective for  services on or after said dates. The agency's rates are updated periodically. 
    E. Wrap-around/additional services.
    1. The state assures that wrap-around or additional  benefits will be provided for individuals under 21 who are covered under the  state plan pursuant to § 1902(a)(10)(A) of the Social Security Act to ensure  early and periodic screening, diagnostic and treatment (EPSDT) services are  provided when medically necessary.
    2. Wraparound benefits must be sufficient so that, in  combination with the Medicaid Buy-In package, these individuals receive the  full EPSDT benefit, as medically necessary. The wraparound services provided  are described in 12VAC30-50-130.
    F. Delivery system.
    1. The alternative benefit package will be furnished  through a combination of the following methods:
    a. On a fee-for-service basis consistent with the  requirements of § 1902(a) and implementing regulations relating to payment  and beneficiary free choice of provider;
    b. On a fee-for-service basis consistent with the  requirements cited in subdivision 1 a of this subsection, except that it will  be operated with a primary care case management system consistent with  § 1915(b)(1);
    c. Through a managed care entity consistent with applicable  managed care requirements; [ or ] 
    d. Through premium assistance for benchmark-equivalent in  employer-sponsored coverage.
    2. Personal assistance services will always be  fee-for-service, whereas all other Medicaid-covered services shall be through  one of three models: fee-for-service, primary care case management or through  managed care organizations.
    G. Additional assurances.
    1. The state assures that individuals will have access,  through the Medicaid Buy-In alternative benefit package, to rural health clinic  (RHC) services and federally qualified health center (FQHC) services as defined  in subparagraphs (B) and (C) of § 1905(a)(2).
    2. The state assures that payment for RHC and FQHC services  is made in accordance with the requirements of § 1902(bb) of the Social  Security Act.
    H. Cost effectiveness of plans: the Medicaid Buy-In  alternative benefit package and any additional benefits must be provided in  accordance with economy and efficiency principles.
    I. Compliance with the law: The state will continue to  comply with all other provisions of the Social Security Act in the  administration of the state plan under this title.
    12VAC30-80-30. Fee-for-service providers. 
    A. Payment for the following services, except for physician  services, shall be the lower of the state agency fee schedule (12VAC30-80-190  has information about the state agency fee schedule) or actual charge (charge  to the general public):
    1. Physicians' services (12VAC30-80-160 has  obstetric/pediatric fees). Payment for physician services shall be the lower of  the state agency fee schedule or actual charge (charge to the general public),  except that reimbursement rates for designated physician services when  performed in hospital outpatient settings shall be 50% of the reimbursement  rate established for those services when performed in a physician's office. The  following limitations shall apply to emergency physician services.
    a. Definitions. The following words and terms, when used in  this subdivision 1 shall have the following meanings when applied to emergency  services unless the context clearly indicates otherwise:
    "All-inclusive" means all emergency service and  ancillary service charges claimed in association with the emergency department  visit, with the exception of laboratory services.
    "DMAS" means the Department of Medical Assistance  Services consistent with Chapter 10 (§ 32.1-323 et seq.) of Title 32.1 of the  Code of Virginia.
    "Emergency physician services" means services that  are necessary to prevent the death or serious impairment of the health of the  recipient. The threat to the life or health of the recipient necessitates the  use of the most accessible hospital available that is equipped to furnish the  services.
    "Recent injury" means an injury that has occurred  less than 72 hours prior to the emergency department visit.
    b. Scope. DMAS shall differentiate, as determined by the  attending physician's diagnosis, the kinds of care routinely rendered in  emergency departments and reimburse physicians for nonemergency care rendered  in emergency departments at a reduced rate.
    (1) DMAS shall reimburse at a reduced and all-inclusive  reimbursement rate for all physician services, including those obstetric and  pediatric procedures contained in 12VAC30-80-160, rendered in emergency  departments that DMAS determines are nonemergency care.
    (2) Services determined by the attending physician to be  emergencies shall be reimbursed under the existing methodologies and at the  existing rates.
    (3) Services determined by the attending physician that may be  emergencies shall be manually reviewed. If such services meet certain criteria,  they shall be paid under the methodology in subdivision 1 b (2) of this  subsection. Services not meeting certain criteria shall be paid under the  methodology in subdivision 1 b (1) of this subsection. Such criteria shall  include, but not be limited to:
    (a) The initial treatment following a recent obvious injury.
    (b) Treatment related to an injury sustained more than 72  hours prior to the visit with the deterioration of the symptoms to the point of  requiring medical treatment for stabilization.
    (c) The initial treatment for medical emergencies including  indications of severe chest pain, dyspnea, gastrointestinal hemorrhage,  spontaneous abortion, loss of consciousness, status epilepticus, or other  conditions considered life threatening.
    (d) A visit in which the recipient's condition requires  immediate hospital admission or the transfer to another facility for further  treatment or a visit in which the recipient dies.
    (e) Services provided for acute vital sign changes as  specified in the provider manual.
    (f) Services provided for severe pain when combined with one  or more of the other guidelines.
    (4) Payment shall be determined based on ICD-9-CM diagnosis  codes and necessary supporting documentation.
    (5) DMAS shall review on an ongoing basis the effectiveness of  this program in achieving its objectives and for its effect on recipients,  physicians, and hospitals. Program components may be revised subject to  achieving program intent objectives, the accuracy and effectiveness of the  ICD-9-CM code designations, and the impact on recipients and providers.
    2. Dentists' services.
    3. Mental health services including: (i) community mental  health services; (ii) services of a licensed clinical psychologist; or (iii)  mental health services provided by a physician.
    a. Services provided by licensed clinical psychologists shall  be reimbursed at 90% of the reimbursement rate for psychiatrists.
    b. Services provided by independently enrolled licensed  clinical social workers, licensed professional counselors or licensed clinical  nurse specialists-psychiatric shall be reimbursed at 75% of the reimbursement  rate for licensed clinical psychologists.
    4. Podiatry.
    5. Nurse-midwife services.
    6. Durable medical equipment (DME).
    a. For those items that have a national Healthcare Common  Procedure Coding System (HCPCS) code, the rate for durable medical equipment  shall be set at the Durable Medical Equipment Regional Carrier (DMERC)  reimbursement level.
    b. The rate paid for all items of durable medical equipment  except nutritional supplements shall be the lower of the state agency fee  schedule that existed prior to July 1, 1996, less 4.5%, or the actual charge.
    c. The rate paid for nutritional supplements shall be the  lower of the state agency fee schedule or the actual charge.
    d. Certain durable medical equipment used for intravenous  therapy and oxygen therapy shall be bundled under specified procedure codes and  reimbursed as determined by the agency. Certain services/durable medical  equipment such as service maintenance agreements shall be bundled under  specified procedure codes and reimbursed as determined by the agency.
    (1) Intravenous therapies. The DME for a single therapy,  administered in one day, shall be reimbursed at the established service day  rate for the bundled durable medical equipment and the standard pharmacy  payment, consistent with the ingredient cost as described in 12VAC30-80-40,  plus the pharmacy service day and dispensing fee. Multiple applications of the  same therapy shall be included in one service day rate of reimbursement.  Multiple applications of different therapies administered in one day shall be  reimbursed for the bundled durable medical equipment service day rate as  follows: the most expensive therapy shall be reimbursed at 100% of cost; the  second and all subsequent most expensive therapies shall be reimbursed at 50%  of cost. Multiple therapies administered in one day shall be reimbursed at the  pharmacy service day rate plus 100% of every active therapeutic ingredient in  the compound (at the lowest ingredient cost methodology) plus the appropriate  pharmacy dispensing fee.
    (2) Respiratory therapies. The DME for oxygen therapy shall  have supplies or components bundled under a service day rate based on oxygen  liter flow rate or blood gas levels. Equipment associated with respiratory  therapy may have ancillary components bundled with the main component for  reimbursement. The reimbursement shall be a service day per diem rate for  rental of equipment or a total amount of purchase for the purchase of  equipment. Such respiratory equipment shall include, but not be limited to,  oxygen tanks and tubing, ventilators, noncontinuous ventilators, and suction  machines. Ventilators, noncontinuous ventilators, and suction machines may be  purchased based on the individual patient's medical necessity and length of  need.
    (3) Service maintenance agreements. Provision shall be made  for a combination of services, routine maintenance, and supplies, to be known  as agreements, under a single reimbursement code only for equipment that is  recipient owned. Such bundled agreements shall be reimbursed either monthly or  in units per year based on the individual agreement between the DME provider  and DMAS. Such bundled agreements may apply to, but not necessarily be limited  to, either respiratory equipment or apnea monitors.
    7. Local health services.
    8. Laboratory services (other than inpatient hospital).
    9. Payments to physicians who handle laboratory specimens, but  do not perform laboratory analysis (limited to payment for handling).
    10. X-Ray services.
    11. Optometry services.
    12. Medical supplies and equipment.
    13. Home health services. Effective June 30, 1991, cost  reimbursement for home health services is eliminated. A rate per visit by  discipline shall be established as set forth by 12VAC30-80-180.
    14. Physical therapy; occupational therapy; and speech,  hearing, language disorders services when rendered to noninstitutionalized  recipients.
    15. Clinic services, as defined under 42 CFR 440.90.
    16. Supplemental payments for services provided by Type I  physicians.
    a. In addition to payments for physician services specified  elsewhere in this State Plan, DMAS provides supplemental payments to Type I  physicians for furnished services provided on or after July 2, 2002. A Type I  physician is a member of a practice group organized by or under the control of  a state academic health system or an academic health system that operates under  a state authority and includes a hospital, who has entered into contractual  agreements for the assignment of payments in accordance with 42 CFR  447.10.
    b. Effective July 2, 2002, the supplemental payment amount for  Type I physician services shall be the difference between the Medicaid payments  otherwise made for Type I physician services and Medicare rates. Effective  August 13, 2002, the supplemental payment amount for Type I physician services  shall be the difference between the Medicaid payments otherwise made for  physician services and 143% of Medicare rates. This percentage was determined  by dividing the total commercial allowed amounts for Type I physicians for at  least the top five commercial insurers in CY 2004 by what Medicare would have  allowed. The average commercial allowed amount was determined by multiplying  the relative value units times the conversion factor for RBRVS procedures and  by multiplying the unit cost times anesthesia units for anesthesia procedures  for each insurer and practice group with Type I physicians and summing for all  insurers and practice groups. The Medicare equivalent amount was determined by  multiplying the total commercial relative value units for Type I physicians  times the Medicare conversion factor for RBRVS procedures and by multiplying  the Medicare unit cost times total commercial anesthesia units for anesthesia  procedures for all Type I physicians and summing. 
    c. Supplemental payments shall be made quarterly.
    d. Payment will not be made to the extent that this would  duplicate payments based on physician costs covered by the supplemental  payments.
    17. Supplemental payments to nonstate government-owned or  operated clinics. 
    a. In addition to payments for clinic services specified  elsewhere in the regulations, DMAS provides supplemental payments to qualifying  nonstate government-owned or operated clinics for outpatient services provided  to Medicaid patients on or after July 2, 2002. Clinic means a facility that is  not part of a hospital but is organized and operated to provide medical care to  outpatients. Outpatient services include those furnished by or under the  direction of a physician, dentist or other medical professional acting within  the scope of his license to an eligible individual. Effective July 1, 2005, a  qualifying clinic is a clinic operated by a community services board. The state  share for supplemental clinic payments will be funded by general fund  appropriations. 
    b. The amount of the supplemental payment made to each  qualifying nonstate government-owned or operated clinic is determined by: 
    (1) Calculating for each clinic the annual difference between  the upper payment limit attributed to each clinic according to subdivision 17 d  and the amount otherwise actually paid for the services by the Medicaid  program; 
    (2) Dividing the difference determined in subdivision 17 b (1)  for each qualifying clinic by the aggregate difference for all such qualifying  clinics; and 
    (3) Multiplying the proportion determined in subdivision (2)  of this subdivision 17 b by the aggregate upper payment limit amount for all  such clinics as determined in accordance with 42 CFR 447.321 less all payments  made to such clinics other than under this section. 
    c. Payments for furnished services made under this section may  be made in one or more installments at such times, within the fiscal year or  thereafter, as is determined by DMAS. 
    d. To determine the aggregate upper payment limit referred to  in subdivision 17 b (3), Medicaid payments to nonstate government-owned or  operated clinics will be divided by the "additional factor" whose  calculation is described in Attachment 4.19-B, Supplement 4 (12VAC30-80-190 B  2) in regard to the state agency fee schedule for RBRVS. Medicaid payments will  be estimated using payments for dates of service from the prior fiscal year  adjusted for expected claim payments. Additional adjustments will be made for  any program changes in Medicare or Medicaid payments. 
    18. Reserved.
    19. Personal Assistance Services (PAS) for individuals  enrolled in the Medicaid Buy-In program described in 12VAC30-60-200. These  services are reimbursed in accordance with the state agency fee schedule  described in 12VAC30-80-190. The state agency fee schedule is published on the  Single State Agency Website. 
    B. Hospice services payments must be no lower than the  amounts using the same methodology used under Part A of Title XVIII, and take  into account the room and board furnished by the facility, equal to at least  95% of the rate that would have been paid by the state under the plan for  facility services in that facility for that individual. Hospice services shall  be paid according to the location of the service delivery and not the location  of the agency's home office.
    12VAC30-110-1500. Working individuals with disabilities;  basic coverage group (Ticket to Work and Work Incentive Improvement Act  (TWWIIA)).
    A. Definitions.
    "Eligible person" means someone who is (i)  disabled: an applicant is deemed to be disabled for the purposes of program  eligibility if he is enrolled in the Supplemental Security Income (SSI) or  Social Security Disability Insurance (SSDI) programs. If the applicant has not  had a disability determination through the Social Security Administration, he  must have such a determination through the Disability Determination Services  program, (ii) employed or can show proof of imminent prospective employment;  (iii) between the ages of 16 years and 64 years; (iv) not subject to spending  down of excess resources; (v) not an inpatient in an institution of mental  disease (IMD), nor an inmate in a public institution that is not medical  facility pursuant to the Act § 1902(a)(10)(A)(ii)(XV).
    B. Scope/purpose. The purpose of this program shall be to afford  persons who are disabled with the opportunity to be employed and retain more of  their earned income without risking the loss of their Medicaid coverage of  critical health care benefits.
    C. In conformance with 12VAC30-30-20, 12VAC30-40-280,  12VAC30-40-290, and 12VAC30-40-105, eligible persons must meet the definition  in subsection A of this section to be approved for this program.
    D. In conformance with 12VAC30-40-105, working individuals  with disabilities must meet these requirements for continuing eligibility  pursuant to the Act § 1902(a)(10)(A)(ii)(XV):
    1. Continue to meet the disability, age, and employment  criteria described in this section. Individuals who, as enrollees, are unable  to maintain employment due to illness or unavoidable job loss may remain in the  program as unemployed for up to six months;
    2. Have enrollee-countable earned income of no more than  200% FPL;
    (a) The standard SSI methodology shall be used to determine  "countable" income; 
    (b) The enrollee shall be treated as a "household of  one" and spousal income shall be disregarded for ongoing enrollee  eligibility; [ and ] 
    3. Have resources or assets up to the annual SSI  "threshold amount" (Social Security Act, § 1619(b)) as  established for Virginia by the Social Security Administration (SSA), if such  resources or assets are accumulated solely from enrollee earnings after the  individual is enrolled with Medicaid Buy-In under  § 1902(a)(10)(A)(ii)(XV).
    VA.R. Doc. No. R07-219; Filed May 28, 2009, 2:44 p.m. 
TITLE 12. HEALTH
DEPARTMENT OF MEDICAL ASSISTANCE SERVICES
Final Regulation
    Titles of Regulations:  12VAC30-30. Groups Covered and Agencies Responsible for Eligibility Determination (amending 12VAC30-30-20).
    12VAC30-40. Eligibility  Conditions and Requirements (amending 12VAC30-40-280, 12VAC30-40-290;  adding 12VAC30-40-105).
    12VAC30-60. Standards Established and Methods Used to Assure  High Quality Care (adding 12VAC30-60-200).
    12VAC30-80. Methods and Standards for Establishing Payment  Rates; Other Types of Care (amending 12VAC30-80-30).
    12VAC30-110. Eligibility and Appeals (adding 12VAC30-110-1500).
    Statutory Authority: §§ 32.1-324 and 32.1-325 of the  Code of Virginia.
    Effective Date: July 23, 2009. 
    Agency Contact: Jack Quigley, Policy & Research,  Department of Medical Assistance Services, 600 East Broad Street, Richmond, VA  23219, telephone (804) 786-1300, FAX (804) 786-1680, or email  jack.quigley@dmas.virginia.gov.
    Summary: 
    This regulatory action implements a mandated Medicaid Buy-In  program as required by Item 302 X of Chapter 3 of the 2006 Acts of Assembly.  This new program, called Medicaid Works, requires the amendment of several  subsections of the DMAS regulations in the areas of Medicaid eligibility, new  alternative benefit services, and provider reimbursement. The Medicaid Works  Buy-In program creates an incentive for disabled Medicaid enrollees who desire  to be employed to have added income that will not count against their  eligibility income limits. Presently, Medicaid enrollees who have disabilities,  but who still have the capacity to be gainfully employed, could lose their  Medicaid eligibility due to excess income if they are employed. This change  reduces the financial restrictions to which such enrollees may be subject.
    Summary of Public Comments and Agency's Response: No  public comments were received by the promulgating agency. 
    12VAC30-30-20. Optional groups other than the medically needy.
    The Title IV A agency determines eligibility for Title XIX  services. 
    1. Caretakers and pregnant women who meet the income and  resource requirements of AFDC but who do not receive cash assistance. 
    2. Individuals who would be eligible for AFDC, SSI or an  optional state supplement as specified in 42 CFR 435.230, if they were not in a  medical institution. 
    3. A group or groups of individuals who would be eligible for  Medicaid under the plan if they were in a NF or an ICF/MR, who but for the  provision of home and community-based services under a waiver granted under 42  CFR Part 441, Subpart G would require institutionalization, and who will  receive home and community-based services under the waiver. The group or groups  covered are listed in the waiver request. This option is effective on the  effective date of the state's § 1915(c) waiver under which this group(s) is  covered. In the event an existing § 1915(c) waiver is amended to cover this  group(s), this option is effective on the effective date of the amendment. 
    4. Individuals who would be eligible for Medicaid under the  plan if they were in a medical institution, who are terminally ill, and who  receive hospice care in accordance with a voluntary election described in §  1905(o) of the Act. 
    5. The state does not cover all individuals who are not  described in § 1902(a)(10)(A)(i) of the Act, who meet the income and resource  requirements of the AFDC state plan and who are under the age of 21. The state  does cover reasonable classifications of these individuals as follows: 
    a. Individuals for whom public agencies are assuming full or  partial financial responsibility and who are: 
    (1) In foster homes (and are under the age of 21). 
    (2) In private institutions (and are under the age of 21). 
    (3) In addition to the group under subdivisions 5 a (1) and  (2) of this section, individuals placed in foster homes or private institutions  by private nonprofit agencies (and are under the age of 21). 
    b. Individuals in adoptions subsidized in full or part by a  public agency (who are under the age of 21). 
    c. Individuals in NFs (who are under the age of 21). NF  services are provided under this plan. 
    d. In addition to the group under subdivision 5 c of this  section, individuals in ICFs/MR (who are under the age of 21). 
    6. A child for whom there is in effect a state adoption  assistance agreement (other than under Title IV-E of the Act), who, as  determined by the state adoption agency, cannot be placed for adoption without  medical assistance because the child has special care needs for medical or  rehabilitative care, and who before execution of the agreement: 
    a. Was eligible for Medicaid under the state's approved  Medicaid plan; or 
    b. Would have been eligible for Medicaid if the standards and  methodologies of the Title IV-E foster care program were applied rather than  the AFDC standards and methodologies. 
    The state covers individuals under the age of 21. 
    7. Section 1902(f) states and SSI criteria states without  agreements under §§ 1616 and 1634 of the Act. 
    The following groups of individuals who receive a state  supplementary payment under an approved optional state supplementary payment  program that meets the following conditions. The supplement is: 
    a. Based on need and paid in cash on a regular basis. 
    b. Equal to the difference between the individual's countable  income and the income standard used to determine eligibility for the supplement.  
    c. Available to all individuals in each classification and  available on a statewide basis. 
    d. Paid to one or more of the following classifications of  individuals: 
    (1) Aged individuals in domiciliary facilities or other group  living arrangements as defined under SSI. 
    (2) Blind individuals in domiciliary facilities or other group  living arrangements as defined under SSI. 
    (3) Disabled individuals in domiciliary facilities or other  group living arrangements as defined under SSI. 
    (4) Individuals receiving a state administered optional state  supplement that meets the conditions specified in 42 CFR 435.230. 
    The supplement varies in income standard by political  subdivisions according to cost-of-living differences. 
    The standards for optional state supplementary payments are  listed in 12VAC30-40-250. 
    8. Individuals who are in institutions for at least 30  consecutive days and who are eligible under a special income level. Eligibility  begins on the first day of the 30-day period. These individuals meet the income  standards specified in 12VAC30-40-220. 
    The state covers all individuals as described above. 
    9. Individuals who are 65 years of age or older or who are  disabled as determined under § 1614(a)(3) of the Act, whose income does not  exceed the income level specified in 12VAC30-40-220 for a family of the same  size, and whose resources do not exceed the maximum amount allowed under SSI. 
    10. Individuals required to enroll in cost-effective  employer-based group health plans remain eligible for a minimum enrollment  period of one month. 
    11. Women who have been screened for breast or cervical cancer  under the Centers for Disease Control and Prevention Breast and Cervical Cancer  Early Detection Program established under Title XV of the Public Health Service  Act in accordance with § 1504 of the Act and need treatment for breast or  cervical cancer, including a pre-cancerous condition of the breast or cervix.  These women are not otherwise covered under creditable coverage, as defined in  § 2701(c) of the Public Health Services Act, are not eligible for Medicaid  under any mandatory categorically needy eligibility group, and have not  attained age 65. 
    12. Individuals who may qualify for the Medicaid Buy-In  program under § 1902(a)(10)(A)(ii)(XV) of the Social Security Act (Ticket  to Work Act) [ , ] if they meet the requirements  for the 80% eligibility group described in 12VAC30-40-220, as well as the  requirements described in 12VAC30-40-105 and 12VAC30-110-1500.
    12VAC30-40-105 [ . ] Financial  eligibility.
    Working Individuals with Disabilities; Basic Coverage  Group (Ticket to Work and Work Incentive Improvement Act (TWWIIA)). 
    The following standards and methods shall be applied in  determining financial eligibility:
    1. The agency applies the following income and resource  standards to applicants of this program:
    a. The individual's total countable income shall not exceed  80% of the current federal poverty income guidelines; [ and ]  
    b. The individual's total countable assets shall not exceed  $2,000.
    2. Income methodologies. In determining whether an  individual meets the income standard described in subdivision 1 of this  section, the agency uses more liberal income methodologies than the SSI program  as further described in 12VAC30-40-280.
    3. Resource methodologies. The agency uses resource  methodologies in addition to any indicated in subdivisions 1 and 2 of this  section that are more liberal than those used by the SSI program as described  in 12VAC30-40-290.
    12VAC30-40-280. More liberal income disregards.
    A. For children covered under §§ 1902(a)(10)(A)(i)(III)  and 1905(n) of the Social Security Act, the Commonwealth of Virginia will  disregard one dollar plus an amount equal to the difference between 100% of the  AFDC payment standard for the same family size and 100% of the federal poverty  level for the same family size as updated annually in the Federal Register. 
    B. For ADC-related cases, both categorically and medically  needy, any individual or family applying for or receiving assistance shall be  granted an income exemption consistent with the Act  (§§ 1902(a)(10)(A)(i)(III), (IV), (VI), (VII);  §§ 1902(a)(10)(A)(ii)(VIII), (IX); § 1902(a)(10)(C)(i)(III)). Any  interest earned on one interest-bearing savings or investment account per  assistance unit not to exceed $5,000, if the applicant, applicants, recipient  or recipients designate that the account is reserved for purposes related to  self-sufficiency, shall be exempt when determining eligibility for medical  assistance for so long as the funds and interest remain on deposit in the  account. For purposes of this section, "purposes related to  self-sufficiency" shall include, but are not limited to, (i) paying for  tuition, books, and incidental expenses at any elementary, secondary, or  vocational school, or any college or university; (ii) for making down payment  on a primary residence; or (iii) for establishment of a commercial operation  that is owned by a member of the Medicaid assistance unit. 
    C. For the group described in §§ 1902(a)(10)(A)(i)(VII) and  1902(l)(1)(D), income in the amount of the difference between 100% and 133% of  the federal poverty level (as revised annually in the Federal Register) is  disregarded. 
    D. For aged, blind, and disabled individuals, both  categorically and medically needy, with the exception of the special income  level group of institutionalized individuals, the Commonwealth of Virginia  shall disregard the value of in-kind support and maintenance when determining  eligibility. In-kind support and maintenance means food, clothing, or shelter  or any combination of these provided to an individual. 
    E. For all categorically needy and medically needy children  covered under the family and children covered groups, (§§ 1902(a)(10)(A)(i)(I),  1902(a)(10)(A)(i)(III), 1902(a)(10)(A)(i)(VI), 1902(a)(10)(A)(i)(VII),  1902(a)(10)(A)(ii)(VIII), 1902(a)(10)(C)(ii)(I) and 1905(n) of the Act), the  Commonwealth will disregard all earned income of a child under the age of 19  who is a student. 
    F. For all categorically needy and medically needy  individuals covered under the family and children covered groups (§§  1902(a)(10)(A)(i)(I), 1902(a)(10)(A)(i)(III), 1902(a)(10)(A)(i)(IV),  1902(a)(10)(A)(i)(V), 1902(a)(10)(A)(i)(VI), 1902(a)(10)(A)(i)(VII),  1902(a)(10)(A)(ii)(VIII), 1902(a)(10)(C)(ii)(I) and 1905(n) of the Act), the  Commonwealth will disregard the fair market value of all in-kind support and  maintenance as income in determining financial eligibility. In-kind support and  maintenance means food, clothing or shelter or any combination of these  provided to an individual. 
    G. Working individuals with disabilities eligible for  assistance under § 1902(a)(10)(A)(ii)(XV) of the Act who wish to increase  their earnings while maintaining eligibility for Medicaid must establish Work  Incentive (WIN) accounts (see 12VAC30-40-290). The Commonwealth shall disregard  earned income up to 200% of the federal poverty level for workers with  disabilities eligible for assistance under § 1902(a)(10)(A)(ii)(XV) of the  Act. To be eligible for this earned income disregard, the income is subject to  the following provisions:
    1. Only earnings that are deposited into a Work Incentive  (WIN) account can be disregarded for eligibility purposes.
    2. All funds deposited and their source will be identified  and registered with the department, for which prior approval has been obtained  from the department, and for which the owner authorizes regular monitoring  and/or reporting of these earnings and other information deemed necessary by the  department for the proper administration of this provision.
    3. A spouse's income will not be deemed to the applicant  when determining whether or not the individual meets the financial eligibility  requirements for eligibility under this section. 
    [ G. H. ] For aged, blind and  disabled individuals, both categorically and medically needy, with the  exception of the special income level group of institutionalized individuals,  the Commonwealth of Virginia shall disregard the value of income derived from  temporary employment with the United States Census Bureau for a decennial  census.
    [ H. I. ] For all categorically needy  and medically needy individuals covered under the family and children covered  groups (§§ 1902(a)(10)(A)(i)(I), 1902(a)(10)(A)(i)(III), 1902(a)(10)(A)(i)(IV),  1902(a)(10)(A)(i)(V), 1902(a)(10)(A)(i)(VI), 1902(a)(10)(A)(i)(VII),  1902(a)(10)(A)(ii)(VIII), 1902(a)(10)(C)(ii)(I) and 1905(n) of the Act), the  Commonwealth will disregard income derived from the temporary employment with  the United States Census Bureau for a decennial census. 
    12VAC30-40-290. More liberal methods of treating resources  under § 1902(r)(2) of the Act: § 1902(f) states.
    A. Resources to meet burial expenses. Resources set aside to  meet the burial expenses of an applicant/recipient or that individual's spouse  are excluded from countable assets. In determining eligibility for benefits for  individuals, disregarded from countable resources is an amount not in excess of  $3,500 for the individual and an amount not in excess of $3,500 for his spouse  when such resources have been set aside to meet the burial expenses of the  individual or his spouse. The amount disregarded shall be reduced by:
    1. The face value of life insurance on the life of an  individual owned by the individual or his spouse if the cash surrender value of  such policies has been excluded from countable resources; and
    2. The amount of any other revocable or irrevocable trust,  contract, or other arrangement specifically designated for the purpose of  meeting the individual's or his spouse's burial expenses.
    B. Cemetery plots. Cemetery plots are not counted as  resources regardless of the number owned.
    C. Life rights. Life rights to real property are not counted  as a resource. The purchase of a life right in another individual's home is  subject to transfer of asset rules. See 12VAC30-40-300.
    D. Reasonable effort to sell.
    1. For purposes of this section, "current market  value" is defined as the current tax assessed value. If the property is  listed by a realtor, then the realtor may list it at an amount higher than the  tax assessed value. In no event, however, shall the realtor's list price exceed  150% of the assessed value.
    2. A reasonable effort to sell is considered to have been  made:
    a. As of the date the property becomes subject to a realtor's  listing agreement if:
    (1) It is listed at a price at current market value; and
    (2) The listing realtor verifies that it is unlikely to sell  within 90 days of listing given the particular circumstances involved (e.g.,  owner's fractional interest; zoning restrictions; poor topography; absence of  road frontage or access; absence of improvements; clouds on title, right of way  or easement; local market conditions); or
    b. When at least two realtors refuse to list the property. The  reason for refusal must be that the property is unsaleable at current market  value. Other reasons for refusal are not sufficient; or
    c. When the applicant has personally advertised his property  at or below current market value for 90 days by use of a "Sale By  Owner" sign located on the property and by other reasonable efforts, such  as newspaper advertisements, or reasonable inquiries with all adjoining  landowners or other potential interested purchasers.
    3. Notwithstanding the fact that the recipient made a  reasonable effort to sell the property and failed to sell it, and although the  recipient has become eligible, the recipient must make a continuing reasonable  effort to sell by:
    a. Repeatedly renewing any initial listing agreement until the  property is sold. If the list price was initially higher than the tax-assessed  value, the listed sales price must be reduced after 12 months to no more than  100% of the tax-assessed value.
    b. In the case where at least two realtors have refused to  list the property, the recipient must personally try to sell the property by  efforts described in subdivision 2 c of this subsection for 12 months.
    c. In the case of a recipient who has personally advertised  his property for a year without success (the newspaper advertisements and  "for sale" sign do not have to be continuous; these efforts must be  done for at least 90 days within a 12-month period), the recipient must then:
    (1) Subject his property to a realtor's listing agreement at  price or below current market value; or
    (2) Meet the requirements of subdivision 2 b of this  subsection which are that the recipient must try to list the property and at  least two realtors refuse to list it because it is unsaleable at current market  value; other reasons for refusal to list are not sufficient.
    4. If the recipient has made a continuing effort to sell the  property for 12 months, then the recipient may sell the property between 75%  and 100% of its tax assessed value and such sale shall not result in  disqualification under the transfer of property rules. If the recipient  requests to sell his property at less than 75% of assessed value, he must  submit documentation from the listing realtor, or knowledgeable source if the  property is not listed with a realtor, that the requested sale price is the best  price the recipient can expect to receive for the property at this time. Sale  at such a documented price shall not result in disqualification under the  transfer of property rules. The proceeds of the sale will be counted as a  resource in determining continuing eligibility.
    5. Once the applicant has demonstrated that his property is  unsaleable by following the procedures in subdivision 2 of this subsection, the  property is disregarded in determining eligibility starting the first day of  the month in which the most recent application was filed, or up to three months  prior to this month of application if retroactive coverage is requested and the  applicant met all other eligibility requirements in the period. A recipient  must continue his reasonable efforts to sell the property as required in  subdivision 3 of this subsection.
    E. Automobiles. Ownership of one motor vehicle does not  affect eligibility. If more than one vehicle is owned, the individual's equity  in the least valuable vehicle or vehicles must be counted. The value of the  vehicles is the wholesale value listed in the National Automobile Dealers  Official Used Car Guide (NADA) Book, Eastern Edition (update monthly). In the  event the vehicle is not listed, the value assessed by the locality for tax  purposes may be used. The value of the additional motor vehicles is to be  counted in relation to the amount of assets that could be liquidated that may  be retained.
    F. Life, retirement, and other related types of insurance  policies. Life, retirement, and other related types of insurance policies with  face values totaling $1,500 or less on any one person 21 years old and over are  not considered resources. When the face values of such policies of any one  person exceeds $1,500, the cash surrender value of the policies is counted as a  resource.
    G. Long-term care partnership insurance policy (partnership  policy). Resources equal to the amount of benefits paid on the insured's behalf  by the long-term care insurer through a Virginia issued long-term care  partnership insurance policy shall be disregarded. A long-term care partnership  insurance policy shall meet the following requirements:
    1. The policy is a qualified long-term care partnership  insurance policy as defined in § 7702B(b) of the Internal Revenue Code of 1986.
    2. The policy meets the requirements of the National  Association of Insurance Commissioners (NAIC) Long-Term Care Insurance Model  Regulation and Long-Term Care Insurance Model Act as those requirements are set  forth in § 1917(b)(5)(A) of the Social Security Act (42 USC § 1396p).
    3. The policy was issued no earlier than May 1, 2007.
    4. The insured individual was a resident of a partnership  state when coverage first became effective under the policy. If the policy is  later exchanged for a different long-term care policy, the individual was a  resident of a partnership state when coverage under the earliest policy became  effective.
    5. The policy meets the inflation protection requirements set  forth in § 1917(b)(1)(C)(iii)(IV) of the Social Security Act.
    6. The Insurance Commissioner requires the issuer of the  partnership policy to make regular reports to the federal Secretary of Health  and Human Services that include notification of the date benefits provided  under the policy were paid and the amount paid, the date the policy terminates,  and such other information as the secretary determines may be appropriate to  the administration of such partnerships. Such information shall also be made  available to the Department of Medical Assistance Services upon request. 
    7. The state does not impose any requirement affecting the  terms or benefits of a partnership policy that the state does not also impose  on nonpartnership policies.
    8. The policy meets all the requirements of the Bureau of  Insurance of the State Corporation Commission described in 14VAC5-200.
    H. Reserved.
    I. Resource exemption for Aid to Dependent Children  categorically and medically needy (the Act §§ 1902(a)(10)(A)(i)(III),  (IV), (VI), (VII); §§ 1902(a)(10)(A)(ii)(VIII), (IX); §  1902(a)(10)(C)(i)(III)). For ADC-related cases, both categorically and  medically needy, any individual or family applying for or receiving assistance  may have or establish one interest-bearing savings or investment account per  assistance unit not to exceed $5,000 if the applicant, applicants, recipient or  recipients designate that the account is reserved for purposes related to  self-sufficiency. Any funds deposited in the account shall be exempt when  determining eligibility for medical assistance for so long as the funds and  interest remain on deposit in the account. Any amounts withdrawn and used for  purposes related to self-sufficiency shall be exempt. For purposes of this  section, purposes related to self-sufficiency shall include, but are not  limited to, (i) paying for tuition, books, and incidental expenses at any  elementary, secondary, or vocational school, or any college or university; (ii)  for making down payment on a primary residence; or (iii) for establishment of a  commercial operation that is owned by a member of the medical assistance unit.
    J. Disregard of resources. The Commonwealth of Virginia will  disregard all resources for qualified children covered under  §§ 1902(a)(10)(A)(i)(I), 1902(a)(10)(A)(i)(III), 1902(a)(10)(A)(ii)(VIII),  and 1905(n) of the Social Security Act.
    K. Household goods and personal effects. The Commonwealth of  Virginia will disregard the value of household goods and personal effects.  Household goods are items of personal property customarily found in the home  and used in connection with the maintenance, use and occupancy of the premises  as a home. Examples of household goods are furniture, appliances, televisions,  carpets, cooking and eating utensils and dishes. Personal effects are items of  personal property that are worn or carried by an individual or that have an  intimate relation to the individual. Examples of personal property include  clothing, jewelry, personal care items, prosthetic devices and educational or  recreational items such as books, musical instruments, or hobby materials.
    L. Determining eligibility based on resources. When  determining Medicaid eligibility, an individual shall be eligible in a month if  his countable resources were at or below the resource standard on any day of  such month.
    M. Working individuals with disabilities eligible for  assistance under § 1902(a)(10)(A)(ii)(XV) of the Act who wish to increase  their personal resources while maintaining eligibility for Medicaid shall  establish Work Incentive (WIN) accounts. The Commonwealth will disregard up to  the current annual SSI (Social Security Act, § 1619(b)) threshold amount  (as established for Virginia by the Social Security Administration) held in WIN  accounts for workers with disabilities eligible for assistance under  § 1902(a)(10)(A)(ii)(XV) of the Act. To be eligible for this resource  disregard, WIN accounts are subject to the following provisions:
    1. Deposits to this account shall derive solely from the  individual's income earned after electing to enroll in the Medicaid Buy-In  (MBI) program.
    2. The balance of this account shall not exceed the current  annual SSI (Social Security Act § 1619(b)) threshold amount (as  established for Virginia by the Social Security Administration).
    3. This account will be held separate from nonexempt  resources in accounts for which prior approval has been obtained from the  department, and for which the owner authorizes regular monitoring and reporting  including deposits, withdrawals, and other information deemed necessary by the  department for the proper administration of this provision.
    4. A spouse's resources will not be deemed to the applicant  when determining whether or not the individual meets the financial eligibility  requirements for eligibility under this section.
    5. Resources accumulated in the Work Incentive account  shall be disregarded in determining eligibility for aged, blind [ , ]  and disabled Medicaid-covered groups for one year after the individual  leaves the Medicaid Buy-In program.
    6. In addition, excluded from the resource and asset limit  include amounts deposited in the following types of IRS-approved accounts  established as WIN accounts: retirement accounts, medical savings accounts,  medical reimbursement accounts, education accounts and independence accounts.  Assets retained in these WIN accounts shall be disregarded for all future  Medicaid eligibility determinations for aged, blind, or disabled  Medicaid-covered groups.
    12VAC30-60-200. Ticket to Work and Work Incentives  Improvement Act (TWWIIA) basic coverage group: alternative benefits for  Medicaid Buy-In program.
    A. The state elects to provide alternative benefits under  § 1937 of the Social Security Act. The alternative benefit package will be  available statewide. 
    B. The population who will be offered opt-in alternative  coverage and who will be informed of the available benefit options prior to  having the option to voluntarily enroll in an alternative benefit package  consists of working individuals with disabilities enrolled pursuant to the  Social Security Act, § 1902(a)(10)(A)(ii)(XV) (Ticket to Work and Work  Incentives Improvement Act) covered group or who meet the income, resource and  eligibility requirements for the § 1902(a)(10)(A)(ii)(XV) covered group.
    C. Medicaid Buy-In: program outreach.
    1. Future Medicaid Works solicitations will be geared  towards individuals who are currently covered in the SSI and blind and disabled  80% federal poverty level groups; the letter will be an invitation to consider  going to work, or to increase how much they work, and inform them that they  will still be able to keep their Medicaid health care coverage. 
    2. They will be advised that this is voluntary and will  enable them to earn higher income and retain more assets from their earnings.  It will also explain that this option includes an alternative benefits package  comprised of their regular Medicaid benefits plus personal assistance services  for those who need personal assistance and related services in order to live  and work in the community. It will be clearly stated that this program is  optional. Their local eligibility worker will be able to review the advantages  and disadvantages of this option in order to assist individuals in making an  informed choice. 
    3. Current Medicaid Works enrollees will each receive  personal communication by mail advising them of the new alternative benefits  package and the steps needed in order to access personal assistance services.  Should an enrolled individual be dissatisfied with this option or be unable to  continue to be employed, their eligibility worker will reevaluate eligibility  for other covered groups pursuant to changing the individual back to regular  Medicaid coverage and, if necessary, to accessing personal assistance and  related services through the existing home- and community-based services  waivers. 
    4. Brochures describing this work incentive opportunity and  alternative benefits option shall be prominently displayed and readily  available at local departments of social services.
    D. Description of Medicaid Buy-In alternative benefit  package.
    1. The state will offer an alternative benefit package that  the secretary determines provides appropriate coverage for the population  served.
    2. This alternative benefits package includes all federally  mandated and optional Medicaid State Plan services, as described and limited in  12VAC30-50, plus personal assistance services (PAS) for enrollees who otherwise  meet the standards to receive PAS, defined as follows:
    a. "Personal assistance services" or  "PAS" means support services provided in home and community settings  necessary to maintain or improve an individual's current health status.  Personal care services are defined as help with activities of daily living,  monitoring of self-administered medications, and the monitoring of health  status and physical condition. 
    b. These services may be provided in home and community  settings to enable an individual to maintain the health status and functional  skills necessary to live in the community or participate in community  activities. An additional component of PAS is work-related and postsecondary  education personal services. This service will extend the ability of the  personal assistance attendant to provide assistance in the workplace. 
    c. These services include filing, retrieving work materials  that are out of reach; providing travel assistance for an individual with a  mobility impairment; helping an individual with organizational skills; reading  handwritten mail to an individual with a visual impairment; or ensuring that a  sign language interpreter is present during staff meetings to accommodate an  employee with a hearing impairment.
    d. This service is only available to individuals who also  require personal assistance services to meet their ADLs. Workplace or school  supports are not provided if they are services provided by the Department of  Rehabilitative Services, under IDEA, or if they are an employer's  responsibility under the Americans with Disabilities Act or § 504 of the  Rehabilitation Act. 
    e. Following an individual's assessment of the need for PAS  and development of a plan of care, the individual will decide whether to have  PAS through a personal care agency or whether to self direct his care. For  individuals who choose consumer-directed care, DMAS will provide for the services  of a fiscal agent to perform certain tasks as an agent for the  recipient/employer who is receiving consumer-directed services. The fiscal  agent will handle certain responsibilities for the individual, including but  not limited to, employment taxes. 
    f. All governmental and private PAS providers are  reimbursed according to the same published fee schedule, located on the  agency's website at the following address:  http://www.dmas.virginia.gov/pr-fee_files.htm. The agency's rates, based upon  one-hour increments, were set as of July 1, 2006, and are effective for  services on or after said dates. The agency's rates are updated periodically. 
    E. Wrap-around/additional services.
    1. The state assures that wrap-around or additional  benefits will be provided for individuals under 21 who are covered under the  state plan pursuant to § 1902(a)(10)(A) of the Social Security Act to ensure  early and periodic screening, diagnostic and treatment (EPSDT) services are  provided when medically necessary.
    2. Wraparound benefits must be sufficient so that, in  combination with the Medicaid Buy-In package, these individuals receive the  full EPSDT benefit, as medically necessary. The wraparound services provided  are described in 12VAC30-50-130.
    F. Delivery system.
    1. The alternative benefit package will be furnished  through a combination of the following methods:
    a. On a fee-for-service basis consistent with the  requirements of § 1902(a) and implementing regulations relating to payment  and beneficiary free choice of provider;
    b. On a fee-for-service basis consistent with the  requirements cited in subdivision 1 a of this subsection, except that it will  be operated with a primary care case management system consistent with  § 1915(b)(1);
    c. Through a managed care entity consistent with applicable  managed care requirements; [ or ] 
    d. Through premium assistance for benchmark-equivalent in  employer-sponsored coverage.
    2. Personal assistance services will always be  fee-for-service, whereas all other Medicaid-covered services shall be through  one of three models: fee-for-service, primary care case management or through  managed care organizations.
    G. Additional assurances.
    1. The state assures that individuals will have access,  through the Medicaid Buy-In alternative benefit package, to rural health clinic  (RHC) services and federally qualified health center (FQHC) services as defined  in subparagraphs (B) and (C) of § 1905(a)(2).
    2. The state assures that payment for RHC and FQHC services  is made in accordance with the requirements of § 1902(bb) of the Social  Security Act.
    H. Cost effectiveness of plans: the Medicaid Buy-In  alternative benefit package and any additional benefits must be provided in  accordance with economy and efficiency principles.
    I. Compliance with the law: The state will continue to  comply with all other provisions of the Social Security Act in the  administration of the state plan under this title.
    12VAC30-80-30. Fee-for-service providers. 
    A. Payment for the following services, except for physician  services, shall be the lower of the state agency fee schedule (12VAC30-80-190  has information about the state agency fee schedule) or actual charge (charge  to the general public):
    1. Physicians' services (12VAC30-80-160 has  obstetric/pediatric fees). Payment for physician services shall be the lower of  the state agency fee schedule or actual charge (charge to the general public),  except that reimbursement rates for designated physician services when  performed in hospital outpatient settings shall be 50% of the reimbursement  rate established for those services when performed in a physician's office. The  following limitations shall apply to emergency physician services.
    a. Definitions. The following words and terms, when used in  this subdivision 1 shall have the following meanings when applied to emergency  services unless the context clearly indicates otherwise:
    "All-inclusive" means all emergency service and  ancillary service charges claimed in association with the emergency department  visit, with the exception of laboratory services.
    "DMAS" means the Department of Medical Assistance  Services consistent with Chapter 10 (§ 32.1-323 et seq.) of Title 32.1 of the  Code of Virginia.
    "Emergency physician services" means services that  are necessary to prevent the death or serious impairment of the health of the  recipient. The threat to the life or health of the recipient necessitates the  use of the most accessible hospital available that is equipped to furnish the  services.
    "Recent injury" means an injury that has occurred  less than 72 hours prior to the emergency department visit.
    b. Scope. DMAS shall differentiate, as determined by the  attending physician's diagnosis, the kinds of care routinely rendered in  emergency departments and reimburse physicians for nonemergency care rendered  in emergency departments at a reduced rate.
    (1) DMAS shall reimburse at a reduced and all-inclusive  reimbursement rate for all physician services, including those obstetric and  pediatric procedures contained in 12VAC30-80-160, rendered in emergency  departments that DMAS determines are nonemergency care.
    (2) Services determined by the attending physician to be  emergencies shall be reimbursed under the existing methodologies and at the  existing rates.
    (3) Services determined by the attending physician that may be  emergencies shall be manually reviewed. If such services meet certain criteria,  they shall be paid under the methodology in subdivision 1 b (2) of this  subsection. Services not meeting certain criteria shall be paid under the  methodology in subdivision 1 b (1) of this subsection. Such criteria shall  include, but not be limited to:
    (a) The initial treatment following a recent obvious injury.
    (b) Treatment related to an injury sustained more than 72  hours prior to the visit with the deterioration of the symptoms to the point of  requiring medical treatment for stabilization.
    (c) The initial treatment for medical emergencies including  indications of severe chest pain, dyspnea, gastrointestinal hemorrhage,  spontaneous abortion, loss of consciousness, status epilepticus, or other  conditions considered life threatening.
    (d) A visit in which the recipient's condition requires  immediate hospital admission or the transfer to another facility for further  treatment or a visit in which the recipient dies.
    (e) Services provided for acute vital sign changes as  specified in the provider manual.
    (f) Services provided for severe pain when combined with one  or more of the other guidelines.
    (4) Payment shall be determined based on ICD-9-CM diagnosis  codes and necessary supporting documentation.
    (5) DMAS shall review on an ongoing basis the effectiveness of  this program in achieving its objectives and for its effect on recipients,  physicians, and hospitals. Program components may be revised subject to  achieving program intent objectives, the accuracy and effectiveness of the  ICD-9-CM code designations, and the impact on recipients and providers.
    2. Dentists' services.
    3. Mental health services including: (i) community mental  health services; (ii) services of a licensed clinical psychologist; or (iii)  mental health services provided by a physician.
    a. Services provided by licensed clinical psychologists shall  be reimbursed at 90% of the reimbursement rate for psychiatrists.
    b. Services provided by independently enrolled licensed  clinical social workers, licensed professional counselors or licensed clinical  nurse specialists-psychiatric shall be reimbursed at 75% of the reimbursement  rate for licensed clinical psychologists.
    4. Podiatry.
    5. Nurse-midwife services.
    6. Durable medical equipment (DME).
    a. For those items that have a national Healthcare Common  Procedure Coding System (HCPCS) code, the rate for durable medical equipment  shall be set at the Durable Medical Equipment Regional Carrier (DMERC)  reimbursement level.
    b. The rate paid for all items of durable medical equipment  except nutritional supplements shall be the lower of the state agency fee  schedule that existed prior to July 1, 1996, less 4.5%, or the actual charge.
    c. The rate paid for nutritional supplements shall be the  lower of the state agency fee schedule or the actual charge.
    d. Certain durable medical equipment used for intravenous  therapy and oxygen therapy shall be bundled under specified procedure codes and  reimbursed as determined by the agency. Certain services/durable medical  equipment such as service maintenance agreements shall be bundled under  specified procedure codes and reimbursed as determined by the agency.
    (1) Intravenous therapies. The DME for a single therapy,  administered in one day, shall be reimbursed at the established service day  rate for the bundled durable medical equipment and the standard pharmacy  payment, consistent with the ingredient cost as described in 12VAC30-80-40,  plus the pharmacy service day and dispensing fee. Multiple applications of the  same therapy shall be included in one service day rate of reimbursement.  Multiple applications of different therapies administered in one day shall be  reimbursed for the bundled durable medical equipment service day rate as  follows: the most expensive therapy shall be reimbursed at 100% of cost; the  second and all subsequent most expensive therapies shall be reimbursed at 50%  of cost. Multiple therapies administered in one day shall be reimbursed at the  pharmacy service day rate plus 100% of every active therapeutic ingredient in  the compound (at the lowest ingredient cost methodology) plus the appropriate  pharmacy dispensing fee.
    (2) Respiratory therapies. The DME for oxygen therapy shall  have supplies or components bundled under a service day rate based on oxygen  liter flow rate or blood gas levels. Equipment associated with respiratory  therapy may have ancillary components bundled with the main component for  reimbursement. The reimbursement shall be a service day per diem rate for  rental of equipment or a total amount of purchase for the purchase of  equipment. Such respiratory equipment shall include, but not be limited to,  oxygen tanks and tubing, ventilators, noncontinuous ventilators, and suction  machines. Ventilators, noncontinuous ventilators, and suction machines may be  purchased based on the individual patient's medical necessity and length of  need.
    (3) Service maintenance agreements. Provision shall be made  for a combination of services, routine maintenance, and supplies, to be known  as agreements, under a single reimbursement code only for equipment that is  recipient owned. Such bundled agreements shall be reimbursed either monthly or  in units per year based on the individual agreement between the DME provider  and DMAS. Such bundled agreements may apply to, but not necessarily be limited  to, either respiratory equipment or apnea monitors.
    7. Local health services.
    8. Laboratory services (other than inpatient hospital).
    9. Payments to physicians who handle laboratory specimens, but  do not perform laboratory analysis (limited to payment for handling).
    10. X-Ray services.
    11. Optometry services.
    12. Medical supplies and equipment.
    13. Home health services. Effective June 30, 1991, cost  reimbursement for home health services is eliminated. A rate per visit by  discipline shall be established as set forth by 12VAC30-80-180.
    14. Physical therapy; occupational therapy; and speech,  hearing, language disorders services when rendered to noninstitutionalized  recipients.
    15. Clinic services, as defined under 42 CFR 440.90.
    16. Supplemental payments for services provided by Type I  physicians.
    a. In addition to payments for physician services specified  elsewhere in this State Plan, DMAS provides supplemental payments to Type I  physicians for furnished services provided on or after July 2, 2002. A Type I  physician is a member of a practice group organized by or under the control of  a state academic health system or an academic health system that operates under  a state authority and includes a hospital, who has entered into contractual  agreements for the assignment of payments in accordance with 42 CFR  447.10.
    b. Effective July 2, 2002, the supplemental payment amount for  Type I physician services shall be the difference between the Medicaid payments  otherwise made for Type I physician services and Medicare rates. Effective  August 13, 2002, the supplemental payment amount for Type I physician services  shall be the difference between the Medicaid payments otherwise made for  physician services and 143% of Medicare rates. This percentage was determined  by dividing the total commercial allowed amounts for Type I physicians for at  least the top five commercial insurers in CY 2004 by what Medicare would have  allowed. The average commercial allowed amount was determined by multiplying  the relative value units times the conversion factor for RBRVS procedures and  by multiplying the unit cost times anesthesia units for anesthesia procedures  for each insurer and practice group with Type I physicians and summing for all  insurers and practice groups. The Medicare equivalent amount was determined by  multiplying the total commercial relative value units for Type I physicians  times the Medicare conversion factor for RBRVS procedures and by multiplying  the Medicare unit cost times total commercial anesthesia units for anesthesia  procedures for all Type I physicians and summing. 
    c. Supplemental payments shall be made quarterly.
    d. Payment will not be made to the extent that this would  duplicate payments based on physician costs covered by the supplemental  payments.
    17. Supplemental payments to nonstate government-owned or  operated clinics. 
    a. In addition to payments for clinic services specified  elsewhere in the regulations, DMAS provides supplemental payments to qualifying  nonstate government-owned or operated clinics for outpatient services provided  to Medicaid patients on or after July 2, 2002. Clinic means a facility that is  not part of a hospital but is organized and operated to provide medical care to  outpatients. Outpatient services include those furnished by or under the  direction of a physician, dentist or other medical professional acting within  the scope of his license to an eligible individual. Effective July 1, 2005, a  qualifying clinic is a clinic operated by a community services board. The state  share for supplemental clinic payments will be funded by general fund  appropriations. 
    b. The amount of the supplemental payment made to each  qualifying nonstate government-owned or operated clinic is determined by: 
    (1) Calculating for each clinic the annual difference between  the upper payment limit attributed to each clinic according to subdivision 17 d  and the amount otherwise actually paid for the services by the Medicaid  program; 
    (2) Dividing the difference determined in subdivision 17 b (1)  for each qualifying clinic by the aggregate difference for all such qualifying  clinics; and 
    (3) Multiplying the proportion determined in subdivision (2)  of this subdivision 17 b by the aggregate upper payment limit amount for all  such clinics as determined in accordance with 42 CFR 447.321 less all payments  made to such clinics other than under this section. 
    c. Payments for furnished services made under this section may  be made in one or more installments at such times, within the fiscal year or  thereafter, as is determined by DMAS. 
    d. To determine the aggregate upper payment limit referred to  in subdivision 17 b (3), Medicaid payments to nonstate government-owned or  operated clinics will be divided by the "additional factor" whose  calculation is described in Attachment 4.19-B, Supplement 4 (12VAC30-80-190 B  2) in regard to the state agency fee schedule for RBRVS. Medicaid payments will  be estimated using payments for dates of service from the prior fiscal year  adjusted for expected claim payments. Additional adjustments will be made for  any program changes in Medicare or Medicaid payments. 
    18. Reserved.
    19. Personal Assistance Services (PAS) for individuals  enrolled in the Medicaid Buy-In program described in 12VAC30-60-200. These  services are reimbursed in accordance with the state agency fee schedule  described in 12VAC30-80-190. The state agency fee schedule is published on the  Single State Agency Website. 
    B. Hospice services payments must be no lower than the  amounts using the same methodology used under Part A of Title XVIII, and take  into account the room and board furnished by the facility, equal to at least  95% of the rate that would have been paid by the state under the plan for  facility services in that facility for that individual. Hospice services shall  be paid according to the location of the service delivery and not the location  of the agency's home office.
    12VAC30-110-1500. Working individuals with disabilities;  basic coverage group (Ticket to Work and Work Incentive Improvement Act  (TWWIIA)).
    A. Definitions.
    "Eligible person" means someone who is (i)  disabled: an applicant is deemed to be disabled for the purposes of program  eligibility if he is enrolled in the Supplemental Security Income (SSI) or  Social Security Disability Insurance (SSDI) programs. If the applicant has not  had a disability determination through the Social Security Administration, he  must have such a determination through the Disability Determination Services  program, (ii) employed or can show proof of imminent prospective employment;  (iii) between the ages of 16 years and 64 years; (iv) not subject to spending  down of excess resources; (v) not an inpatient in an institution of mental  disease (IMD), nor an inmate in a public institution that is not medical  facility pursuant to the Act § 1902(a)(10)(A)(ii)(XV).
    B. Scope/purpose. The purpose of this program shall be to afford  persons who are disabled with the opportunity to be employed and retain more of  their earned income without risking the loss of their Medicaid coverage of  critical health care benefits.
    C. In conformance with 12VAC30-30-20, 12VAC30-40-280,  12VAC30-40-290, and 12VAC30-40-105, eligible persons must meet the definition  in subsection A of this section to be approved for this program.
    D. In conformance with 12VAC30-40-105, working individuals  with disabilities must meet these requirements for continuing eligibility  pursuant to the Act § 1902(a)(10)(A)(ii)(XV):
    1. Continue to meet the disability, age, and employment  criteria described in this section. Individuals who, as enrollees, are unable  to maintain employment due to illness or unavoidable job loss may remain in the  program as unemployed for up to six months;
    2. Have enrollee-countable earned income of no more than  200% FPL;
    (a) The standard SSI methodology shall be used to determine  "countable" income; 
    (b) The enrollee shall be treated as a "household of  one" and spousal income shall be disregarded for ongoing enrollee  eligibility; [ and ] 
    3. Have resources or assets up to the annual SSI  "threshold amount" (Social Security Act, § 1619(b)) as  established for Virginia by the Social Security Administration (SSA), if such  resources or assets are accumulated solely from enrollee earnings after the  individual is enrolled with Medicaid Buy-In under  § 1902(a)(10)(A)(ii)(XV).
    VA.R. Doc. No. R07-219; Filed May 28, 2009, 2:44 p.m. 
TITLE 12. HEALTH
STATE MENTAL HEALTH, MENTAL RETARDATION AND SUBSTANCE ABUSE SERVICES BOARD
Fast-Track Regulation 
    Titles of Regulations: 12VAC35-45. Regulations for  Providers of Mental Health, Mental Retardation, Substance Abuse, and Brain  Injury Residential Services for Children (repealing 12VAC35-45-10 through  12VAC35-45-210).
    12VAC35-46. Regulations for Children's Residential  Facilities (adding 12VAC35-46-10 through  12VAC35-46-1140).
    Statutory Authority: §§ 37.2-203 and 37.2-408 of  the Code of Virginia.
    Public Hearing Information: No public hearings are  scheduled. 
    Public Comments: Public comments may be submitted until  5 p.m. on July 22, 2009.
    Effective Date: August 6, 2009. 
    Agency Contact: Leslie Anderson, Director of the Office  of Licensing, Department of Mental Health, Mental Retardation and Substance  Abuse Services, P.O. Box 1797, 1220 Bank Street, Richmond, VA 23218-1797,  telephone (804) 371-6885, FAX (804) 692-0066, or email leslie.anderson@co.dmhmrsas.virginia.gov.
    Basis: The State Mental Health, Mental Retardation and  Substance Abuse Services Board (effective July 1, 2009, name changes to Board  of Behavioral Health and Developmental Services) has the authority to adopt  these regulations under § 37.2-408 of the Code of Virginia. This authority  is mandatory. Chapter 873 of the 2008 Acts of Assembly eliminated the  interdepartmental regulation of children's residential facilities and requires  DMHMRSAS, the Department of Social Services, and Department of Juvenile Justice  to regulate and license the children's facilities for which they are now the  primary licensing agency.  This legislation also requires the  aformentioned agencies to promulgate regulations to implement the provisions of  the legislation no later than October 31, 2009.
    Purpose: The 2008 Virginia General Assembly passed  legislation eliminating the interdepartmental regulatory process and mandated  new regulations be promulgated by all the involved agencies, including  DMHMRSAS, to implement this change by October 31, 2009. This regulatory action  is essential to ensure the continuity of regulatory oversight and the  protection of the health, safety, and welfare of children with mental illness,  mental retardation, substance abuse, or brain injury who receive services in  facilities subject to licensing under the interdepartmental or core  regulations, 22VAC42-10. The replacement regulations have been developed to  afford the primary regulatory authority to DMHMRSAS to implement the same licensing  requirements that have governed these facilities under the interdepartmental  regulations. These facilities would now have DMHMRSAS as the single licensing  agency, as required by the law. The implementation of these regulations will  allow DMHMRSAS and the state MHMRSAS board to comply with the essential  purpose, intent, and oversight responsibilities within the timeframe imposed by  the law.
    Rationale for Using Fast-Track Process: The  replacement regulations simply restate and consolidate the relevant parts of  the current interdepartmental or core regulations and the existing mental  health module into a new single set of regulations. The replacement regulations  will not alter the licensing requirements for providers that are governed by  the current regulations or impact the existing licensing process for these  providers. Therefore, these regulations are not expected to be controversial  and are qualified for consideration under the fast-track process. In addition,  the regulations just went through a comprehensive revision that went into  effect in December 2007. The shortened legislative deadline made it difficult  to promulgate these regulations under anything but the fast-track process.
    Substance: There are no new substantial provisions  included in the proposed regulations. The proposed replacement regulations  enable DMHMRSAS to fulfill its statutory responsibility for licensing and  regulating children's residential facilities that provide mental health, mental  retardation, substance abuse, and brain injury services for children. These  service providers are now subject to the same regulatory provisions and  oversight under the interdepartmental regulations 22VAC42-10 and the mental  health module 12VAC35-45.
    Issues: The primary advantage of regulatory action for  the public and providers is that it will provide a single comprehensive set of  regulatory and licensing requirements for children's residential facilities  that provide mental health, mental retardation, substance abuse, and brain  injury services. This should simplify the requirements and make them easier to  understand for those individuals affected by the regulations. Moreover, this  action will not impose any new requirements and facilitate the transition and  orientation to the new regulations when they become effective.
    The proposed regulatory action will enable DMHMRSAS and the  state MHMRSAS board to comply with the requirements of Chapter 873 of the 2008  Virginia Acts of Assembly in accordance with the timeframe imposed by the law.  The new regulations will consolidate all of the regulatory provisions and  facilitate the inspection and oversight functions for department staff.
    There are no known disadvantages associated with this  regulatory action.
    The Department of Planning and Budget's Economic Impact  Analysis:
    Summary of the Proposed Amendments to Regulation. The proposed  regulations merely restate the provisions of the repealed interdepartmental  regulation of children's residential facilities and move existing mental health  module into a new single set of regulations. 
    Result of Analysis. The benefits likely exceed the costs for  all proposed changes.
    Estimated Economic Impact. Previously, children's residential  facilities were regulated by multiple agencies under interdepartmental  regulations of children's residential facilities. In addition to the  interdepartmental regulations, Department of Mental Health, Mental Retardation  and Substance Abuse Services (DMHMRSAS) currently has a mental health module to  cover mental health specific aspects of regulating these facilities. However,  Chapter 873 of the 2008 Acts of Assembly eliminated interdepartmental  regulations and mandated all of the agencies involved to implement their own  regulations by October 2009.
    The proposed regulations merely restate the provisions of the  repealed interdepartmental regulations in the Virginia Administrative Code  allocated to DMHMRSAS and move the existing mental health module that apply to  the same facilities into a new single set of regulations. Since there is no  change in the requirements that apply to facilities, no significant economic  effect is expected other than improving the clarity of the regulations and  possibly avoiding some potential communication costs.
    Businesses and Entities Affected. There are currently 174  providers regulated under these rules. 
    Localities Particularly Affected. The proposed regulations  apply throughout the Commonwealth.
    Projected Impact on Employment. No significant impact on  employment is expected. 
    Effects on the Use and Value of Private Property. No  significant impact on the use and value of private property is expected.
    Small Businesses: Costs and Other Effects. The proposed changes  do not create any costs or other affects on small businesses.
    Small Businesses: Alternative Method that Minimizes Adverse  Impact. The proposed changes do not create any adverse impact on small  businesses.
    Real Estate Development Costs. The proposed changes do not  create any real estate development costs.
    Legal Mandate. The Department of Planning and Budget (DPB) has  analyzed the economic impact of this proposed regulation in accordance with  § 2.2-4007.04 of the Administrative Process Act and Executive Order Number  36 (06). Section 2.2-4007.04 requires that such economic impact analyses  include, but need not be limited to, the projected number of businesses or  other entities to whom the regulation would apply, the identity of any  localities and types of businesses or other entities particularly affected, the  projected number of persons and employment positions to be affected, the  projected costs to affected businesses or entities to implement or comply with  the regulation, and the impact on the use and value of private property.  Further, if the proposed regulation has adverse effect on small businesses, § 2.2-4007.04 requires that such economic impact analyses include (i) an  identification and estimate of the number of small businesses subject to the  regulation; (ii) the projected reporting, recordkeeping, and other  administrative costs required for small businesses to comply with the  regulation, including the type of professional skills necessary for preparing  required reports and other documents; (iii) a statement of the probable effect  of the regulation on affected small businesses; and (iv) a description of any  less intrusive or less costly alternative methods of achieving the purpose of  the regulation. The analysis presented above represents DPB's best estimate of  these economic impacts.
    Agency's Response to the Department of Planning and Budget's  Economic Impact Analysis: The agency concurs with the economic impact  analysis prepared by the Department of Planning and Budget.
    Summary:
    This action allows the Department of Mental Health, Mental  Retardation and Substance Abuse Services (DMHMRSAS) to regulate and license the  children's group homes and residential facilities for which it is now the  primary licensing agency.  The replacement regulations incorporate and  consolidate existing applicable regulations 22VAC42-11, Standards for  Interdepartmental Regulation of Children's Residential Facilities (known as the  "core" regulations), and the existing "mental health  module" regulations 12VAC35-45. The 2008 Virginia General Assembly  eliminated the interdepartmental regulation of children's residential facilities  and required DMHMRSAS, the Department of Social Services, and the Department of  Juvenile Justice to license specific children's residential facilities for  which they are now the primary licensing agency. This 2008 legislation requires  each of the aforementioned agencies to adopt regulations to replace and restate  the existing interdepartmental or core regulations.
    The proposed replacement regulations consist of regulatory  provisions that are now implemented by the department for facilities that  provide mental health, mental retardation, substance abuse, and brain injury  residential services for children. The State Mental Health, Mental Retardation  and Substance Abuse Services Board adopted amended core regulations 22VAC42-11  in 2007 pursuant to the standard public process required by the Virginia  Administrative Process Act. The proposed replacement regulations simply restate  the relevant provisions from the existing interdepartmental regulations and  consolidate them with the existing "mental health module" into a new  single set of regulations.
    CHAPTER 46 
  REGULATIONS FOR CHILDREN'S RESIDENTIAL FACILITIES 
    Part I
  General Provisions
    12VAC35-46-10. Definitions.
    The following words and terms when used in this chapter  shall have the following meanings unless the context clearly indicates  otherwise.
    "Allegation" means an accusation that a facility  is operating without a license or receiving public funds for services it is not  certified to provide.
    "Annual" means within 13 months of the previous  event or occurrence.
    "Applicable state regulation" means any  regulation that the department determines applies to the facility. The term  includes, but is not necessarily limited to, regulations promulgated by the  Departments of Education, Health, Housing and Community Development, or other  state agencies.
    "Applicant" means the person, corporation,  partnership, association, or public agency that has applied for a license.
    "Aversive stimuli" means the physical forces  (e.g., sound, electricity, heat, cold, light, water, or noise) or substances  (e.g., hot pepper sauce or pepper spray) measurable in duration and intensity  that when applied to a resident are noxious or painful to the resident but in  no case shall the term "aversive stimuli" include striking or hitting  the individual with any part of the body or with an implement or pinching,  pulling, or shaking the resident.
    "Behavior support" means those principles and  methods employed by a provider to help a child achieve positive behavior and to  address and correct a child's inappropriate behavior in a constructive and safe  manner in accordance with written policies and procedures governing program  expectations, treatment goals, child and staff safety and security, and the  child's individualized service plan.
    "Behavior support assessment" means identification  of a resident's behavior triggers, successful intervention strategies, anger  and anxiety management options for calming, techniques for self-management, and  specific goals that address the targeted behaviors that lead to emergency  safety interventions.
    "Body cavity search" means any examination of a  resident's rectal or vaginal cavities, except the performance of medical  procedures by medical personnel.
    "Brain injury" means any injury to the brain  that occurs after birth, but before age 65, that is acquired through traumatic  or nontraumatic insults. Nontraumatic insults may include, but are not limited  to, anoxia, hypoxia, aneurysm, toxic exposure, encephalopathy, surgical  interventions, tumor, and stroke. Brain injury does not include hereditary,  congenital, or degenerative brain disorders, or injuries induced by birth  trauma.
    "Brain Injury Waiver" means a Virginia Medicaid  home and community-based waiver for persons with brain injury approved by the  Centers for Medicare and Medicaid Services.
    "Care" or "treatment" means a set of  individually planned interventions, training, habilitation, or supports that  help a resident obtain or maintain an optimal level of functioning, reduce the  effects of disability or discomfort, or ameliorate symptoms, undesirable  changes or conditions specific to physical, mental, behavioral, or social  functioning.
    "Child" means any person legally defined as a  child under state law.  The term includes residents and other children  coming into contact with the resident or facility (e.g., visitors). When the  term is used, the requirement applies to every child at the facility regardless  of whether the child has been admitted to the facility for care (e.g.,  staff/child ratios apply to all children present even though some may not be  residents).
    "Child-placing agency" means any person licensed  to place children in foster homes or adoptive homes or a local board of social  services authorized to place children in foster homes or adoptive homes.
    "Children's residential facility" or  "facility" means a publicly or privately operated facility, other  than a private family home, where 24-hour per day care is provided to children  separated from their legal guardians and is required to be licensed or  certified by the Code of Virginia except: 
    1. Any facility licensed by the Department of Social  Services as a child-caring institution as of January 1, 1987, and that receives  public funds; and
    2. Acute-care private psychiatric hospitals serving  children that are licensed by the Department of Behavioral Health and  Developmental Services under the Rules and Regulations for the Licensing of  Providers of Mental Health, Mental Retardation and Substance Abuse, the  Individual and Family Developmental Disabilities Support Waiver, and  Residential Brain Injury Services, 12VAC35-105.
    "Commissioner" means the Commissioner of the  Department of Behavioral Health and Developmental Services or his authorized  agent.  
    "Complaint" means an accusation against a  licensed facility regarding an alleged violation of regulations or law.
    "Contraband" means any item prohibited by law or  by the rules and regulations of the department, or any item that conflicts with  the program or safety and security of the facility or individual  residents.  
    "Corporal punishment" means punishment  administered through the intentional inflicting of pain and discomfort to the  body through actions such as, but not limited to (i) striking or hitting with  any part of the body or with an implement; or (ii) any similar action that  normally inflicts pain or discomfort.
    "Counseling" means certain formal treatment  interventions such as individual, family, and group modalities, that provide  for support and problem solving.  Such interventions take place between  provider staff and resident families or groups and are aimed at enhancing  appropriate psychosocial functioning or personal sense of well-being.
    "Corrective action plan" means the provider's  pledged corrective action in response to cited areas of noncompliance  documented by the department.  A corrective action plan must be completed  within a specified time.
    "Crisis" means any acute emotional disturbance  in which a resident presents an immediate danger to self or others or is at  risk of serious mental or physical health deterioration caused by acute mental  distress, behavioral or situational factors, or acute substance abuse related  problems.
    "Crisis intervention" means those activities  aimed at the rapid management of a crisis.
    "Day" means calendar day unless the context  clearly indicates otherwise.
    "Department" means the Department of Behavioral  Health and Developmental Services (DBHDS).
    "DOE" means the Department of Education.
    "Emergency" means a sudden, generally unexpected  occurrence or set of circumstances demanding immediate action. Emergency does  not include regularly scheduled time off for permanent staff or other  situations that should reasonably be anticipated.  
    "Emergency admission" means the sudden,  unplanned, unexpected admittance of a child who needs immediate care or a  court-ordered placement.
    "Goal" means expected results or conditions that  usually involve a long period of time and that are written in behavioral terms  in a statement of relatively broad scope. Goals provide guidance in  establishing specific short-term objectives directed toward the attainment of  the goal. 
    "Good character and reputation" means findings  have been established and knowledgeable and objective people agree that the  individual maintains business or professional, family, and community  relationships that are characterized by honesty, fairness, truthfulness, and  dependability, and has a history or pattern of behavior that demonstrates that  the individual is suitable and able to care for, supervise, and protect  children.  Relatives by blood or marriage, and persons who are not  knowledgeable of the individual, such as recent acquaintances, shall not be  considered objective references.
    "Group home" means a children's residential  facility that is a community-based, homelike single dwelling, or its acceptable  equivalent, other than the private home of the operator, and serves up to 12.
    "Health record" means the file maintained by the  provider that contains personal health information.
    "Human research" means any systematic  investigation including research development, testing, and evaluation,  utilizing human subjects, that is designed to develop or contribute to  generalized knowledge.  Human research shall not include research exempt  from federal research regulations pursuant to 45 CFR 46.101(b).
    "Immediately" means directly without delay.
    "Independent living program" means a  competency-based program that is specifically approved by the department to  provide the opportunity for the residents to develop the skills necessary to  live successfully on their own following completion of the program.  
    "Individualized service plan" means a written  plan of action developed and modified at intervals to meet the needs of a  specific resident. It specifies measurable short and long-term goals,  objectives, strategies, and time frames for reaching the goals and the  individuals responsible for carrying out the plan.
    "Intellectual disability" means mental  retardation.
    "Legal guardian" means the natural or adoptive  parents or other person, agency, or institution that has legal custody of a  child.
    "License" means a document verifying approval to  operate a children's residential facility and that indicates the status of the  facility regarding compliance with applicable state regulations.
    "Live-in staff" means staff who are required to  be on duty for a period of 24 consecutive hours or more during each work week.
    "Living unit" means the space in which a  particular group of children in care of a residential facility reside. A living  unit contains sleeping areas, bath and toilet facilities, and a living room or  its equivalent for use by the residents of the unit.  Depending upon its  design, a building may contain one living unit or several separate living  units.
    "Mechanical restraint" means the use of a  mechanical device that cannot be removed by the individual to restrict the  freedom of movement or functioning of a limb or a portion of an individual's  body when that behavior places him or others at imminent risk.
    "Medication" means prescribed and  over-the-counter drugs.
    "Medication administration" means the direct  application of medications by injection, inhalation, or ingestion or any other  means to a resident by (i) persons legally permitted to administer medications;  or (ii) the resident at the direction and in the presence of persons legally permitted  to administer medications.
    "Medication error" means an error made in  administering a medication to a resident including the following: (i) the wrong  medication is given to the resident; (ii) the wrong resident is given the  medication; (iii) the wrong dosage is given to a resident; (iv) medication is  given to a resident at the wrong time or not at all; and (v) the proper method  is not used to give the medication to the resident.  A medication error  does not include a resident's refusal of offered medication.
    "Mental retardation" ("intellectual  disability") means a disability originating before the age of 18 years  characterized concurrently by (i) significantly subaverage  intellectual  functioning as demonstrated by performance on a standardized measure of  intellectual functioning, administered in conformity with accepted professional  practice, that is at least two standard deviations below the mean; and (ii)  significant limitations in adaptive behavior as expressed as conceptual,  social, and practical adaptive skills (§ 37.2-100 of the Code of  Virginia). According to the American Association of Intellectual Disabilities  (AAID) definition, these impairments should be assessed in the context of the  individual's environment, considering cultural and linguistic diversity as well  as differences in communication, and sensory motor and behavioral factors.  Within an individual limitations often coexist with strengths. The purpose of  describing limitations is to develop a profile of needed supports. With personalized  supports over a sustained period, the functioning of an individual will  improve. In some organizations the term "intellectual disability" is  used instead of "mental retardation."
    "Neurobehavioral services" means the assessment,  evaluation, and treatment of cognitive, perceptual, behavioral, and other  impairments caused by brain injury, that affect an individual's ability to  function successfully in the community.
    "Objective" means expected short-term results or  conditions that must be met in order to attain a goal. Objectives are stated in  measurable, behavioral terms and have a specified time for achievement.
    "On-duty" means that period of time during which  a staff person is responsible for the supervision of one or more children.
    "On-site" means services that are delivered by  the provider and are an integrated part of the overall service delivery system.
    "Parent" means a natural or adoptive parent or  surrogate parent appointed pursuant to DOE's regulations governing special  education programs for students with disabilities." "Parent"  means either parent unless the facility has been provided documentation that  there is a legally binding instrument, a state law, or court order governing  such matters as divorce, separation, or custody, that provides to the contrary.
    "Pat down" means a thorough external body search  of a clothed resident.
    "Personal health information" means oral,  written, or otherwise recorded information that is created or received by an  entity relating to either an individual's physical or mental health or the  provision of or payment for health care to an individual.
    "Placement" means an activity by any person that  provides assistance to a parent or legal guardian in locating and effecting the  movement of a child to a foster home, adoptive home, or children's residential  facility.
    "Premises" means the tracts of land on which any  part of a residential facility for children is located and any buildings on  such tracts of land.  
    "Provider" means any person, entity, or  organization, excluding an agency of the federal government by whatever name or  designation, that delivers (i) residential services to children with mental  illness, mental retardation (intellectual disability), or substance abuse; or  (ii) residential services for persons with brain injury. 
    "Record" means up-to-date written or automated  information relating to one resident. This information includes social data,  agreements, all correspondence relating to the care of the resident, service  plans with periodic revisions, aftercare plans and discharge summary, and any  other data related to the resident.
    "Resident" means a person admitted to a  children's residential facility for supervision, care, training, or treatment  on a 24-hour per day basis.
    "Residential treatment program" means 24-hour,  supervised, medically necessary, out-of-home programs designed to provide  necessary support and address mental health, behavioral, substance abuse,  cognitive, or training needs of a child or adolescent in order to prevent or  minimize the need for more intensive inpatient treatment. Services include, but  shall not be limited to, assessment and evaluation, medical treatment  (including medication), individual and group counseling, neurobehavioral  services, and family therapy necessary to treat the child. The service provides  active treatment or training beginning at admission related to the resident's  principle diagnosis and admitting symptoms. These services do not include  interventions and activities designed only to meet the supportive nonmental health  special needs including, but not limited to, personal care, habilitation, or  academic educational needs of the resident.
    "Respite care facility" means a facility that is  specifically approved to provide short-term, periodic residential care to  children accepted into its program in order to give the parents or legal  guardians temporary relief from responsibility for their direct care.
    "Rest day" means a period of not less than 24  consecutive hours during which a staff person has no responsibility to perform  duties related to the facility.
    "Restraint" means the use of a mechanical  device, medication, physical intervention, or hands-on hold to prevent an  individual from moving his body to engage in a behavior that places him or  others at imminent risk.  There are three kinds of restraints: 
    1. Mechanical restraint means the use of a mechanical  device that cannot be removed by the individual to restrict the freedom of  movement or functioning of a limb or a portion of an individual's body when  that behavior places him or others at imminent risk.
    2. Pharmacological restraint means the use of a medication  that is administered involuntarily for the emergency control of an individual's  behavior when that individual's behavior places him or others at imminent risk and  the administered medication is not a standard treatment for the individual's  medical or psychiatric condition.
    3. Physical restraint, also referred to as manual hold,  means the use of a physical intervention or hands-on hold to prevent an  individual from moving his body when that individual's behavior places him or  others at imminent risk.
    "Routine admission" means the admittance of a  child following evaluation of an application for admission and execution of a  written placement agreement.
    "Rules of conduct" means a listing of a  facility's rules or regulations that is maintained to inform residents and  others about behaviors that are not permitted and the consequences applied when  the behaviors occur.
    "Sanitizing agent" means any substance approved  by the Environmental Protection Agency to destroy bacteria. 
    "Seclusion" means the involuntary placement of  an individual alone in an area secured by a door that is locked or held shut by  a staff person by physically blocking the door, or by any other physical or  verbal means so that the individual cannot leave it. 
    "Self-admission" means the admittance of a child  who seeks admission to a temporary care facility as permitted by Virginia  statutory law without completing the requirements for "routine  admission."
    "Serious incident" means: 
    1. Any accident or injury requiring medical attention by a  physician; 
    2. Any illness that requires hospitalization; 
    3. Any overnight absence from the facility without  permission; 
    4. Any runaway; or 
    5. Any event that affects, or potentially may affect, the  health, safety or welfare of any resident being served by the provider. 
    "Serious injury" means any injury resulting in  bodily hurt, damage, harm, or loss that requires medical attention by a  licensed physician. 
    "Service" or "services" means planned  individualized interventions intended to reduce or ameliorate mental illness,  mental retardation (intellectual disability), or substance  abuse through  care, treatment, training, habilitation, or other supports that are delivered by  a provider to individuals with mental illness, mental retardation (intellectual  disability), or substance abuse. Services include residential services,  including those for persons with brain injury.
    "Severe weather" means extreme environment or  climate conditions that pose a threat to the health, safety, or welfare of  residents.
    "Social skills training" means activities aimed  at developing and maintaining interpersonal skills.
    "Strategies" means a series of steps and methods  used to meet goals and objectives.
    "Strip search" means a visual inspection of the  body of a resident when that resident's outer clothing or total clothing is  removed and an inspection of the removed clothing. Strip searches are conducted  for the detection of contraband.
    "Structured program of care" means a  comprehensive planned daily routine including appropriate supervision that  meets the needs of each resident both individually and as a group.
    "Student/intern" means an individual who  simultaneously is affiliated with an educational institution and a residential  facility. Every student/intern who is not an employee is either a volunteer or  contractual service provider depending upon the relationship among the  student/intern, educational institution, and facility.
    "Substantial compliance" means that while there  may be noncompliance with one or more regulations that represents minimal risk,  compliance clearly and obviously exists with most of the regulations as a  whole. 
    "Systemic deficiency" means violations  documented by the department that demonstrate defects in the overall operation  of the facility or one or more of its components.
    "Target population" means individuals with a  similar, specified characteristic or disability.
    "Temporary contract worker" means an individual  who is not a direct salaried employee of the provider but is employed by a  third party and is not a consistently scheduled staff member. 
    "Therapy" means provision of direct diagnostic,  preventive, and treatment services where functioning is threatened or affected  by social and psychological stress or health impairment.
    "Time out" means the involuntary removal of a  resident by a staff person from a source of reinforcement to a different open  location for a specified period of time or until the problem behavior has  subsided to discontinue or reduce the frequency of problematic behavior. 
    "Treatment" means individually planned, sound,  and therapeutic interventions that are intended to improve or maintain  functioning of an individual receiving services in those areas that show  impairment as the result of mental disability, substance addiction, or physical  impairment. In order to be considered sound and therapeutic, the treatment must  conform to current acceptable professional practice.
    "Variance" means temporary or permanent waiver  of compliance with a regulation or portion of a regulation, or permission to  meet the intent of the regulation by a method other than that specified in the  regulation, when the department, in its sole discretion, determines (i)  enforcement will create an undue hardship and (ii) resident care will not be  adversely affected. 
    "Volunteers" means any individual or group who  of their own free will, and without any financial gain, provides goods and  services to the program without compensation.
    12VAC35-46-20. Service description and applications;  required elements.
    A. In order to determine whether an applicant is subject  to these regulations, the applicant must submit a service description  initially.
    B. Each provider shall have a written service description  that accurately describes its structured program of care and treatment  consistent with the treatment, habilitation, or training needs of the  residential population it serves. Service description elements shall include: 
    1. The mental health, substance abuse, mental retardation,  or brain injury population it intends to serve; 
    2. The mental health, substance abuse, mental retardation,  or brain injury interventions it will provide; 
    3. Provider goals; 
    4. Services provided; and 
    5. Contract services, if any. 
    C.  The provider shall develop, implement, review,  and revise its services according to the provider's mission and shall have that  information available for public review. 
    D. Initial applications,
    1. A completed application includes, but is not limited to,  an initial application form; proposed working budget for the year showing  projected revenue and expenses for the first year of operation and a balance  sheet showing assets and liabilities; evidence of financial resources or a line  of credit sufficient to cover estimated operating expenses for 90 days unless  the facility is operated by a state or local government agency, board, or  commission; a service description; a proposed staffing/supervision plan  including the staff information sheet; copies of all job descriptions; evidence  of the applicant's authority to conduct business in Virginia; a copy of the  floor plan with dimensions of rooms; a certificate of occupancy; current health  inspection; evidence of consultation with state or local fire prevention  authorities; a list of board members, if applicable; three references for the  applicant; and, if required by the department, references for three officers of  the board if applicable. This information shall be submitted to and  approved by the department in order for the application to be considered  complete.
    2. All initial applications that are not complete within 12  months shall be closed.
    3. Facilities operated by state or local government  agencies, boards, and commissions shall submit evidence of sufficient funds to  operate including a working budget showing appropriated revenue and projected  expenses for the coming year.
    4. Currently licensed providers shall demonstrate that  they are operating in substantial compliance with applicable regulations before  new facilities operated by the same provider will be licensed.
    E. Renewal applications. A completed application for  renewal of a facility's license shall be submitted within 30 days after being  notified to submit a renewal application.
    12VAC35-46-30. The investigation.
    The department shall arrange and conduct an on-site  inspection of the facility and a thorough review of the services and an  investigation of the character, reputation, status, and responsibility of the  applicant. 
    12VAC35-46-40. Review of facilities.
    A. Representatives of the department shall make announced  and unannounced reviews during the effective dates of the license. The purpose  of these reviews is to monitor compliance with applicable regulations.
    B. Representatives of the department shall notify relevant  local governments and placing and funding agencies, including the Office of  Comprehensive Services, of multiple health and safety or human rights  violations in children's residential facilities when such violations result in  the lowering of the license to provisional status.
    12VAC35-46-50. Posting of information.
    A. Information concerning the application for initial  licensure of children's residential facilities shall be posted to the department's  website by locality.
    B. An accurate listing of all licensed facilities  including information on renewal, denial, or provisional licensure, and  services shall be posted on the department's website by locality.
    12VAC35-46-60. General requirements.
    A. The provider shall demonstrate substantial compliance  with these regulations to demonstrate that its program and physical plant  provide reasonably safe and adequate care while approved plans of action to  correct findings of noncompliance are being implemented and there are no  noncompliances that pose an immediate and direct danger to residents.
    B. Corporations sponsoring residential facilities for  children shall maintain their corporate status in accordance with Virginia law.  
    C. The provider shall comply with the terms of its  license.
    D. A license is not transferable and automatically expires  when there is a change of ownership or sponsorship. 
    E. The current license shall be posted at all times in a  place conspicuous to the public.
    F. A license shall not be issued to a facility when  noncompliance poses an immediate danger to a resident's life, health, or  safety.
    G. Intermediate sanctions authorized by statute may be  imposed at the discretion of the department.
    H. Each provider shall self-report to the department  within 10 days lawsuits against or settlements with residential facility  operators relating to the health and safety or human rights of residents and  any criminal charges against staff that may have been made relating to the  health and safety or human rights of residents.
    I. The provider shall comply with all other applicable  federal, state, or local laws and regulations.
    J. The provider's current policy and procedure manual  shall be readily accessible to all staff.
    K. Providers shall not engage in willful action or gross  negligence that jeopardizes the care or protection of residents.
    L. Providers shall not engage in conduct or practices that  are in violation of statutes related to abuse or neglect of children.
    M. Providers shall not deviate significantly from the  program or services for which a license was issued without obtaining prior  written approval from the department.
    N. Providers shall not make false statements on the  application for licensure or misrepresent facts in the application process.
    12VAC35-46-70. Resident's rights.
    Each provider shall guarantee resident rights as outlined  in § 37.2-400 of the Code of Virginia and in the Rules and  Regulations to Assure the Rights of Individuals Receiving Services from  Providers Licensed, Funded, or Operated by the Department of Mental Health,  Mental Retardation and Substance Abuse Services (12VAC35-115).
    12VAC35-46-80. Written corrective action plans.
    A. If there is noncompliance with applicable regulations  during an initial or ongoing review or investigation, the department shall  issue a licensing report describing the noncompliance and requesting the  provider to submit a corrective action plan.
    B. The provider shall submit to the department and  implement a written corrective action plan for each regulation for which the  provider is found to be in noncompliance.
    C. The corrective action plan shall include a:
    1. Description of each corrective action to be taken to  correct the noncompliance and to prevent reoccurrence in the future and the  person responsible for implementation;
    2. Date of completion for each action; and
    3. Signature of the person responsible for oversight of the  implementation of the pledged corrective action.
    D. The provider shall submit the corrective action plan to  the department within 15 business days of the issuance of the licensing report.  Extensions may be granted by the department when requested prior to the due  date, but extensions shall not exceed an additional 10 business days. An  immediate corrective action plan shall be required if the department determines  that the violations pose a threat to the health, safety, or welfare of  residents.
    E. A corrective action plan shall be approved by the  department. The provider shall have an additional 10 business days to submit a  revised corrective action plan after receiving a notice that the plan submitted  has not been approved. 
    12VAC35-46-90. Licenses.
    A. A conditional license shall be issued to a new provider  that demonstrates compliance with administrative and policy requirements but  has not demonstrated compliance with all of these regulations. A conditional  license shall not exceed six months, but may be renewed, not to exceed 12  successive months for all conditional licenses and renewals combined. 
    B. A provisional license may be issued to a provider that  has demonstrated an inability to maintain compliance with these regulations or  other applicable regulations, has violations of licensing regulations that pose  a threat to the health or safety of residents being served, or has two or more  systemic deficiencies.
    1. A provisional license may be issued at any time.
    2. The term of a provisional license may not exceed six  months unless allowed by the Code of Virginia.
    3. A provisional license may be renewed, but a provisional  license and any renewals shall not exceed 12 successive months for all  provisional licenses and renewals combined.
    C. An annual license: 
    1. Shall be issued when the provider applies for renewal  while holding a conditional or provisional license or certificate and  substantially meets or exceeds the requirements of these regulations and other  regulations and statutes.
    2. May be issued at any time if the provider has received  one systemic deficiency.
    3. May be renewed, but an annual license or certificate and  any renewals thereof shall not exceed a period of 36 successive months for all  annual licenses and renewals combined.
    D. A triennial license shall be issued when the provider:
    1. Applies for renewal while holding an annual or triennial  license; and
    2. Substantially meets or exceeds the requirements of these  regulations and other applicable regulations and statutes.
    E. The term of a facility's license may be modified at any  time during the licensure period based on a change in the facility's compliance  with these regulations and other applicable statutes and regulations.
    12VAC35-46-100. Application fees.
    A. There shall be a $500 nonrefundable initial application  fee. If the application is closed, denied, or withdrawn all subsequent initial  applications shall require another $500 fee.
    B. There shall be a $100 nonrefundable renewal application  fee.
    C. A renewal fee shall not be charged to providers  directly following the issuance of a conditional license.
    D. The application fee shall not apply to state or local  government-owned, operated, or contracted facilities.
    E. Application fees shall be used for the development and  delivery of training for providers and staff of children's residential  facilities and regulators of these facilities.
    12VAC35-46-110. Modification.
    A. The conditions of a license may be modified during the  term of the license with respect to the capacity, residents' age range,  facility location, residents' gender, or changes in the services. Limited  modifications may be approved during the conditional licensure period.
    B. The provider shall submit a written report of any  contemplated changes in operation that would affect the terms of the license or  the continuing eligibility for licensure to the department.
    C. A change shall not be implemented prior to approval by  the department. The provider shall be notified in writing within 60 days  following receipt of the request as to whether the modification is approved or  a new license is required.
    12VAC35-46-120. Denial.
    A. An application for licensure may be denied when the  applicant:
    1. Violates any provision of applicable laws or regulations  made pursuant to such laws;
    2. Has a founded disposition of child abuse or neglect  after the appeal process has been completed;
    3. Has been convicted of a crime listed in § 37.2-416 or 63.2-1726 of the Code of Virginia;
    4. Has made false statements on the application or  misrepresentation of facts in the application process;
    5. Has not demonstrated good character and reputation as  determined through references, background investigations, driving records, and  other application materials; 
    6. Has a history of adverse licensing actions or sanctions;
    7. Permits, aids, or abets in the commission of an illegal  act in services delivered by the provider; or
    8. Engages in conduct or practices detrimental to the  welfare of any individual receiving services from the provider.
    B. If denial of a license is recommended, the facility  shall be notified in writing of the deficiencies, the proposed action, the  right to appeal, and the appeal process.
    12VAC35-46-130. Revocation.
    A. A license may be revoked when the provider:
    1. Violates any provision of applicable laws or  regulations;
    2. Engages in conduct or practices that are in violation of  statutes related to abuse or neglect of children;
    3. Deviates significantly from the program or services for  which a license was issued without obtaining prior written approval from the  department or fails to correct such deviations within the specified time; 
    4. Permits, aids, or abets the commission of an illegal act  in services delivered by the provider; or 
    5.  Engages in conduct or practices detrimental to the  welfare of any individual receiving services.
    B. If revocation of a license is recommended, the facility  shall be notified in writing of the deficiencies, the proposed action, the  right to appeal, and the appeal process.
    12VAC35-46-140. Summary suspension.
    A. In conjunction with any proceeding for revocation,  denial, or other action, when conditions or practices exist that pose an  immediate and substantial threat to the health, safety, and welfare of the  residents, the commissioner may issue an order of summary suspension of the  license to operate a children's residential facility when he believes the  operation of the facility should be suspended during the pendency of such  proceeding.
    B. Prior to the issuance of an order of summary  suspension, the department shall contact the Executive Secretary of the Supreme  Court of Virginia to obtain the name of a hearing officer. The department shall  schedule the time, date, and location of the administrative hearing with the  hearing officer.
    C. The order of summary suspension shall take effect upon  its issuance. It shall be delivered by personal service and certified mail,  return receipt requested, to the address of record of the facility as soon as  practicable. The order shall set forth:
    1. The time, date, and location of the hearing;
    2. The procedures for the hearing;
    3. The hearing and appeal rights; and
    4. Facts and evidence that formed the basis for the order of  summary suspension.
    D. The hearing shall take place within three business days  of the issuance of the order of summary suspension.
    E. The department shall have the burden of proving in any  summary suspension hearing that it had reasonable grounds to require the  facility to cease operations during the pendency of the concurrent revocation,  denial, or other proceeding.
    F. The administrative hearing officer shall provide  written findings and conclusions, together with a recommendation as to whether  the license should be summarily suspended, to the commissioner within five  business days of the hearing.
    G. The commissioner shall issue a final order of summary  suspension or make a determination that the summary suspension is not warranted  based on the facts presented and the recommendation of the hearing officer  within seven business days of receiving the recommendation of the hearing  officer.
    H. The commissioner shall issue and serve on the  children's residential facility or its designee by personal service or by  certified mail, return receipt requested, either:
    1. A final order of summary suspension including (i) the  basis for accepting or rejecting the hearing officer's recommendations and (ii)  notice that the children's residential facility may appeal the commissioner's  decision to the appropriate circuit court no later than 10 days following  issuance of the order; or
    2. Notification that the summary suspension is not  warranted by the facts and circumstances presented and that the order of  summary suspension is rescinded.
    I. The facility may appeal the commissioner's decision on  the summary suspension to the appropriate circuit court no more than 10 days  after issuance of the final order.
    J. The outcome of concurrent revocation, denial, and other  proceedings shall not be affected by the outcome of any hearing pertaining to  the appropriateness of the order of summary suspension.
    K. At the time of the issuance of the order of summary  suspension, the department shall contact the appropriate agencies to inform  them of the action and the need to develop relocation plans for residents, and  ensure that parents and guardians are informed of the pending action.
    12VAC35-46-150. Variances.
    A. Any request for a variance shall be submitted in  writing to the department and shall include:
    1. Justification why enforcement of the regulation would  create an undue hardship; 
    2. How the facility can comply with the intent of the  regulation; and
    3. Justification why resident care would not be adversely  affected if the variance was granted.
    B. A variance shall not be implemented prior to approval  of the department. 
    12VAC35-46-160. Investigation of complaints and allegations.
    The department is responsible for complete and prompt  investigation of all complaints and allegations made against providers, and for  notification of the appropriate persons or agencies when removal of residents  may be necessary. Suspected criminal violations shall be reported to the  appropriate law-enforcement authority. 
    Part II
  Administration
    12VAC35-46-170. Governing body.
    A. The provider shall clearly identify the corporation,  association, partnership, individual, or public agency that is the licensee.
    B. The provider shall clearly identify any governing  board, body, entity, or person to whom it delegates the legal responsibilities  and duties of the provider.
    12VAC35-46-180. Responsibilities of the provider.
    A. The provider shall appoint a qualified chief  administrative officer to whom it delegates, in writing, the authority and  responsibility for administrative direction of the facility.
    B. The provider shall develop and implement a written  decision-making plan that shall provide for a staff person with the  qualifications of the chief administrative officer or program director to be  designated to assume the temporary responsibility for the operation of the  facility. Each plan shall include an organizational chart.
    C. The provider shall develop a written statement of the  objectives of the facility including a description of the target population and  the programs to be offered.
    D. The provider shall develop and implement written  policies and procedures to monitor and evaluate service quality and  effectiveness on a systematic and on-going basis. The provider shall implement  improvements when indicated.
    12VAC35-46-190. Fiscal accountability.
    A. Facilities operated by corporations, unincorporated  organizations or associations, individuals, or partnerships shall prepare at  the end of each fiscal year:
    1. An operating statement showing revenue and expenses for  the fiscal year just ended;
    2. A working budget showing projected revenue and expenses  for the next fiscal year that gives evidence that there are sufficient funds to  operate; and
    3. A balance sheet showing assets and liabilities for the  fiscal year just ended.
    B. There shall be a system of financial recordkeeping that  shows a separation of the facility's accounts from all other records.
    C. The provider shall develop and implement written  policies and procedures that address the day-to-day handling of facility funds  to include:
    1. Handling of deposits;
    2. Writing of checks; and
    3. Handling of petty cash.
    12VAC35-46-200. Insurance.
    A. The provider shall maintain liability insurance  covering the premises and the facility's operations.
    B. The provider shall provide documentation that all  vehicles used to transport residents are insured, including vehicles owned by  staff.
    C. The members of the governing body and staff who have  been authorized to handle the facility's or residents' funds shall be bonded or  otherwise indemnified against employee dishonesty.
    12VAC35-46-210. Fundraising.
    The provider shall not use residents in its fundraising  activities without written permission of the legal guardian and the permission  of residents 14 years or older.
    12VAC35-46-220. Weapons.
    The provider shall develop and implement written policies  and procedures governing the possession and use of firearms, pellet guns, air  guns, and other weapons on the facility's premises and during facility-related  activities. The policy shall provide that no firearms, pellet guns, air guns,  or other weapons shall be permitted on the premises or at facility-sponsored activities  unless the weapons are:
    1. In the possession of licensed security personnel or  law-enforcement officers;
    2. Kept securely under lock and key; or
    3. Used by a resident with the legal guardian's permission  under the supervision of a responsible adult in accord with policies and  procedures developed by the facility for the weapons' lawful and safe use.
    12VAC35-46-230. Relationship to the department.
    A. The provider shall submit or make available to the  department such reports and information as the department may require to  establish compliance with these regulations and other applicable regulations  and statutes.
    B. The governing body or its official representative shall  notify the department within five working days of any change in administrative structure  or newly hired chief administrative officer or program director.
    12VAC35-46-240. Facilities serving persons over the age of  17 years.
    Facilities that are approved to serve persons over the age  of 17 years shall comply with these regulations for all occupants regardless of  age, except when it is determined by the department that housing, programs,  services, and supervision for such persons are provided separately from those  for the other residents.
    12VAC35-46-250. Health information.
    A. Health information required by this section shall be  maintained for each staff member and for each individual who resides in a  building occupied by residents, including each person who is not a staff member  or resident of the facility. Health information shall be handled, maintained,  and stored in a fashion that maintains confidentiality of the information at  all times.
    B. Tuberculosis evaluation.
    1. At the time of hire or residency at the facility, each  individual shall submit the results of a screening assessment documenting the  absence of tuberculosis in a communicable form as evidenced by the completion  of a form containing, at a minimum, the elements of a current screening form  published by the Virginia Department of Health. The screening assessment shall  be no older than 30 days.
    2. Each individual shall annually submit the results of a  screening assessment, documenting that the individual is free of tuberculosis  in a communicable form as evidenced by the completion of a form containing, at  a minimum, the elements of a current screening form published by the Virginia  Department of Health.
    12VAC35-46-260. Physical or mental health of personnel.
    A. The provider or the department may require a report of  examination by a licensed physician or mental health professional when there  are indications that an individual's physical, mental, or emotional health may  jeopardize the care of residents.
    B. An individual who is determined by a licensed physician  or mental health professional to show an indication of a physical or mental  condition that may jeopardize the safety of residents or that would prevent the  performance of duties shall be removed immediately from contact with residents  and food served to residents until the condition is cleared as evidenced by a  signed statement from the physician or mental health professional.
    12VAC35-46-270. Qualifications.
    A. Regulations establishing minimum position  qualifications shall be applicable to all providers. In lieu of the minimum  position qualifications contained in this chapter, providers subject to (i) the  rules and regulations of the Virginia Department of Human Resource Management  or (ii) the rules and regulations of a local government personnel office may  develop written minimum entry-level qualifications in accord with the rules and  regulations of the supervising personnel authority.
    B. A person who assumes or is designated to assume the  responsibilities of a position or any combination of positions described in  these regulations after December 28, 2007, shall:
    1. Meet the qualifications of the position or positions;
    2. Fully comply with all applicable regulations for each  function; and
    3. Demonstrate a working knowledge of the policies and  procedures that are applicable to his specific position or positions.
    C. When services or consultations are obtained on a  contractual basis they shall be provided by professionally qualified personnel.
    12VAC35-46-280. Job descriptions.
    A. There shall be a written job description for each  position that, at a minimum, includes the:
    1. Job title;
    2. Duties and responsibilities of the incumbent;
    3. Job title of the immediate supervisor; and 
    4. Minimum education, experience, knowledge, skills, and  abilities required for entry-level performance of the job.
    B. A copy of the job description shall be given to each  person assigned to a position at the time of employment or assignment.
    12VAC35-46-290. Written personnel policies and procedures.
    A. The provider shall have and implement provider approved  written personnel policies and make its written personnel policies readily  accessible to each staff member.
    B. The provider shall develop and implement written  policies and procedures to assure that persons employed in or designated to  assume the responsibilities of each position possess the education, experience,  knowledge, skills, and abilities specified in the job description for the  position.
    12VAC35-46-300. Personnel records.
    A. Separate up-to-date written or automated personnel  records shall be maintained for each employee, student/intern, volunteer, and  contractual service provider for whom background investigations are required by  Virginia statute. Content of personnel records of volunteers, students/interns,  and contractual service providers may be limited to documentation of compliance  with requirements of Virginia laws regarding child protective services and  criminal history background investigations.
    B. The records of each employee shall include:
    1. A completed employment application form or other written  material providing the individual's name, address, phone number, and social  security number or other unique identifier;
    2. Educational background and employment history;
    3. Written references or notations of oral references;
    4. Reports of required health examinations;
    5. Annual performance evaluations;
    6. Date of employment for each position held and  separation; 
    7. Documentation of compliance with requirements of  Virginia laws regarding child protective services and criminal history  background investigations;
    8. Documentation of educational degrees and of professional  certification or licensure; 
    9. Documentation of all training required by these  regulations and any other training received by individual staff; and
    10. A current job description.
    C. Personnel records, including separate health records,  shall be retained in their entirety for at least three years after separation  from employment, contractual service, student/intern, or volunteer service.
    12VAC35-46-310. Staff development.
    A. Required initial training.
    1. Within seven days following their begin date, each staff  member responsible for supervision of children shall receive basic orientation  to the facility's behavior intervention policies, procedures, and techniques  regarding less restrictive interventions, timeout, and physical restraint. 
    2. Within 14 days following an individual's begin date, and  before an individual is alone supervising children, the provider shall  conduct emergency preparedness and response training that shall include:
    a. Alerting emergency personnel and sounding alarms;
    b. Implementing evacuation procedures, including evacuation  of residents with special needs (i.e., deaf, blind, nonambulatory);
    c. Using, maintaining, and operating emergency equipment;
    d. Accessing emergency information for residents including  medical information; and 
    e. Utilizing community support services.
    3. Within 14 days following their begin date, new employees,  employees transferring from other facilities operated by the same provider,  relief staff, volunteers, and students/interns shall be given orientation and  training regarding:
    a. The objectives of the facility; 
    b. Practices of confidentiality;
    c. The decision-making plan; 
    d. These regulations including the prohibited actions as  outlined in this regulation; and 
    e. Other policies and procedures that are applicable to  their positions, duties, and responsibilities.
    4. Within 30 days following their begin date, all staff  working with residents shall be enrolled in a standard first aid class and in a  cardiopulmonary resuscitation class facilitated by the American Red Cross or  other recognized authority, unless the individual is currently certified in  first aid and cardiopulmonary resuscitation.
    5. Within 30 days following their begin date, all staff  working with residents shall be trained in child abuse and neglect, mandatory  reporting, maintaining appropriate professional relationships, and interaction  among staff and residents, and suicide prevention.
    6. Within 30 days following their begin date, all staff  shall be trained on the facility's policies and procedures regarding standard  precautions.
    7. Within 30 days following their begin date, all staff  shall be trained on appropriate siting of children's residential facilities,  and good neighbor policies and community relations.
    8. Before administering medication, all staff responsible  for medication administration shall have successfully completed a medication  training program approved by the Board of Nursing or be licensed by the  Commonwealth of Virginia to administer medications. 
    9. All staff shall be trained in any area of quality  improvement as identified from the results of the quality improvement plan. 
    B. Required annual retraining.
    1. All employees, contractors, students/interns, and  volunteers shall complete an annual refresher emergency preparedness and  response training that shall include:
    a. Alerting emergency personnel and sounding alarms;
    b. Implementing evacuation procedures, including evacuation  of residents with special needs (i.e., deaf, blind, nonambulatory);
    c. Using, maintaining, and operating emergency equipment;
    d. Accessing emergency information for residents including  medical information; and
    e. Utilizing community support services.
    2. All staff who administer medication shall complete  annual refresher medication training.
    3. All child care staff shall receive annual retraining on  the provider's behavior supports and timeout policies and procedures.
    4. All staff working with residents shall receive annual  retraining in child abuse and neglect, mandatory reporting, maintaining  appropriate professional relationships, and interaction among staff and  residents, and suicide prevention.
    5. All staff shall receive annual retraining on the  provider's  policies and procedures regarding standard precautions.
    C. Each full-time staff person who works with residents  shall complete an additional 15 hours of annual training applicable to their  job duties. 
    D. Providers shall develop and implement written  policies and procedures to ensure that part-time staff receive training  applicable to their positions.
    E. Training provided shall be comprehensive and based on  the needs of the population served to ensure that staff have the competencies  to perform their jobs.
    12VAC35-46-320. Staff supervision.
    The provider shall develop and implement written policies  and procedures regarding the supervision of employees, volunteers, contractors,  and students/interns. These policies and procedures shall include:
    1. Type of supervision;
    2. Frequency of supervision; and
    3. How the supervision will be documented.
    12VAC35-46-330. The applicant.
    As a condition of initial licensure and, if appropriate,  license renewal, each applicant shall: 
    1. Provide documentation that they have been trained on  appropriate siting of children's residential facilities, and good neighbor  policies and community relations;
    2. Be interviewed in person by the department to determine  the qualifications of the owner or operator as set out in these regulations.  Should the applicant not be qualified to perform the duties of the chief  administrative officer, the applicant shall hire an individual with the  qualifications, as set out in these regulations, to perform the duties of the  chief administrative officer; and
    3. Provide evidence of having relevant prior experience.
    12VAC35-46-340. The chief administrative officer.
    A. The chief administrative officer shall have the  following responsibilities:
    1. Responsibility for compliance with these regulations and  other applicable regulations;
    2. Responsibility for all personnel;
    3. Responsibility for overseeing the facility operation in  its entirety, including the approval of the design of the structured program of  care and its implementation; and
    4. Responsibility for the facility's financial integrity.
    B. A chief administrative officer appointed after December  28, 2007, shall have at least:
    1. A master's degree in social work, psychology,  counseling, nursing, or administration and a combination of two years  professional experience working with children and in administration and  supervision; 
    2. A baccalaureate degree in social work, psychology,  counseling, nursing, or administration and three years of combined professional  experience with children, and in administration and supervision; or
    3. A baccalaureate degree and a combination of four years  professional experience in a children's residential facility and in  administration and supervision.
    C. Any applicant for the chief administrative officer  position shall submit the following to demonstrate compliance with the  qualifications required by this regulation for the chief administrative  officer:
    1. Official transcripts from the accredited college or  university of attendance within 30 days of hire; and
    2. Documentation of prior relevant experience.
    12VAC35-46-350. Program director.
    A. The facility's program shall be directed by one or more  qualified persons.
    B. Persons directing programs shall be responsible for the  development and implementation of the programs and services offered by the  facility, including overseeing assessments, service planning, staff scheduling,  and supervision.
    C. Persons directing programs of a facility licensed to  care for 13 or more residents shall be full-time, qualified staff members.
    D. A person appointed after December 28, 2007, to direct  programs shall have at least:
    1. A master's degree in social work, psychology,  counseling, or nursing and a combination of two years professional experience  with children in a children's residential facility and in administration or  supervision; 
    2. A baccalaureate degree in social work, psychology,  counseling, or nursing and a combination of three years professional experience  with children in a children's residential facility and in administration or  supervision; 
    3. A baccalaureate degree and a combination of four years  of professional experience with children in a children's residential facility  and in administration or supervision; or 
    4. A license issued by the Commonwealth of Virginia as a  drug or alcoholism counselor/worker if the facility's purpose is to treat drug  abuse or alcoholism.
    E. For services providing brain injury services, a person  appointed to direct programs shall have a master's degree in psychology, or be  a nurse licensed in Virginia, a rehabilitation professional licensed in  Virginia, or a Certified Brain Injury Specialist with at least one year of clinical  experience working with individuals with brain injury. Program directors who  hold a bachelor's degree in the field of institutional management, social work,  education, or other allied discipline shall have a minimum of two years of  experience working with individuals with brain injury.
    F. Any applicant for the program director position shall  submit the following to demonstrate compliance with the qualifications required  by this regulation for the program director:
    1. Official transcripts from the accredited college or  university of attendance within 30 days of hire; and
    2. Documentation of prior relevant experience.
    12VAC35-46-360. Case manager.
    A. Case managers shall have the responsibility for  coordination of all services offered to each resident.
    B. Case managers shall have:
    1. A master's degree in social work, psychology, or  counseling;
    2. A baccalaureate degree in social work or psychology with  documented field work experience and shall be supervised by the program  director or other staff employed by the provider with the same qualifications;  or
    3. A baccalaureate degree and three years of professional  experience working with children. 
    12VAC35-46-370. Child care supervisor.
    A. Child care supervisors shall have responsibility for  the:
    1. Development of the daily living program within each  child care unit; and
    2. Orientation, training, and supervision of direct care  workers.
    B. Child care supervisors shall have:
    1. A baccalaureate degree in social work or psychology and  two years of professional experience working with children one year of which  must have been in a residential facility for children; 
    2. A high school diploma or a General Education Development  Certificate (G.E.D.) and a minimum of five years professional experience  working with children with at least two years in a residential facility for  children; or
    3. A combination of education and experience working with  children as approved by the department.
    12VAC35-46-380. Child care staff.
    A. The child care worker shall have responsibility for guidance  and supervision of the children to whom he is assigned including:
    1. Overseeing physical care;
    2. Development of acceptable habits and attitudes;
    3. Management of resident behavior; and
    4. Helping to meet the goals and objectives of any required  individualized service plan. 
    B. A child care worker and a relief child care worker  shall:
    1. Have a baccalaureate degree in human services;
    2. Have an associates degree and three months experience  working with children; or
    3. Be a high school graduate or have a G.E.D. and have six  months of experience working with children.
    C. Child care staff with a high school diploma or G.E.D.  with no experience working with children may not work alone, but may be  employed as long as they are working directly with the chief administrative  officer, program director, case manager, child care supervisor, or a child care  worker with one or more years of professional experience working with children.  
    D. Child care staff in brain injury residential services  shall have two years experience working with children with disabilities.
    E. An individual hired, promoted, demoted, or transferred  to a child care worker's position after August 6, 2009, shall be at least 21  years old, except as provided in 12VAC35-46-270 A.
    F. The provider shall not be dependent on temporary  contract workers to provide resident care.
    12VAC35-46-390. Relief staff.
    Qualified relief staff shall be employed as necessary to  meet the needs of the programs and services offered and to maintain a  structured program of care in accordance with these regulations.
    12VAC35-46-395. Additional requirements for residential  facilities for individuals with brain injury.
    The provider of brain injury services shall employ or  contract with a neuropsychologist or licensed clinical psychologist  specializing in brain injury to assist, as appropriate, with initial  assessments, development of individualized service plans, crises, staff  training, and service design.
    12VAC35-46-400. Volunteers and student/interns.
    A. A facility that uses volunteers or students/interns  shall develop and implement written policies and procedures governing their  selection and use.
    B. The facility shall not be dependent upon volunteers or  students/interns to provide basic services.
    C. Responsibilities of volunteers and students/interns  shall be clearly defined in writing.
    D. Volunteers and students/interns shall have  qualifications appropriate to the services they render.
    12VAC35-46-410. Support functions.
    A. Child care workers and other staff responsible for  child care may assume the duties of nonchild care personnel only when these  duties do not interfere with their child care responsibilities.
    B. Residents shall not be solely responsible for support  functions including, but not necessarily limited to, food service, maintenance  of building and grounds, and housekeeping.
    Part III
  Residential Environment
    12VAC35-46-420. Buildings, inspections and building plans.
    A. All buildings and building related equipment shall be  inspected and approved by the local building official. Approval shall be  documented by a certificate of occupancy.
    B. The facility shall document at the time of its original  application evidence of consultation with state or local fire prevention  authorities.
    C. The facility shall document annually after the initial  application that buildings and equipment are maintained in accordance with the  Virginia Statewide Fire Prevention Code (13VAC5-51).
    D. At the time of the original application and at least  annually thereafter the buildings shall be inspected and approved by state or  local health authorities, whose inspection and approval shall include:
    1. General sanitation;
    2. The sewage disposal system;
    3. The water supply; and
    4. Food service operations.
    E. The buildings and physical environment shall provide  adequate space and shall be of a design that is suitable to house the programs  and services provided and meet specialized needs of the residents.
    F. Building plans and specifications for new construction,  change in use of existing buildings, and any structural modifications or  additions to existing buildings shall be submitted to and approved by the  department and by other appropriate regulatory authorities.
    G. Swimming pools shall be inspected annually by the state  or local health authorities or by a swimming pool business.
    12VAC35-46-430. Heating systems, ventilation, and cooling  systems.
    A. Heat shall be evenly distributed in all rooms occupied  by the residents such that a temperature no less than 68°F is maintained,  unless otherwise mandated by state or federal authorities.
    B. Natural or mechanical ventilation to the outside shall  be provided in all rooms used by residents.
    C. Air conditioning or mechanical ventilating systems,  such as electric fans, shall be provided in all rooms occupied by residents  when the temperature in those rooms exceeds 80°F.
    12VAC35-46-440. Lighting.
    A. Artificial lighting shall be by electricity.
    B. All areas within buildings shall be lighted for safety  and the lighting shall be sufficient for the activities being performed.
    C. Lighting in halls shall be adequate and shall be  continuous at night.
    D. Operable flashlights or battery-powered lanterns shall  be available for each staff member on the premises between dusk and dawn to use  in emergencies.
    E. Outside entrances and parking areas shall be lighted  for protection against injuries and intruders.
    12VAC35-46-450. Plumbing.
    A. Plumbing shall be maintained in good operational  condition.
    B. An adequate supply of hot and cold running water shall  be available at all times.
    C. Precautions shall be taken to prevent scalding from  running water. Water temperatures shall be maintained between 100°F and 120°F.
    12VAC35-46-460. Toilet facilities.
    A. There shall be at least one toilet, one hand basin, and  one shower or bathtub in each living unit.
    B. There shall be at least one bathroom equipped with a  bathtub in each facility.
    C. There shall be at least one toilet, one hand basin, and  one shower or tub for every eight residents for facilities licensed before July  1, 1981.
    D. There shall be one toilet, one hand basin, and one  shower or tub for every four residents in any building constructed or  structurally modified after July 1, 1981, except secure custody facilities.  Facilities licensed after December 28, 2007, shall comply with the one-to-four  ratio.
    E. The maximum number of staff members on duty in the living  unit shall be counted in determining the required number of toilets and hand  basins when a separate bathroom is not provided for staff.
    12VAC35-46-470. Personal necessities.
    A. An adequate supply of personal necessities shall be  available to the residents at all times for purposes of personal hygiene and  grooming.
    B. Clean, individual washcloths and towels shall be in  good repair and available once each week and more often if needed.
    C. When residents are incontinent or not toilet trained:
    1. Provision shall be made for sponging, diapering, or  other similar care on a nonabsorbent changing surface that shall be cleaned  with warm soapy water after each use.
    2. A covered diaper pail, or its equivalent, with leakproof  disposable liners shall be used to dispose of diapers. If both cloth and  disposable diapers are used, there shall be a diaper pail for each.
    3. Adapter seats and toilet chairs shall be cleaned  immediately after each use with appropriate cleaning materials.
    4. Staff shall thoroughly wash their hands with warm soapy  water immediately after assisting a child or themselves with toileting.
    5. Appropriate privacy, confidentiality, and dignity shall  be maintained for residents during toileting and diapering.
    12VAC35-46-480. Sleeping areas.
    A. When residents are four years of age or older, boys and  girls shall have separate sleeping areas.
    B. No more than four children shall share a bedroom  or sleeping area.
    C. Children who use wheelchairs, crutches, canes, or other  mechanical devices for assistance in walking shall be provided with a planned,  personalized means of effective egress for use in emergencies.
    D. Beds shall be at least three feet apart at the head,  foot, and sides and double-decker beds shall be at least five feet apart at the  head, foot, and sides.
    E. Sleeping quarters in facilities established,  constructed, or structurally modified after July 1, 1981, shall have:
    1. At least 80 square feet of floor area in a bedroom  accommodating one person;
    2. At least 60 square feet of floor area per person in  rooms accommodating two or more persons; and
    3. Ceilings with a primary height of at least 7-1/2 feet  exclusive of protrusions, duct work, or dormers.
    F. Each child shall have a separate, clean, comfortable  bed equipped with a clean mattress, clean pillow, clean blankets, clean bed  linens, and, if needed, a clean waterproof mattress cover.
    G. Bed linens shall be changed at least every seven days  and more often if needed.
    H. Mattresses shall be fire retardant as evidenced by  documentation from the manufacturer except in buildings equipped with an  automated sprinkler system as required by the Virginia Uniform Statewide  Building Code (5VAC63).
    I. Cribs shall be provided for residents under two years  of age.
    J. Each resident shall be assigned drawer space and closet  space, or their equivalent, that is accessible to the sleeping area for storage  of clothing and personal belongings except in secure custody facilities.
    K. The environment of sleeping areas shall be conducive to  sleep and rest.
    12VAC35-46-490. Smoking prohibition.
    Smoking shall be prohibited in living areas and in areas  where residents participate in programs.
    12VAC35-46-500. Residents' privacy.
    A. When bathrooms are not designated for individual use:
    1. Each toilet shall be enclosed for privacy; and
    2. Bathtubs and showers shall provide visual privacy for  bathing by use of enclosures, curtains, or other appropriate means.
    B. Windows in bathrooms, sleeping areas, and dressing  areas shall provide for privacy.
    C. Every sleeping area shall have a door that may be  closed for privacy or quiet and this door shall be readily opened in case of  fire or other emergency. 
    D. Residents shall be provided privacy from routine sight  supervision by staff members of the opposite gender while bathing, dressing, or  conducting toileting activities. This section does not apply to medical  personnel performing medical procedures, staff providing assistance to infants,  or staff providing assistance to residents whose physical or mental  disabilities dictate the need for assistance with these activities as justified  in the resident's record.
    12VAC35-46-510. Audio and visual recordings.
    Each provider shall have written policies and procedures  regarding the photographing and audio or audio-video recordings of residents  approved by the Office of Human Rights that shall ensure and provide that:
    1. The written consent of the resident or the resident's  legal guardian shall be obtained before the resident is photographed or  recorded for research or provider publicity purposes.
    2. No photographing or recording by provider staff shall  take place without the resident or the resident's family or legal guardian  being informed.
    3. All photographs and recordings shall be used in a manner  that respects the dignity and confidentiality of the resident.
    12VAC35-46-520. Living rooms and indoor recreation space.
    A. Each living unit shall have a living room, or other  area for informal use, relaxation, and entertainment. The furnishings shall  provide a comfortable, homelike environment that is appropriate to the ages of  the residents.
    B. All facilities shall have indoor recreation space that  contains indoor recreation materials appropriate to the ages and interests of  the residents. 
    C. Facilities licensed to care for 13 or more residents  shall have indoor recreation space distinct from the living room.  Recreation space is not required in every living unit.
    12VAC35-46-530. Study space.
    A. Facilities serving a school-age population shall  provide study space. Study space may be assigned in areas used interchangeably  for other purposes.
    B. Study space shall be well lighted, quiet, and equipped  with tables or desks and chairs.
    12VAC35-46-540. Kitchen and dining areas.
    A. Meals shall be served in areas equipped with sturdy  tables and benches or chairs that are size and age appropriate for the  residents.
    B. Adequate kitchen facilities and equipment shall be  provided for preparation and serving of meals.
    C. Walk-in refrigerators, freezers, and other enclosures  shall be equipped to permit emergency exits.
    12VAC35-46-550. Laundry areas.
    Appropriate space and equipment in good repair shall be  provided if laundry is done at the facility.
    12VAC35-46-560. Storage.
    Space shall be provided for safe storage of items such as  first aid equipment, household supplies, recreational equipment, luggage,  out-of-season clothing, and other materials.
    12VAC35-46-570. Staff quarters.
    A. A separate, private bedroom shall be provided for staff  and their families when a staff member is on duty for 24 consecutive hours or  more.
    B. A separate private bathroom shall be provided for staff  and their families when there are more than four persons in the living unit and  the staff person is on duty for 24 consecutive hours or more.
    C. Staff and members of their families shall not share  bedrooms with residents.
    12VAC35-46-580. Office space.
    Space shall be provided for administrative activities  including, as appropriate to the program, confidential conversations and  provision for storage of records and materials.
    12VAC35-46-590. Building and grounds.
    A. The facility's grounds shall be safe, properly  maintained, and free of clutter and rubbish. The grounds include, but are not  limited to, all areas where residents, staff, and visitors may reasonably be  expected to have access, including roads, pavements, parking lots, open areas,  stairways, railings, and potentially hazardous or dangerous areas.
    B. The interior and exterior of all buildings shall be  safe, properly maintained, clean, and in good working order. This includes, but  is not limited to, required locks, mechanical devices, indoor and outdoor  equipment, and furnishings.
    C. Outdoor recreation space shall be available and  appropriately equipped for the residents' use.
    12VAC35-46-600. Equipment and furnishings.
    A. All furnishings and equipment shall be safe, clean, and  suitable to the ages and number of residents.
    B. There shall be at least one continuously operable,  nonpay telephone accessible to staff in each building in which children sleep  or participate in programs.
    12VAC35-46-610. Housekeeping and maintenance.
    A. All buildings shall be well ventilated and free of  stale, musty, or foul odors.
    B. Adequate provision shall be made for the collection and  legal disposal of garbage and waste materials.
    C. Buildings shall be kept free of flies, roaches, rats,  and other vermin.
    D. A sanitizing agent shall be used in the laundering of  bed, bath, table, and kitchen linens.
    12VAC35-46-620. Farm and domestic animals.
    A. Horses and other animals maintained on the premises  shall be quartered at a reasonable distance from sleeping, living, eating and  food preparation areas, as well as a safe distance from water supplies. 
    B. Animals maintained on the premises shall be tested,  inoculated, and licensed as required by law.
    C. The premises shall be kept free of stray domestic  animals.
    D. Pets shall be provided with clean quarters and adequate  food and water.
    Part IV
  Programs and Services
    12VAC35-46-625. Minimum service requirements.
    A. The provider shall have and implement written policies  and procedures for the on-site provision of a structured program of care or  treatment of residents with mental illness, mental retardation, substance  abuse, or brain injury. The provision, intensity, and frequency of mental  health, mental retardation, substance abuse, or brain injury interventions  shall be based on the assessed needs of the resident. These interventions,  applicable to the population served, shall include, but are not limited to: 
    1. Individual counseling; 
    2. Group counseling; 
    3. Training in decision making, family and interpersonal  skills, problem solving, self-care, social, and independent living skills; 
    4. Training in functional skills; 
    5. Assistance with activities of daily living (ADL's); 
    6. Social skills training in therapeutic recreational  activities, e.g., anger management, leisure skills education and development,  and community integration; 
    7. Providing positive behavior supports; 
    8. Physical, occupational, and/or speech therapy; 
    9. Substance abuse education and counseling; and
    10.  Neurobehavioral services for individuals with  brain injury.
    B. Each provider shall have formal arrangements for the  evaluation, assessment, and treatment of the mental health or brain injury  needs of the resident. 
    C. The provider shall have and implement written policies  and procedures that address the provision of: 
    1. Psychiatric care; 
    2. Family therapy; and 
    3. Staffing appropriate to the needs and behaviors of the  residents served.
    12VAC35-46-630. Acceptance of children.
    Children shall be accepted only by court order or by  written placement agreement with legal guardians.
    12VAC35-46-640. Admission procedures.
    A. The facility shall have written criteria for admission  that shall include:
    1. A description of the population to be served; 
    2. A description of the types of services offered; 
    3. Intake and admission procedures;
    4. Exclusion criteria to define those behaviors or problems  that the facility does not have the staff with experience or training to  manage; and
    5. Description of how educational services will be provided  to the population being served.
    B. The facility shall accept and serve only those children  whose needs are compatible with the services provided through the facility  unless a child's admission is ordered by a court of competent jurisdiction.
    C. Acceptance of a child as eligible for respite care by a  facility approved to provide residential respite care is considered admission  to the facility. Each individual period of respite care is not considered a  separate admission.
    D. Each facility shall provide documentation showing proof  of contractual agreements or staff expertise to provide educational services,  counseling services, psychological services, medical services, or any other  services needed to serve the residents in accordance with the facility's  program description as defined by the facility's criteria of admission.
    12VAC35-46-650. Least restrictive programming.
    Each resident shall be placed in the least restrictive  level of programming appropriate to individual functioning and available  services. 
    12VAC35-46-660. Maintenance of residents' records.
    A. A separate written or automated case record shall be  maintained for each resident. In addition, all correspondence and documents  received by the facility relating to the care of that  resident shall be maintained as part of the case record. A separate  health record may be kept on each resident. 
    B. Each record shall be kept up to date and in a uniform  manner.
    C. The provider shall develop and implement written  policies and procedures for management of all records, written and automated,  that shall describe confidentiality, accessibility, security, and retention of  records pertaining to residents, including:
    1. Access, duplication, dissemination, and acquiring of  information only to persons legally authorized according to federal and state  laws;
    2. Facilities using automated records shall address  procedures that include:
    a. How records are protected from unauthorized access;
    b. How records are protected from unauthorized Internet  access;
    c. How records are protected from loss;
    d. How records are protected from unauthorized alteration;  and
    e. How records are backed up;
    3. Security measures to protect records from loss,  unauthorized alteration, inadvertent or unauthorized access, and disclosure of  information and during transportation of records between service sites;
    4. Designation of person responsible for records  management; and
    5. Disposition of records in the event the facility ceases  to operate.
    D. The policy shall specify what information is available  to the resident.
    E. Active and closed records shall be kept in areas that  are accessible to authorized staff and protected from unauthorized access,  fire, and flood.
    1. When not in use written records shall be stored in a  metal file cabinet or other metal compartment.
    2. Facility staff shall assure the confidentiality of the  residents'  records by placing them in a locked cabinet or drawer or in a  locked room when the staff member is not present.
    F. Each resident's written record shall be stored  separately subsequent to the resident's discharge according to applicable  statutes and regulations.
    G. Written and automated records shall be retained in  their entirety for a minimum of three years after the date of discharge unless  otherwise specified by state or federal requirements.
    H. The face sheet shall be retained permanently unless  otherwise specified by state or federal requirements.
    I. Entries in a resident's record shall be current, dated,  and authenticated by the person making the entry. Errors shall be corrected by  striking through and initialing. If records are electronic, the provider shall  develop and implement a policy and procedure to identify how corrections to the  record will be made. 
    12VAC35-46-670. Record reviews.
    Complete written policies and procedures for record  reviews shall be developed and implemented that shall evaluate records for  completeness, accuracy, and timeliness of documentation. Such policies shall  include provisions for ongoing review to determine whether records contain all  required service documentation, and release of information documents required  by the provider.
    12VAC35-46-680. Interstate compact on the placement of  children.
    A. Documentation of the prior approval of the administrator  of the Virginia Interstate Compact on the Placement of Children, Virginia  Department of Social Services, shall be retained in the record of each resident  admitted from outside Virginia. The requirements of this section shall not  apply to a facility providing documentation that the administrator of the  Virginia Interstate Compact has determined the facility is statutorily exempt  from the compact's provisions.
    B. Documentation that the provider has sent copies of all  serious incident reports regarding any child placed through the Interstate  Compact to the administrator of the Virginia Interstate Compact on the  Placement of Children shall be kept in the resident's record.
    C. No later than five days after a resident has been  transferred to another facility operated by the same sponsor, the resident's  record shall contain documentation that the administrator of the Virginia  Interstate Compact on the Placement of Children was notified in writing of the  resident's transfer.
    D. No later than 10 days after discharge, the resident's  record shall contain documentation that the administrator of the Virginia  Interstate Compact on the Placement of Children was notified in writing of the  discharge.
    E. The provider shall not discharge or send out-of-state  youth in the custody of out-of-state social services agencies and courts to  reside with a parent, relative, or other individual who lives in Virginia  without the approval of the administrator of the Virginia Interstate Compact on  the Placement of Children.
    12VAC35-46-690. Participation of residents in human  research.
    The provider shall:
    1. Implement a written policy stating that residents will  not be used as subjects of human research; or
    2. Document approval, as required by the department for  each research project using residents as subjects of human research, unless  such research is exempt from review.
    12VAC35-46-700. Emergency and self-admissions.
    Providers accepting emergency or self-admissions shall:
    1. Develop and implement written policies and procedures governing  such admissions that shall include procedures to make and document prompt  efforts to obtain (i) a written placement agreement signed by the legal  guardian or (ii) the order of a court of competent jurisdiction;
    2. Place in each resident's record the order of a court of  competent jurisdiction, a written request for care, or documentation of an oral  request for care; and justification of why the resident is to be admitted on an  emergency basis; and
    3. Clearly document in written assessment information  gathered for the emergency admission that the individual meets the facility's  criteria for admission.
    12VAC35-46-710. Application for admission.
    A. Admission shall be based on evaluation of an  application for admission. The requirements of this section do not apply to  court-ordered placements or transfer of a resident between residential  facilities located in Virginia and operated by the same sponsor.
    B. Providers shall develop, and fully complete prior to  acceptance for care, an application for admission that is designed to compile  information necessary to determine:
    1. The educational needs of the prospective resident;
    2. The mental health, emotional, and psychological needs of  the prospective resident;
    3. The physical health needs, including the immunization  needs, of the prospective resident;
    4. The protection needs of the prospective resident;
    5. The suitability of the prospective resident's admission;
    6. The behavior support needs of the prospective resident;
    7. Family history and relationships; 
    8. Social and development history;
    9. Current behavioral functioning and social competence;
    10. History of previous treatment for mental health, mental  retardation, substance abuse, brain injury, and behavior problems; and
    11. Medication and drug use profile, which shall include:
    a. History of prescription, nonprescription, and illicit  drugs that were taken over the six months prior to admission;
    b. Drug allergies, unusual and other adverse drug  reactions, and ineffective medications; and
    c. Information necessary to develop an individualized  service plan and a behavior support plan.
    C. The resident's record shall contain a completed  assessment at the time of a routine admission or within 30 days after an  emergency admission.
    D. Each facility shall develop and implement written  policies and procedures to assess each prospective resident as part of the  application process to ensure that:
    1. The needs of the prospective resident can be addressed  by the facility's services; 
    2. The facility's staff are trained to meet the prospective  resident's needs; and
    3. The admission of the prospective resident would not pose  any significant risk to (i) the prospective resident or (ii) the facility's  residents or staff.
    12VAC35-46-720. Written placement agreement.
    A. The facility, except a facility that accepts admission  only upon receipt of the order of a court of competent jurisdiction, shall  develop a written placement agreement that:
    1. Authorizes the resident's placement;
    2. Addresses acquisition of and consent for any medical  treatment needed by the resident;
    3. Addresses the rights and responsibilities of each party  involved;
    4. Addresses financial responsibility for the placement;
    5. Addresses visitation with the resident; and
    6. Addresses the education plan for the resident and the  responsibilities of all parties.
    B. Each resident's record shall contain, prior to a  routine admission, a completed placement agreement signed by a facility  representative and the parent, legal guardian, or placing agency.
    C. The record of each person admitted based on a court  order shall contain a copy of the court order.
    12VAC35-46-730. Face sheet.
    A. At the time of admission, each resident's record shall  include a completed face sheet that contains (i) the resident's full name, last  known residence, birth date, birthplace, gender, race, social security number  or other unique identifier, religious preference, and admission date; and (ii)  names, addresses, and telephone numbers of the resident's legal guardians,  placing agency, emergency contacts, and parents, if appropriate.
    B. Information shall be updated when changes occur.
    C. The face sheet for pregnant teens shall also include  the expected date of delivery and the name of the hospital to provide delivery  services to the resident.
    D. The face sheet of residents who are transferred to  facilities operated by the same sponsor shall indicate the address and dates of  placement and transfer at each location.
    E. At the time of discharge the following information  shall be added to the face sheet:
    1. Date of discharge;
    2. Reason for discharge;
    3. Names and addresses of persons to whom the resident was  discharged; and
    4. Forwarding address of the resident, if known.
    12VAC35-46-740. Initial objectives and strategies.
    Within three days following admission, individualized,  measurable objectives and strategies for the first 30 days shall be developed,  distributed to affected staff and the resident, and placed in the resident's  record. The objectives and strategies shall be based on the reasons for admitting  the resident. 
    12VAC35-46-750. Individualized service plans/quarterly  reports.
    A. An individualized service plan shall be developed and  placed in the resident's record within 30 days following admission and  implemented immediately thereafter.
    B. Individualized service plans shall describe in  measurable terms the:
    1. Strengths and needs of the resident;
    2. Resident's current level of functioning;
    3. Goals, objectives, and strategies established for the  resident;
    4. Projected family involvement;
    5. Projected date for accomplishing each objective; and
    6. Status of the projected discharge plan and estimated  length of stay, except that this requirement shall not apply to a facility that  discharges only upon receipt of the order of a court of competent jurisdiction.
    C. The initial individualized service plan shall be  reviewed within 60 days of the initial plan and within each 90-day period  thereafter and revised as necessary. 
    D. The provider shall develop and implement written  policies and procedures to document progress of the resident towards meeting  goals and objectives of the individualized service plan that shall include the:
    1. Format;
    2. Frequency; and
    3. Person responsible.
    E. There shall be a documented quarterly review of each  resident's progress 60 days following the initial individualized service plan  and within each 90-day period thereafter that shall report the:
    1. Resident's progress toward meeting the plan's  objectives;
    2. Family's involvement;
    3. Continuing needs of the resident;
    4. Resident's progress towards discharge; and
    5. Status of discharge planning.
    F. Each plan and quarterly progress report shall include  the date it was developed and the signature of the person who developed it.
    G. Staff responsible for daily implementation of the resident's  individualized service plan shall be able to describe the resident's behavior  in terms of the objectives in the plan.
    H. There shall be documentation showing the involvement of  the following parties unless clearly inappropriate, in developing and updating  the individualized service plan and in developing the quarterly progress  report:
    1. The resident;
    2. The resident's family, if appropriate, and legal  guardian;
    3. The placing agency; and
    4. Facility staff.
    I. The initial individualized service plan, each update,  and all quarterly progress reports shall be distributed to the resident; the  resident's family, if appropriate, legal guardian, or  authorized  representative; the placing agency; and appropriate facility staff. 
    12VAC35-46-760. Resident transfer between residential  facilities located in Virginia and operated by the same sponsor.
    A. Except when transfer is ordered by a court of competent  jurisdiction, the receiving provider shall document at the time of transfer:
    1. Preparation through sharing information with the  resident, the family, if appropriate, the legal guardian, and the placing  agency about the facility, the staff, the population served, activities, and  criteria for admission;
    2. Notification to the family, if appropriate; the resident,  the placement agency, and the legal guardian;
    3. Receipt from the sending facility of a written summary  of the resident's progress while at the facility, justification for the  transfer, and the resident's current strengths and needs; and
    4. Receipt of the resident's record.
    B. The sending facility shall retain a copy of the face  sheet and a written summary of the child's progress while at the facility and  shall document the date of transfer and the name of the facility to which the  resident has been transferred.
    12VAC35-46-765. Discharge.
    A. The provider shall have written criteria for discharge  that shall include:
    1. Criteria for a resident's completing the program that  are consistent with the facility's programs and services; 
    2. Conditions under which a resident may be discharged  before completing the program; and
    3. Procedures for assisting placing agencies in placing the  residents should the facility cease operation.
    B. The provider's criteria for discharge shall be  accessible to prospective residents, legal guardians, and placing agencies.
    C. The record of each resident discharged upon receipt of  the order of a court of competent jurisdiction shall contain a copy of the  court order.
    D. Residents shall be discharged only to the legal  guardian or legally authorized representative.
    E. A facility approved to provide residential respite care  shall discharge a resident when the legal guardian no longer intends to use the  facility's services.
    F. Information concerning current medications, need for  continuing therapeutic interventions, educational status, and other items  important to the resident's continuing care shall be provided to the legal  guardian or legally authorized representative, as appropriate.
    G. Unless discharge is ordered by a court of competent  jurisdiction prior to the planned discharge date, each resident's record shall  contain: 
    1. Documentation that discharge has been planned and  discussed with the parent, if appropriate; legal guardian; child-placing  agency; and resident; and 
    2. A written discharge plan.
    H. Discharge summaries.
    1. No later than 30 days after discharge, a comprehensive  discharge summary shall be placed in the resident's record and sent to the  persons or agency that made the placement. The discharge summary shall review:
    a. Services provided to the resident;
    b. The resident's progress toward meeting individualized  service plan objectives;
    c. The resident's continuing needs and recommendations, if  any, for further services and care;
    d. Reasons for discharge and names of persons to whom the  resident was discharged;
    e. Dates of admission and discharge; and
    f. Date the discharge summary was prepared and the  signature of the person preparing it.
    2. In lieu of a comprehensive discharge summary, the record  of each resident discharged upon receipt of the order of a court of competent  jurisdiction shall contain a copy of the court order.
    12VAC35-46-770. Placement of residents outside the facility.
    A resident shall not be placed outside the facility prior  to the facility obtaining a child-placing agency license from the Department of  Social Services, except as permitted by statute or by order of a court of  competent jurisdiction.
    12VAC35-46-780. Case management services.
    A. The program of the facility shall be designed to  provide case management services. At the time of the admission of any resident,  the provider shall identify in writing the staff member responsible for  providing case management services. Case management services shall address:
    1. Helping the resident and the parents or legal guardian  to understand the effects on the resident of separation from the family and the  effect of group living;
    2. Assisting the resident and the family to maintain their  relationships and prepare for the resident's future care; 
    3. Utilizing appropriate community resources to provide  services and maintain contacts with such resources;
    4. Helping the resident strengthen his capacity to function  productively in interpersonal relationships;
    5. Conferring with the child care staff to help them understand   the resident's needs in order to promote adjustment to group living; and
    6. Working with the resident and with the family or any  placing agency that may be involved in planning for the resident's future and  in preparing the resident for the return home or to another family for  independent living or for other residential care.
    B. The provision of case management services shall be  documented in each resident's record.
    12VAC35-46-790. Therapy.
    Therapy shall be provided by an individual (i) appropriately  licensed by the Department of Health Professions to provide mental health  therapy or counseling; or (ii) who is eligible for licensure and working under  the supervision of a licensed therapist unless exempted from these requirements  under the Code of Virginia.
    12VAC35-46-800. Structured program of care.
    A. There shall be evidence of a structured program of care  designed to:
    1. Meet the residents' physical and emotional needs;
    2. Provide protection, guidance, and supervision; and
    3. Meet the objectives of any required individualized  service plan.
    B. There shall be evidence of a structured daily routine  designed to ensure the delivery of program services.  
    C. A daily communication log shall be maintained to inform  staff of significant happenings or problems experienced by residents.
    D. Health and dental complaints and injuries shall be  recorded and shall include the (i) resident's name, complaint, and affected  area; and (ii) time of the complaint. 
    E. The identity of the individual making each entry in the  daily communication log shall be recorded.
    F. Routines shall be planned to ensure that each resident  receives the amount of sleep and rest appropriate for his age and physical  condition.
    G. Staff shall promote good personal hygiene of residents  by monitoring and supervising hygiene practices each day and by providing  instruction when needed.
    H. The structured daily routine shall comply with any  facility and locally imposed curfews.
    12VAC35-46-810. Health care procedures.
    A. The provider shall have and implement written  procedures for promptly:
    1. Providing or arranging for the provision of medical and  dental services for health problems identified at admission; 
    2. Providing or arranging for the provision of routine  ongoing and follow-up medical and dental services after admission;
    3. Providing emergency services for each resident; 
    4. Providing emergency services for any resident  experiencing or showing signs of suicidal or homicidal thoughts, symptoms of  mood or thought disorders, or other mental health problems; and
    5. Ensuring that the required information in subsection B  of this section is accessible and up to date.
    B. The following written information concerning each  resident shall be readily accessible to staff who may have to respond to a  medical or dental emergency:
    1. Name, address, and telephone number of the physician and  dentist to be notified;
    2. Name, address, and telephone number of a relative or  other person to be notified;
    3. Medical insurance company name and policy number or  Medicaid number;
    4. Information concerning:
    a. Use of medication;
    b. All allergies, including medication allergies;
    c. Substance abuse and use; and
    d. Significant past and present medical problems; and
    5. Written permission for emergency medical care, dental  care, and obtaining immunizations or a procedure and contacts for obtaining  consent.
    C. Facilities approved to provide respite care shall  update the information required by subsection B of this section at the time of  each stay at the facility.
    12VAC35-46-820. Written policies and procedures for a crisis  or clinical emergency.
    The provider shall develop and implement written policies  and procedures for a crisis or clinical emergency that shall include: 
    1. Procedures for crisis or clinical stabilization, and  immediate access to appropriate internal and external resources, including a  provision for obtaining physician and mental health clinical services if  on-call physician back-up or mental health clinical services are not available;  and 
    2. Employee or contractor responsibilities.
    12VAC35-46-830. Documenting crisis intervention and clinical  emergency services.
    A. The provider shall develop and implement a method for  documenting the provision of crisis intervention and clinical emergency  services. Documentation shall include the following: 
    1. Date and time;
    2. Nature of crisis or emergency;
    3. Name of resident;
    4. Precipitating factors;
    5. Interventions/treatment provided;
    6. Employees or contractors involved;
    7. Outcome; and
    8. Any required follow-up.
    B. If a crisis or clinical emergency involves a resident  who receives medical or mental health services, the crisis intervention  documentation shall become part of his record. 
    C. There shall be written policies and procedures for  referring to or receiving residents from: 
    1. Hospitals; 
    2. Law-enforcement officials; 
    3. Physicians; 
    4. Clergy; 
    5. Schools; 
    6. Mental health facilities; 
    7. Court services; 
    8. Private outpatient providers; and 
    9. Support groups or others, as applicable. 
    12VAC35-46-840. Medical examinations and treatment.
    A. Each child accepted for care shall have a physical  examination by or under the direction of a licensed physician no earlier than  90 days prior to admission to the facility or no later than seven days  following admission, except (i) the report of an examination within the  preceding 12 months shall be acceptable if a child transfers from one  residential facility licensed or certified by a state agency to another; and  (ii) a physical examination shall be conducted within 30 days following an  emergency admission if a report of physical examination is not available.
    B. Within seven days of placement, each resident shall  have had a screening assessment for tuberculosis as evidenced by the completion  of a screening form containing, at a minimum, the elements found on the Report  of Tuberculosis Screening form published by the Virginia Department of Health.  The screening assessment may be no older than 30 days. 
    C. A screening assessment for tuberculosis shall be  completed annually on each resident as evidenced by the completion of a form  containing, at a minimum, the elements of the Report of Tuberculosis Screening  form published by the Virginia Department of Health. 
    D. Each resident's health record shall include written  documentation of (i) the initial physical examination; (ii) an annual physical  examination by or under the direction of a licensed physician, including any  recommendation for follow-up care; and (iii) documentation of the provision of  follow-up medical care recommended by the physician or as indicated by the  needs of the resident. 
    E. Each physical examination report shall include:
    1. Information necessary to determine the health and  immunization needs of the resident, including:
    a. Immunizations administered at the time of the exam;
    b. Vision exam;
    c. Hearing exam;
    d. General physical condition, including documentation of  apparent freedom from communicable disease, including tuberculosis; 
    e. Allergies, chronic conditions, and handicaps, if any;
    f. Nutritional requirements, including special diets, if  any;
    g. Restrictions on physical activities, if any; and
    h. Recommendations for further treatment, immunizations,  and other examinations indicated;
    2. Date of the physical examination; and
    3. Signature of a licensed physician, the physician's  designee, or an official of a local health department.
    F. A child with a communicable disease shall not be  admitted unless a licensed physician certifies that:
    1. The facility is capable of providing care to the child  without jeopardizing residents and staff; and 
    2. The facility is aware of the required treatment for the  child and the procedures to protect residents and staff.
    G. Each resident's health record shall include written  documentation of (i) an annual examination by a licensed dentist and (ii)  follow-up dental care recommended by the dentist or as indicated by the needs  of the resident. This requirement does not apply to respite care facilities.
    H. Each resident's health record shall include notations  of health and dental complaints and injuries and shall summarize symptoms and  treatment given.
    I. Each resident's health record shall include or document  the facility's efforts to obtain treatment summaries of ongoing psychiatric or  other mental health treatment and reports.
    J. The provider shall develop and implement written  policies and procedures that include use of standard precautions and address  communicable and contagious medical conditions. These policies and procedures  shall be approved by a medical professional.
    K. A well-stocked first aid kit shall be maintained and  readily accessible for minor injuries and medical emergencies.
    12VAC35-46-850. Medication.
    A. The provider shall develop and implement written  policies and procedures regarding the delivery and administration of  prescription and nonprescription medications used by residents. At a minimum  these policies will address:
    1. Identification of the staff member responsible for  routinely communicating to the prescribing physician: 
    a. The effectiveness of prescribed medications; and 
    b. Any adverse reactions, or any suspected side effects. 
    2. Storage of controlled substances; 
    3. Documentation of medication errors and drug reactions;  and
    4. Documentation of any medications prescribed and  administered following admission. 
    B. All medication shall be securely locked and properly  labeled.
    C. All staff responsible for medication administration  shall have successfully completed a medication training program approved by the  Board of Nursing or be licensed by the Commonwealth of Virginia to administer  medications before they can administer medication.
    D. Staff authorized to administer medication shall be  informed of any known side effects of the medication and the symptoms of the  side effects.
    E. A program of medication, including over-the-counter  medication, shall be initiated for a resident only when prescribed in writing  by a person authorized by law to prescribe medication.
    F. Medication prescribed by a person authorized by law  shall be administered as prescribed.
    G. A medication administration record shall be maintained  of all medicines received by each resident and shall include:
    1. Date the medication was prescribed;
    2. Drug name;
    3. Schedule for administration;
    4. Strength;
    5. Route;
    6. Identity of the individual who administered the  medication; and
    7. Dates the medication was discontinued or changed.
    H. In the event of a medication error or an adverse drug  reaction, first aid shall be administered if indicated. Staff shall promptly  contact a poison control center, pharmacist, nurse, or physician and shall take  actions as directed. If the situation is not addressed in standing orders, the  attending physician shall be notified as soon as possible and the actions taken  by staff shall be documented.
    I. Medication refusals shall be documented including  action taken by staff.
    J. The provider shall develop and implement written  policies and procedures for documenting medication errors, reviewing medication  errors and reactions and making any necessary improvements, the disposal of  medication, the storage of controlled substances, and the distribution of  medication off campus. The policy and procedures must be approved by a health  care professional. The provider shall keep documentation of this approval.
    K. The telephone number of a regional poison control  center and other emergency numbers shall be posted on or next to each nonpay  telephone that has access to an outside line in each building in which children  sleep or participate in programs.
    L. Syringes and other medical implements used for  injecting or cutting skin shall be locked.
    12VAC35-46-860. Nutrition.
    A. Each resident shall be provided a daily diet that (i)  consists of at least three nutritionally balanced meals and an evening snack;  (ii) includes an adequate variety and quantity of food for the age of the  resident; and (iii) meets minimum nutritional requirements and the U.S.  Department of Health and Human Services and U.S. Department of Agriculture  Dietary Guidelines for Americans, 2005, 6th Edition.
    B. Menus of actual meals served shall be kept on file for  at least six months.
    C. Special diets shall be provided when prescribed by a  physician and the established religious dietary practices of the resident shall  be observed.
    D. Staff who eat in the presence of the residents shall be  served the same meals as the residents unless a special diet has been  prescribed by a physician for the staff or residents or the staff or residents  are observing established religious dietary practices.
    E. There shall not be more than 15 hours between the  evening meal and breakfast the following day.
    F. Providers shall assure that food is available to  residents who need to eat breakfast before the 15 hours have expired.
    G. Providers shall receive approval from the department if  they wish to extend the time between meals on weekends and holidays. There  shall never be more than 17 hours between the evening meal and breakfast the  following day on weekends and holidays.
    12VAC35-46-870. Staff supervision of residents.
    A. No member of the child care staff shall be on duty more  than six consecutive days without a rest day, except in an emergency or as  approved by the department for live-in staff.
    B. Child care staff shall have an average of at least two  rest days per week in any four-week period. Rest days shall be in addition to  vacation time and holidays.
    C. Child care staff other than live-in staff shall not be  on duty more than 16 consecutive hours, except in an emergency.
    D. There shall be at least one trained child care worker  on duty and actively supervising residents at all times that one or more  residents are present.
    E. Whenever children are being supervised by staff there  shall be at least one staff person present with a current basic certificate in  standard first aid and a current certificate in cardiopulmonary resuscitation  issued by the American Red Cross or other recognized authority.
    F. Supervision policies.
    1. The provider shall develop and implement written  policies and procedures that address staff supervision of children including contingency  plans for resident illnesses, emergencies, off-campus activities, and resident  preferences. These policies and procedures shall be based on the:
    a. Needs of the population served;
    b. Types of services offered; 
    c. Qualifications of staff on duty; and
    d. Number of residents served.
    2. At all times the ratio of staff to residents shall be at  least one staff to eight residents for facilities during the hours residents  are awake, except when the department has approved or required a supervision  plan with a different ratio based on the needs of the population served. 
    3. Providers requesting a ratio that allows a higher number  of residents to be supervised by one staff person than was approved or required  shall submit a justification to the department that shall include:
    a. Why resident care will not be adversely affected; and
    b. How residents' needs will be met on an individual as  well as group basis. 
    4. Written policies and procedures governing supervision of  residents and any justifications for a ratio deviation that allows a higher number  of residents to be supervised by one staff than was approved or required shall  be reviewed and approved by the department prior to implementation.
    5. The supervision policies or a summary of the policies  shall be provided, upon request, to the placing agency or legal guardian prior  to placement. 
    12VAC35-46-880. Emergency telephone numbers.
    A. There shall be an emergency telephone number where a  staff person may be immediately contacted 24 hours a day.
    B. Residents who are away from the facility and the adults  responsible for their care during the absence shall be furnished with the  emergency phone number.
    12VAC35-46-890. Searches.
    A. Strip searches and body cavity searches are prohibited  except:
    1. As permitted by other applicable state regulations; or
    2. As ordered by a court of competent jurisdiction.
    B. A provider that does not conduct pat downs shall have a  written policy prohibiting them.
    C. A provider that conducts pat downs shall develop and  implement written policies and procedures governing them that shall provide  that:
    1. Pat downs shall be limited to instances where they are  necessary to prohibit contraband;
    2. Pat downs shall be conducted by personnel of the same  gender as the resident being searched;
    3. Pat downs shall be conducted only by personnel who are  specifically authorized to conduct searches by the written policies and  procedures; and
    4. Pat downs shall be conducted in such a way as to protect  the resident's dignity and in the presence of one or more witnesses.
    12VAC35-46-900. Behavior support.
    A. Within 30 days of admission, the provider shall develop  and implement a written behavior support plan that allows the resident to  self-manage his own behaviors. Each individualized behavior support plan shall  include: 
    1. Identification of positive and problem behavior;
    2. Identification of triggers for behaviors;
    3. Identification of successful intervention strategies for  problem behavior;
    4. Techniques for managing anger and anxiety; and
    5. Identification of interventions that may escalate  inappropriate behaviors.
    B. Individualized behavior support plans shall be  developed in consultation with the:
    1. Resident;
    2. Legal guardian;
    3. Resident's parents, if appropriate;
    4. Program director;
    5. Placing agency staff; and
    6. Other appropriate individuals.
    C. Prior to working alone with an assigned resident each  staff member shall demonstrate knowledge and understanding of that resident's  behavior support plan.
    D. Each provider shall develop and implement written  policies and procedures concerning behavior support plans and other behavioral  interventions that are directed toward maximizing the growth and development of  the resident. In addition to addressing the previous requirements of this  regulation, these policies and procedures shall: 
    1. Define and list techniques that are used and are  available for use in the order of their relative degree of intrusiveness or  restrictiveness; 
    2. Specify the staff members who may authorize the use of  each technique; 
    3. Specify the processes for implementing such policies and  procedures; 
    4. Specify the mechanism for monitoring the use of behavior  support techniques; and 
    5. Specify the methods for documenting the use of behavior  support techniques. 
    12VAC35-46-910. Timeout.
    A. The provider shall develop and implement written  policies and procedures governing the conditions under which a resident may be  placed in timeout and the maximum period of timeout. The conditions and maximum  period of timeout shall be based on the resident's chronological and developmental  level.
    B. The area in which a resident is placed shall not be  locked nor the door secured in a manner that prevents the resident from opening  it.
    C. A resident in timeout shall be able to communicate with  staff.
    D. Staff shall check on the resident in the timeout area  at least every 15 minutes and more often depending on the nature of the  resident's disability, condition, and behavior.
    E. Use of timeout and staff checks on the residents shall  be documented.
    12VAC35-46-920. Prohibitions.
    The following actions are prohibited:
    1. Deprivation of drinking water or food necessary to meet  a resident's daily nutritional needs, except as ordered by a licensed physician  for a legitimate medical purpose and documented in the resident's record;
    2. Limitation on contacts and visits with the resident's  attorney, a probation officer, regulators, or placing agency representative;
    3. Bans on contacts and visits with family or legal  guardians, except as permitted by other applicable state regulations or by  order of a court of competent jurisdiction;
    4. Delay or withholding of incoming or outgoing mail,  except as permitted by other applicable state and federal regulations or by  order of a court of competent jurisdiction;
    5. Any action that is humiliating, degrading, or abusive;
    6. Corporal punishment;
    7. Subjection to unsanitary living conditions;
    8. Deprivation of opportunities for bathing or access to  toilet facilities, except as ordered by a licensed physician for a legitimate  medical purpose and documented in the resident's record;
    9. Deprivation of health care;
    10. Deprivation of appropriate services and treatment;
    11. Application of aversive stimuli, except as permitted  pursuant to other applicable state regulations;
    12. Administration of laxatives, enemas, or emetics, except  as ordered by a licensed physician or poison control center for a legitimate  medical purpose and documented in the resident's record;
    13. Deprivation of opportunities for sleep or rest, except  as ordered by a licensed physician for a legitimate medical purpose and  documented in the resident's record; and
    14. Limitation on contacts and visits with advocates  employed by the department or the Virginia Office for Protection and Advocacy.
    12VAC35-46-930. Pharmacological or mechanical restraints.
    A. Use of mechanical restraints is prohibited except as  permitted by other applicable state regulations or as ordered by a court of  competent jurisdiction.
    B. Use of pharmacological restraints is prohibited.
    12VAC35-46-940. Behavior interventions.
    A. The provider shall develop and implement written  policies and procedures for behavioral interventions and for documenting and  monitoring the management of resident behavior. Rules of conduct shall be  included in the written policies and procedures. These policies and procedures  shall:
    1. Define and list techniques that are used and available  for use in the order of their relative degree of restrictiveness;
    2. Specify the staff members who may authorize the use of  each technique; and
    3. Specify the processes for implementing such policies and  procedures. 
    B. Written information concerning the policies and  procedures of the provider's behavioral support and intervention programs shall  be provided prior to admission to prospective residents, legal guardians, and  placing agencies. For court-ordered and emergency admissions, this information  shall be provided to:
    1. Residents within 12 hours following admission;
    2. Placing agencies within 72 hours following the  resident's admission; and
    3. Legal guardians within 72 hours following the resident's  admission. This requirement does not apply when a state psychiatric hospital is  evaluating a child's treatment needs as provided by the Code of Virginia.
    C. When substantive revisions are made to policies and  procedures governing management of resident behavior, written information  concerning the revisions shall be provided to:
    1. Residents prior to implementation; and
    2. Legal guardians and placing agencies prior to  implementation except when a state psychiatric hospital is evaluating a  child's treatment needs as provided by the Code of Virginia.
    D. The provider shall develop and implement written  policies and procedures governing use of physical restraint that shall include:
    1. The staff position who will write the report and  timeframe; 
    2. The staff position who will review the report and  timeframe; and
    3. Methods to be followed should physical restraint, less  intrusive interventions, or measures permitted by other applicable state regulations  prove unsuccessful in calming and moderating the resident's behavior.
    E. All physical restraints shall be reviewed and evaluated  to plan for continued staff development for performance improvement.
    F. Use of physical restraint shall be limited to that  which is minimally necessary to protect the resident or others.
    G. Trained staff members may physically restrain a  resident only after less restrictive interventions.
    H. Only trained staff members may manage resident  behavior.
    I. Each application of physical restraint shall be fully  documented in the resident's record including:
    1. Date;
    2. Time;
    3. Staff involved;
    4. Justification for the restraint;
    5. Less restrictive interventions that were unsuccessfully  attempted prior to using physical restraint;
    6. Duration;
    7. Description of method or methods of physical restraint  techniques used; 
    8. Signature of the person completing the report and date;  and
    9. Reviewer's signature and date.
    J. Providers shall ensure that restraint may only be  implemented, monitored, and discontinued by staff who have been trained in the  proper and safe use of restraint, including hands-on techniques.
    K. The provider shall review the facility's behavior  intervention techniques and policies and procedures at least annually to determine  appropriateness for the population served.
    L. Any time children are present staff shall be present  who have completed all trainings in behavior intervention.
    12VAC35-46-950. Seclusion.
    Seclusion is allowed only as permitted by other applicable  state regulations.
    12VAC35-46-960. Seclusion room requirements.
    A. The room used for seclusion shall meet the design  requirements for buildings used for detention or seclusion of persons.
    B. The seclusion room shall be at least six feet wide and  six feet long with a minimum ceiling height of eight feet.
    C. The seclusion room shall be free of all protrusions,  sharp corners, hardware, fixtures, or other devices, that may cause injury to  the occupant.
    D. Windows in the seclusion room shall be constructed to  minimize breakage and otherwise prevent the occupant from harming himself.
    E. Light fixtures and other electrical receptacles in the  seclusion room shall be recessed or so constructed as to prevent the occupant  from harming himself. Light controls shall be located outside the seclusion  room.
    F. Doors to the seclusion room shall be at least 32 inches  wide, shall open outward and shall contain observation view panels of  transparent wire glass or its approved equivalent, not exceeding 120 square  inches but of sufficient size for someone outside the door to see into all  corners of the room.
    G. The seclusion room shall contain only a mattress with a  washable mattress covering designed to avoid damage by tearing.
    H. The seclusion room shall maintain temperatures appropriate  for the season.
    I. All space in the seclusion room shall be visible  through the locked door, either directly or by mirrors.
    12VAC35-46-970. Education.
    A. Each resident of compulsory school attendance age shall  be enrolled, as provided in the Code of Virginia, in an appropriate educational  program within five school business days. Documentation of the enrollment shall  be kept in the resident's record.
    B. The provider shall ensure that educational guidance and  counseling in selecting courses is provided for each resident and shall ensure  that education is an integral part of the resident's total program.
    C. Providers operating educational programs for children  with disabilities shall operate those programs in compliance with applicable  state and federal statutes and regulations.
    D. When a child with a disability has been placed in a  residential facility, the facility shall contact the division superintendent of  the resident's home locality. Documentation of the contact with the resident's  home school shall be kept in the resident's record.
    E. A provider that has an academic or vocational program  that is not certified or approved by the Department of Education shall document  that teachers meet the qualifications to teach the same subjects in the public schools.
    F. Each provider shall develop and implement written  policies and procedures to ensure that each resident has adequate study time.
    12VAC35-46-980. Religion.
    A. The provider shall have and implement written policies  regarding opportunities for residents to participate in religious activities.
    B. The provider's policies on religious participation  shall be available to residents and any individual or agency considering  placement of a child in the facility.
    C. Residents shall not be coerced to participate in  religious activities.
    12VAC35-46-990. Recreation.
    A. The provider shall have a written description of its  recreation program that describes activities that are consistent with the  facility's total program and with the ages, developmental levels, interests,  and needs of the residents that includes:
    1. Opportunities for individual and group activities;
    2. Free time for residents to pursue personal interests  that shall be in addition to a formal recreation program, except this  subdivision does not apply to secure custody facilities;
    3. Use of available community recreational resources and  facilities, except this subdivision does not apply to secure custody  facilities;
    4. Scheduling of activities so that they do not conflict  with meals, religious services, educational programs, or other regular events;  and
    5. Regularly scheduled indoor and outdoor recreational  activities that are structured to develop skills and attitudes.
    B. The provider shall develop and implement written  policies and procedures to ensure the safety of residents participating in  recreational activities that include:
    1. How activities will be directed and supervised by  individuals knowledgeable in the safeguards required for the activities;
    2. How residents are assessed for suitability for an  activity and the supervision provided; and
    3. How safeguards for water-related activities will be  provided, including ensuring that a certified lifeguard supervises all swimming  activities. 
    C. For all overnight recreational trips away from the  facility the provider shall document trip planning to include: 
    1. A supervision plan for the entire duration of the  activity including awake and sleeping hours;
    2. A plan for safekeeping and distribution of medication;
    3. An overall emergency, safety, and communication plan for  the activity including emergency numbers of facility administration;
    4. Staff training and experience requirements for each  activity;
    5. Resident preparation for each activity;
    6. A plan to ensure that all necessary equipment for the  activity is in good repair and appropriate for the activity;
    7. A trip schedule giving addresses and phone numbers of  locations to be visited and how the location was chosen/evaluated;
    8. A plan to evaluate residents' physical health throughout  the activity and to ensure that the activity is conducted within the boundaries  of the resident's capabilities, dignity, and respect for self-determination;
    9. A plan to ensure that a certified life guard supervises  all swimming activities in which residents participate; and
    10. Documentation of any variations from trip plans and  reason for the variation.
    D. All overnight out-of-state or out-of-country  recreational trips require written permission from each resident's legal  guardian. Documentation of the written permission shall be kept in the  resident's record.
    12VAC35-46-1000. Community relationships.
    A. Opportunities shall be provided for the residents to  participate in activities and to utilize resources in the community.
    B. The provider shall develop and implement written  policies and procedures for evaluating persons or organizations in the  community who wish to associate with residents on the premises or take  residents off the premises. The procedures shall cover how the facility will  determine if participation in such community activities or programs would be in  the residents' best interest.
    C. Each facility shall have a staff community liaison who  shall be responsible for facilitating cooperative relationships with neighbors,  the school system, local law enforcement, local government officials, and the  community at large.
    D. Each provider shall develop and implement written  policies and procedures for promoting positive relationships with the neighbors  that shall be approved by the department.
    12VAC35-46-1010. Clothing.
    A. Provision shall be made for each resident to have an  adequate supply of clean, comfortable, and well-fitting clothes and shoes for  indoor and outdoor wear.
    B. Clothes and shoes shall be similar in style to those  generally worn by children of the same age in the community who are engaged in  similar activities, except this requirement does not apply to secure custody  facilities.
    C. Residents shall have the opportunity to participate in  the selection of their clothing, except this requirement does not apply to  secure custody facilities.
    D. Residents shall be allowed to take personal clothing  when leaving the facility.
    12VAC35-46-1020. Allowances and spending money.
    A. The provider shall provide opportunities appropriate to  the ages and developmental levels of the residents for learning the value and  use of money.
    B. There shall be a written policy regarding allowances  that shall be made available to legal guardians at the time of admission.
    C. The provider shall develop and implement written  policies for safekeeping and for recordkeeping of any money that belongs to  residents.
    D. A resident's funds, including any allowance or  earnings, shall be used for the resident's benefit.
    12VAC35-46-1030. Work and employment.
    A. Assignment of chores, that are paid or unpaid work  assignments, shall be in accordance with the age, health, ability, and service  plan of the resident.
    B. Chores shall not interfere with school programs, study  periods, meals, or sleep.
    C. Work assignments or employment outside the facility,  including reasonable rates of pay, shall be approved by the program director  with the knowledge and consent of the legal guardian.
    D. In both work assignments and employment, the program  director shall evaluate the appropriateness of the work and the fairness of the  pay.
    12VAC35-46-1040. Visitation at the facility and to the  resident's home.
    A. The provider shall have and implement written  visitation policies and procedures that allow reasonable visiting privileges  and flexible visiting hours, except as permitted by other applicable state  regulations.
    B. Copies of the written visitation policies and  procedures shall be made available to the parents, when appropriate, legal  guardians, the resident, and other interested persons important to the resident  no later than the time of admission, except that when parents or legal  guardians do not participate in the admission process, visitation policies and  procedures shall be mailed to them within 24 hours after admission.
    12VAC35-46-1050. Resident visitation at the homes of staff.
    If a provider permits staff to take residents to the  staff's home, the facility must receive written permission of the resident's  legal guardian or placing agency before the visit occurs. The written  permission shall be kept in the resident's record.
    12VAC35-46-1060. Vehicles and power equipment.
    A. Transportation provided for or used by children shall  comply with local, state, and federal laws relating to:
    1. Vehicle safety and maintenance;
    2. Licensure of vehicles;
    3. Licensure of drivers; and
    4. Child passenger safety, including requiring children to  wear appropriate seat belts or restraints for the vehicle in which they are  being transported.
    B. There shall be written safety rules for transportation  of residents appropriate to the population served that shall include  taking head counts at each stop.
    C. The provider shall develop and implement written safety  rules for use and maintenance of vehicles and power equipment.
    12VAC35-46-1070. Serious incident reports.
    A. Any serious incident, accident, or injury to the  resident; any overnight absence from the facility without permission; any  runaway; and any other unexplained absence shall be reported within 24 hours  (i) to the placing agency; (ii) to either the parent or legal guardian, or both  as appropriate; and (iii) noted in the resident's record.
    B. The provider shall document the following:
    1. The date and time the incident occurred;
    2. A brief description of the incident;
    3. The action taken as a result of the incident;
    4. The name of the person who completed the report;
    5. The name of the person who made the report to the  placing agency and to either the parent or legal guardian; and
    6. The name of the person to whom the report was made.
    C. The provider shall notify the department within 24  hours of any serious illness or injury, any death of a resident, and all other  situations as required by the department. Such reports shall include:
    1. The date and time the incident occurred;
    2. A brief description of the incident;
    3. The action taken as a result of the incident;
    4. The name of the person who completed the report;
    5. The name of the person who made the report to the  placing agency and to either the parent or legal guardian; and
    6. The name of the person to whom the report was made.
    D. In the case of a serious injury or death, the report  shall be made on forms approved by the department. 
    12VAC35-46-1080. Suspected child abuse or neglect.
    A. Written policies and procedures related to child abuse  and neglect shall be distributed to all staff members. These shall include  procedures for:
    1. Handling accusations against staff; and
    2. Promptly referring, consistent with requirements of the  Code of Virginia, suspected cases of child abuse and neglect to the local child  protective services unit and for cooperating with the unit during any  investigation.
    B. Any case of suspected child abuse or neglect shall be  reported to the local child protective services unit as required by the Code of  Virginia. 
    C. Any case of suspected child abuse or neglect occurring  at the facility, on a facility-sponsored event or excursion, or involving  facility staff shall be reported immediately to (i) the Office of Human Rights  and placing agency; and (ii) either the resident's parent or legal guardian, or  both, as appropriate.
    D. When a case of suspected child abuse or neglect is  reported to child protective services, the resident's record shall include:
    1. The date and time the suspected abuse or neglect  occurred;
    2. A description of the suspected abuse or neglect;
    3. Action taken as a result of the suspected abuse or  neglect; and
    4. The name of the person to whom the report was made at  the  local child protective services unit.
    12VAC35-46-1090. Grievance procedures.
    A. The provider shall develop and implement written  policies and procedures governing the handling of grievances by residents. If  not addressed by other applicable regulations, the policies and procedures  shall:
    1. Be written in clear and simple language;
    2. Be communicated to the residents in an age or developmentally  appropriate manner;
    3. Be posted in an area easily accessible to residents and  their parents and legal guardians;
    4. Ensure that any grievance shall be investigated by an  objective employee who is not the subject of the grievance; and
    5. Require continuous monitoring by the provider of any  grievance to assure there is no retaliation or threat of retaliation against  the child. 
    B. All documentation regarding grievances shall be kept on  file at the facility for three years unless other regulations require a longer  retention period. 
    Part V
  Disaster or Emergency Planning
    12VAC35-46-1100. Disaster or emergency planning.
    The facility is required to have written procedures to  follow in emergencies.  It is also required that these plans be known by staff  and, as appropriate, residents.  It is advisable that the facility develop  its emergency plans with the assistance of state or local public safety  authorities.
    12VAC35-46-1110. Emergency and evacuation procedures.
    A. The provider shall develop a written emergency  preparedness and response plan for all locations. The plan shall address:
    1. Documentation of contact with the local emergency  coordinator to determine (i) local disaster risks; (ii) communitywide plans to  address different disasters and emergency situations; and (iii) assistance, if  any, that the local emergency management office will provide to the facility in  an emergency;
    2. Analysis of the provider's capabilities and potential  hazards, including natural disasters, severe weather, fire, flooding, work  place violence or terrorism, missing persons, severe injuries, or other  emergencies that would disrupt the normal course of service delivery;
    3. Written emergency management policies outlining specific  responsibilities for provision of administrative direction and management of  response activities, coordination of logistics during the emergency,  communications, life safety of employees, contractors, students/intern,  volunteers, visitors and residents, property protection, community outreach, and  recovery and restoration;
    4. Written emergency response procedures for assessing the  situation; protecting residents, employees, contractors, students/interns,  volunteers, visitors, equipment, and vital records; and restoring services.  Emergency response procedures shall address:
    a. Communicating with employees, contractors, and community  responders;
    b. Warning and notification of residents;
    c. Providing emergency access to secure areas and opening  locked doors;
    d. Conducting evacuations to emergency shelters or  alternative sites and accounting for all residents;
    e. Relocating residents, if necessary;
    f. Notifying family members, if appropriate, and legal  guardians;
    g. Alerting emergency personnel and sounding alarms; and
    h. Locating and shutting off utilities when necessary;
    5. Supporting documents that would be needed in an  emergency, including emergency call lists, building and site maps necessary to  shut off utilities, designated escape routes, and list of major resources such  as local emergency shelters; and
    6. Schedule for testing the implementation of the plan and  conducting emergency preparedness drills.
    B. The provider shall develop emergency preparedness and  response training for all employees, contractors, students/interns, and  volunteers that shall include responsibilities for:
    1. Alerting emergency personnel and sounding alarms;
    2. Implementing evacuation procedures, including evacuation  of residents with special needs (i.e., deaf, blind, nonambulatory);
    3. Using, maintaining, and operating emergency equipment;
    4. Accessing emergency information for residents including  medical information; and
    5. Utilizing community support services.
    C. The provider shall document the review of the emergency  preparedness plan annually and make necessary revisions. Such revisions shall  be communicated to employees, contractors, students, and volunteers and  incorporated into training for employees, contractors, students/interns, and  volunteers and orientation of residents to services.
    D. In the event of a disaster, fire, emergency, or any  other condition that may jeopardize the health, safety, and welfare of  residents, the provider shall take appropriate action to protect the health,  safety, and welfare of the residents and take appropriate action to remedy the conditions  as soon as possible.
    E. Employees, contractors, students/interns, and  volunteers shall be knowledgeable in and prepared to implement the emergency  preparedness plan in the event of an emergency. 
    F. In the event of a disaster, fire, emergency, or any  other condition that may jeopardize the health, safety, and welfare of  residents, the provider should first respond and stabilize the  disaster/emergency. After the disaster/emergency is stabilized, the provider  shall report the disaster/emergency and the conditions at the facility to the  legal guardian and the placing agency as soon as possible of the conditions at  the facility and report the disaster/emergency to the department as soon as  possible, but no later than 72 hours after the incident occurs.
    G. Floor plans showing primary and secondary means of  egress shall be posted on each floor in locations where they can easily be seen  by staff and residents.
    H. The procedures and responsibilities reflected in the  emergency procedures shall be communicated to all residents within seven days  following admission or a substantive change in the procedures.
    I. At least one evacuation drill (the simulation of the  facility's emergency procedures) shall be conducted each month in each building  occupied by residents.
    J. Evacuation drills shall include, at a minimum:
    1. Sounding of emergency alarms; 
    2. Practice in evacuating buildings; 
    3. Practice in alerting emergency authorities; 
    4. Simulated use of emergency equipment; and
    5. Practice in securing resident emergency information.
    K. During any three consecutive calendar months, at least  one evacuation drill shall be conducted during each shift.
    L. A record shall be maintained for each evacuation drill  and shall include the following:
    1. Buildings in which the drill was conducted; 
    2. Date and time of drill; 
    3. Amount of time to evacuate the buildings; 
    4. Specific problems encountered; 
    5. Staff tasks completed including: 
    a. Head count, and
    b. Practice in notifying emergency authorities. 
    6. The name of the staff members responsible for conducting  and documenting the drill and preparing the record.
    M. The record for each evacuation drill shall be retained  for three years after the drill, unless a longer retention period is required  by applicable law or regulation.
    N. The facility shall assign one staff member who shall  ensure that all requirements regarding the emergency preparedness and response  plan and the evacuation drill program are met.
    Part VI
  Special Programs
    12VAC35-46-1120. Independent living programs.
    A. Each independent living program must demonstrate that a  structured program using materials and curriculum, approved by the department,  is being used to teach independent living skills. The curriculum must include  information regarding each of the following areas:
    1. Money management and consumer awareness;
    2. Food management;
    3. Personal appearance;
    4. Social skills;
    5. Health/sexuality;
    6. Housekeeping;
    7. Transportation;
    8. Educational planning/career planning;
    9. Job-seeking skills;
    10. Job maintenance skills;
    11. Emergency and safety skills;
    12. Knowledge of community resources;
    13. Interpersonal skills/social relationships;
    14. Legal skills;
    15. Leisure activities; and
    16. Housing.
    B. Within 14 days of placement the provider must complete  an assessment, including strengths and needs, of the resident's life skills  using an independent living assessment tool approved by the department. The  assessment must cover the following areas: 
    1. Money management and consumer awareness;
    2. Food management;
    3. Personal appearance;
    4. Social skills;
    5. Health/sexuality;
    6. Housekeeping;
    7. Transportation;
    8. Educational planning/career planning;
    9. Job-seeking skills;
    10. Job maintenance skills;
    11. Emergency and safety skills;
    12. Knowledge of community resources;
    13. Interpersonal skills/social relationships;
    14. Legal skills;
    15. Leisure activities; and
    16. Housing.
    C. The resident's individualized service plan shall, in  addition to the requirements found in 12VAC35-105-750, address each of the  following areas, as applicable:
    1. Money management and consumer awareness;
    2. Food management;
    3. Personal appearance;
    4. Social skills;
    5. Health/sexuality;
    6. Housekeeping;
    7. Transportation;
    8. Educational planning/career planning;
    9. Job-seeking skills;
    10. Job maintenance skills;
    11. Emergency and safety skills;
    12. Knowledge of community resources;
    13. Interpersonal skills/social relationships;
    14. Legal skills;
    15. Leisure activities; and
    16. Housing.
    D. Each independent living program shall develop and  implement policies and procedures to train all direct care staff within 14 days  of employment on the content of the independent living curriculum, the use of  the independent living materials, the application of the assessment tool, and  the documentation methods used. Documentation of the orientation shall be  kept in the employee's staff record.
    E. If residents age 18 years or older are to share in the  responsibility for their own medication with the provider, the independent  living program shall develop and implement written policies and procedures that  include:
    1. Training for the resident in self administration of  medication and recognition of side effects;
    2. Method for storage and safekeeping of medication;
    3. Method for obtaining approval for the resident to self  administer medication from a person authorized by law to prescribe medication;  and 
    4. Method for documenting the administration of medication.
    F. Each independent living program shall develop and  implement written policies and procedures that ensure that each resident is  receiving adequate nutrition as required in 12VAC35-46-860.
    12VAC35-46-1130. Mother/baby programs.
    A. Each provider shall develop and implement written  policies and procedures to orient direct care staff within 14 days of hire  regarding the following:
    1. Responsibilities of mothers regarding the child; 
    2. Child development including age-appropriate behavior for  each stage of development; 
    3. Appropriate behavioral interventions for infants and  toddlers; 
    4. Basic infant and toddler care including but not limited  to nutritional needs, feeding procedures, bathing techniques; and 
    5. Safety issues for infants and toddlers. 
    B. Each direct care worker shall have certification in  infant CPR and first aid prior to working alone with infants or toddlers. 
    C. A placement agreement shall be signed by the legal  guardian for each adolescent mother and a separate placement agreement shall be  signed for each child at the time of admission. 
    D. In addition to the requirements of 12VAC35-46-710 the  application for admission for the adolescent's child must include:
    1. The placement history of the child;
    2. The developmental milestones of the child; and
    3. The nutritional needs of the child.
    E. In addition to the requirements of 12VAC35-46-660, the  face sheet for adolescent's child shall also include:
    1. Type of delivery;
    2. Weight and length at birth;
    3. Any medications or allergies; and
    4. Name and address, if known, of the biological father. 
    F. A combined service plan following the requirements of  12VAC35-46-750 must be written for the adolescent mother and her child within  30 days of the admission of the adolescent's child. 
    G. There shall be a combined documented review of the adolescent  mother's and her child's progress following the requirements of the quarterly  report 60 days following the first combined service plan and within each 90-day  period thereafter. 
    H. The developmental milestones of the adolescent's child  must be documented in each quarterly progress report.
    I. The record of each child 18 months or younger shall  include the child's feeding schedule and directions for feeding. This  information shall be posted in the kitchen.
    J. The provider shall develop and implement written  policies and procedures for tracking:
    1. What a child 18 months or younger is eating; 
    2. How much a child 18 months or younger is eating; and 
    3. The response to newly introduced foods of the child 18  months or younger.
    K. The provider shall develop and implement written  policies and procedures to record all diaper changes.
    L. The provider shall monitor that all infants are held  and spoken to and placed in a position to observe activities when they are  awake. 
    M. Bottle-fed infants who cannot hold their own bottles  shall be held when fed. Bottles shall not be propped.
    N. The provider shall monitor that all children of  adolescent mothers have access to age-appropriate toys and are provided  opportunity for visual and sound stimulation.
    O. The provider shall ensure that when an adolescent  mother is in school or is working, her child is appropriately cared for, either  in a licensed child day program or at the facility.
    P. A daily activity log must be kept for each child of the  adolescent mother showing what activities the child actually participated in  during the day. The daily log must show that children have the opportunity to  participate in sensory, language, manipulative, building, large muscle, and  learning activities.
    Q. The provider shall develop and implement written  policies and procedures regarding health care of the adolescent's child  including:
    1. Obtaining health care;
    2. Ensuring follow-up care is provided;
    3. Ensuring adolescent mothers administer to their children  only prescription and nonprescription medication authorized by a health care  professional licensed to prescribe medication; and
    4. Medication administration.
    R. The provider shall develop and implement written  policies and procedures to ensure that all toys and equipment to be used by  children are sturdy, are of safe construction, are nontoxic and free of  hazards, and meet industry safety standards.
    S. The facility shall develop and implement written  policies and procedures for inspecting toys and equipment on a regular basis  for cleanliness and safety.
    T. Cribs shall be placed where objects outside the crib  such as cords from the blinds or curtains are not within reach of infants or  toddlers.
    U. Pillows and filled comforters shall not be used by  children under two years of age.
    V. Infant walkers shall not be used.
    W. Adolescent mothers and their babies may share a bedroom  as allowed by 12VAC35-46-480, but shall not share a room with other adolescents  or their children. 
    X. Pregnant adolescents may share a room as allowed by  12VAC35-46-480.
    Y. Providers shall develop and implement written policies  and procedures to protect infants, toddlers, and young children from dangers in  their environment. The policies and procedures must include but not be limited  to protection from:
    1. Electrocution;
    2. Falling down steps or ramps or gaining access to  balconies, porches, or elevated areas; and
    3. Poisons, including poisonous plants.
    12VAC35-46-1140. Campsite programs or adventure activities.
    A. All wilderness campsite programs and providers that take  residents on wilderness/adventure activities shall develop and implement  policies and procedures that include:
    1. Staff training and experience requirements for each  activity;
    2. Resident training and experience requirements for each  activity;
    3. Specific staff-to-resident ratio and supervision plan  appropriate for each activity; including sleeping arrangements and supervision  during night time hours;
    4. Plans to evaluate and document each participant's  physical health throughout the activity;
    5. Preparation and planning needed for each activity and  time frames;
    6. Arrangement, maintenance, and inspection of activity  areas;
    7. A plan to ensure that any equipment and gear that is to  be used in connection with a specified wilderness/adventure activity is appropriate  to the activity, certified if required, in good repair, in operable condition,  and age and body size appropriate;
    8. Plans to ensure that all ropes and paraphernalia used in  connection with rope rock climbing, rappelling, high and low ropes courses, or  other adventure activities in which ropes are used are approved annually by an  appropriate certifying organization, and have been inspected by staff  responsible for supervising the adventure activity before engaging residents in  the activity; 
    9. Plans to ensure that all participants are appropriately  equipped, clothed, and wearing safety gear, such as a helmet, goggles, safety  belt, life jacket, or a flotation device, that is appropriate to the adventure  activity in which the resident is engaged;
    10. Plans for food and water supplies and management of  these resources; 
    11. Plans for the safekeeping and distribution of  medication;
    12. Guidelines to ensure that participation is conducted  within the  boundaries of the resident's capabilities, dignity, and  respect for self-determination;
    13. Overall emergency, safety, and communication plans for  each activity including rescue procedures, frequency of drills, resident  accountability, prompt evacuation, and notification of outside emergency  services; and
    14. Review of trip plans by the trip coordinator. 
    B. All wilderness campsite programs and providers that  take residents on wilderness/adventure activities must designate one staff  person to be the trip coordinator who will be responsible for all facility wilderness  or adventure trips.
    1. This person shall have experience in and knowledge  regarding wilderness activities and be trained in wilderness first aid. The  individual shall also have at least one year experience at the facility and be  familiar with the facility procedures, staff, and residents.
    2. Documentation regarding this knowledge and experience  shall  be found in the individual's staff record.
    3. The trip coordinator shall review all trip plans and  procedures and shall ensure that staff and residents meet the requirements as  outlined in the facility's policy regarding each wilderness/adventure activity  to take place during the trip.
    C. The trip coordinator shall conduct a posttrip  debriefing within 72 hours of the group's return to base to evaluate individual  and group goals as well as the trip as a whole.
    D. The trip coordinator shall be responsible for writing a  summary of the debriefing session and shall be responsible for ensuring that  procedures and policies are updated to reflect improvements needed.
    E. A trip folder shall be developed for each  wilderness/adventure activity conducted away from the facility and shall  include:
    1. Medical release forms including pertinent medical  information on the trip participants; 
    2. Phone numbers for administrative staff and emergency  personnel;
    3. Daily trip logs;
    4. Incident reports;
    5. Swimming proficiency list if trip is near water;
    6. Daily logs;
    7. Maps of area covered by the trip; and
    8. Daily plans. 
    F. Initial physical forms used by wilderness campsite  programs and providers that take residents on wilderness or adventure  activities shall include:
    1. A statement notifying the doctor of the types of  activities the resident will be participating in; and
    2. A statement signed by the doctor stating the  individual's health does not prevent him from participating in the described  activities.
    G. First aid kits used by wilderness campsite programs and  providers that take residents on adventure activities shall be activity  appropriate and shall be accessible at all times. 
    H. Direct care workers hired by wilderness campsite  programs and providers that take residents on wilderness/adventure activities  shall be trained in a wilderness first aid course. 
    I. The provider shall ensure that before engaging in any  aquatic activity, each resident shall be classified by the trip coordinator or  designee according to swimming ability in one of two classifications: swimmer  and nonswimmer. This shall be documented in the resident's record and in the  trip folder.
    J. The provider shall ensure that lifesaving equipment is  provided for all aquatic activities and is placed so that it is immediately  available in case of an emergency. At a minimum, the equipment shall include:
    1. A whistle or other audible signal device; and
    2. A lifesaving throwing device.
    K. A separate bed, bunk, or cot shall be made available  for each person.
    L. A mattress cover shall be provided for each mattress.
    M. Sleeping areas shall be protected by screening or other  means to prevent admittance of flies and mosquitoes.
    N. Bedding shall be clean, dry, sanitary, and in good  repair.
    O. Bedding shall be adequate to ensure protection and  comfort in cold weather.
    P. Sleeping bags, if used, shall be fiberfill and rated  for 0°F.
    Q. Linens shall be changed as often as required for  cleanliness and sanitation but not less frequently than once a week.
    R. Each resident shall be provided with an adequate supply  of clean clothing that is suitable for outdoor living and is appropriate to the  geographic location and season.
    S. Sturdy, water-resistant, outdoor footwear shall be  provided for each resident.
    T. Each resident shall have adequate personal storage  area.
    U. Fire extinguishers of a 2A 10BC rating shall be  maintained so that it is never necessary to travel more than 75 feet to a fire  extinguisher from combustion-type heating devices, campfires, or other source  of combustion.
    V. Artificial lighting shall be provided in a safe manner.
    W. All areas of the campsite shall be lighted for safety  when occupied by residents.
    X. Staff of the same sex may share a sleeping area with  the residents.
    Y. A telephone or other means of communication is required  at each area where residents sleep or participate in programs.
    DOCUMENTS INCORPORATED BY REFERENCE (22VAC40-675)
    Report of Tuberculosis Screening, Virginia Department of  Health, http://www.vdh.virginia.gov/epidemiology/ DiseasePrevention/Programs/Tuberculosis/Forms/documents/  Form2.pdf, Virginia Department of Health.
    U.S. Department of Health and Human Services and U.S.  Department of Agriculture Dietary Guidelines for Americans, 6th Edition,  January 2005, U.S. Government Printing Office, Washington, D.C.
    VA.R. Doc. No. R09-1612; Filed May 22, 2009, 1:15 p.m. 
TITLE 12. HEALTH
STATE MENTAL HEALTH, MENTAL RETARDATION AND SUBSTANCE ABUSE SERVICES BOARD
Fast-Track Regulation 
    Titles of Regulations: 12VAC35-45. Regulations for  Providers of Mental Health, Mental Retardation, Substance Abuse, and Brain  Injury Residential Services for Children (repealing 12VAC35-45-10 through  12VAC35-45-210).
    12VAC35-46. Regulations for Children's Residential  Facilities (adding 12VAC35-46-10 through  12VAC35-46-1140).
    Statutory Authority: §§ 37.2-203 and 37.2-408 of  the Code of Virginia.
    Public Hearing Information: No public hearings are  scheduled. 
    Public Comments: Public comments may be submitted until  5 p.m. on July 22, 2009.
    Effective Date: August 6, 2009. 
    Agency Contact: Leslie Anderson, Director of the Office  of Licensing, Department of Mental Health, Mental Retardation and Substance  Abuse Services, P.O. Box 1797, 1220 Bank Street, Richmond, VA 23218-1797,  telephone (804) 371-6885, FAX (804) 692-0066, or email leslie.anderson@co.dmhmrsas.virginia.gov.
    Basis: The State Mental Health, Mental Retardation and  Substance Abuse Services Board (effective July 1, 2009, name changes to Board  of Behavioral Health and Developmental Services) has the authority to adopt  these regulations under § 37.2-408 of the Code of Virginia. This authority  is mandatory. Chapter 873 of the 2008 Acts of Assembly eliminated the  interdepartmental regulation of children's residential facilities and requires  DMHMRSAS, the Department of Social Services, and Department of Juvenile Justice  to regulate and license the children's facilities for which they are now the  primary licensing agency.  This legislation also requires the  aformentioned agencies to promulgate regulations to implement the provisions of  the legislation no later than October 31, 2009.
    Purpose: The 2008 Virginia General Assembly passed  legislation eliminating the interdepartmental regulatory process and mandated  new regulations be promulgated by all the involved agencies, including  DMHMRSAS, to implement this change by October 31, 2009. This regulatory action  is essential to ensure the continuity of regulatory oversight and the  protection of the health, safety, and welfare of children with mental illness,  mental retardation, substance abuse, or brain injury who receive services in  facilities subject to licensing under the interdepartmental or core  regulations, 22VAC42-10. The replacement regulations have been developed to  afford the primary regulatory authority to DMHMRSAS to implement the same licensing  requirements that have governed these facilities under the interdepartmental  regulations. These facilities would now have DMHMRSAS as the single licensing  agency, as required by the law. The implementation of these regulations will  allow DMHMRSAS and the state MHMRSAS board to comply with the essential  purpose, intent, and oversight responsibilities within the timeframe imposed by  the law.
    Rationale for Using Fast-Track Process: The  replacement regulations simply restate and consolidate the relevant parts of  the current interdepartmental or core regulations and the existing mental  health module into a new single set of regulations. The replacement regulations  will not alter the licensing requirements for providers that are governed by  the current regulations or impact the existing licensing process for these  providers. Therefore, these regulations are not expected to be controversial  and are qualified for consideration under the fast-track process. In addition,  the regulations just went through a comprehensive revision that went into  effect in December 2007. The shortened legislative deadline made it difficult  to promulgate these regulations under anything but the fast-track process.
    Substance: There are no new substantial provisions  included in the proposed regulations. The proposed replacement regulations  enable DMHMRSAS to fulfill its statutory responsibility for licensing and  regulating children's residential facilities that provide mental health, mental  retardation, substance abuse, and brain injury services for children. These  service providers are now subject to the same regulatory provisions and  oversight under the interdepartmental regulations 22VAC42-10 and the mental  health module 12VAC35-45.
    Issues: The primary advantage of regulatory action for  the public and providers is that it will provide a single comprehensive set of  regulatory and licensing requirements for children's residential facilities  that provide mental health, mental retardation, substance abuse, and brain  injury services. This should simplify the requirements and make them easier to  understand for those individuals affected by the regulations. Moreover, this  action will not impose any new requirements and facilitate the transition and  orientation to the new regulations when they become effective.
    The proposed regulatory action will enable DMHMRSAS and the  state MHMRSAS board to comply with the requirements of Chapter 873 of the 2008  Virginia Acts of Assembly in accordance with the timeframe imposed by the law.  The new regulations will consolidate all of the regulatory provisions and  facilitate the inspection and oversight functions for department staff.
    There are no known disadvantages associated with this  regulatory action.
    The Department of Planning and Budget's Economic Impact  Analysis:
    Summary of the Proposed Amendments to Regulation. The proposed  regulations merely restate the provisions of the repealed interdepartmental  regulation of children's residential facilities and move existing mental health  module into a new single set of regulations. 
    Result of Analysis. The benefits likely exceed the costs for  all proposed changes.
    Estimated Economic Impact. Previously, children's residential  facilities were regulated by multiple agencies under interdepartmental  regulations of children's residential facilities. In addition to the  interdepartmental regulations, Department of Mental Health, Mental Retardation  and Substance Abuse Services (DMHMRSAS) currently has a mental health module to  cover mental health specific aspects of regulating these facilities. However,  Chapter 873 of the 2008 Acts of Assembly eliminated interdepartmental  regulations and mandated all of the agencies involved to implement their own  regulations by October 2009.
    The proposed regulations merely restate the provisions of the  repealed interdepartmental regulations in the Virginia Administrative Code  allocated to DMHMRSAS and move the existing mental health module that apply to  the same facilities into a new single set of regulations. Since there is no  change in the requirements that apply to facilities, no significant economic  effect is expected other than improving the clarity of the regulations and  possibly avoiding some potential communication costs.
    Businesses and Entities Affected. There are currently 174  providers regulated under these rules. 
    Localities Particularly Affected. The proposed regulations  apply throughout the Commonwealth.
    Projected Impact on Employment. No significant impact on  employment is expected. 
    Effects on the Use and Value of Private Property. No  significant impact on the use and value of private property is expected.
    Small Businesses: Costs and Other Effects. The proposed changes  do not create any costs or other affects on small businesses.
    Small Businesses: Alternative Method that Minimizes Adverse  Impact. The proposed changes do not create any adverse impact on small  businesses.
    Real Estate Development Costs. The proposed changes do not  create any real estate development costs.
    Legal Mandate. The Department of Planning and Budget (DPB) has  analyzed the economic impact of this proposed regulation in accordance with  § 2.2-4007.04 of the Administrative Process Act and Executive Order Number  36 (06). Section 2.2-4007.04 requires that such economic impact analyses  include, but need not be limited to, the projected number of businesses or  other entities to whom the regulation would apply, the identity of any  localities and types of businesses or other entities particularly affected, the  projected number of persons and employment positions to be affected, the  projected costs to affected businesses or entities to implement or comply with  the regulation, and the impact on the use and value of private property.  Further, if the proposed regulation has adverse effect on small businesses, § 2.2-4007.04 requires that such economic impact analyses include (i) an  identification and estimate of the number of small businesses subject to the  regulation; (ii) the projected reporting, recordkeeping, and other  administrative costs required for small businesses to comply with the  regulation, including the type of professional skills necessary for preparing  required reports and other documents; (iii) a statement of the probable effect  of the regulation on affected small businesses; and (iv) a description of any  less intrusive or less costly alternative methods of achieving the purpose of  the regulation. The analysis presented above represents DPB's best estimate of  these economic impacts.
    Agency's Response to the Department of Planning and Budget's  Economic Impact Analysis: The agency concurs with the economic impact  analysis prepared by the Department of Planning and Budget.
    Summary:
    This action allows the Department of Mental Health, Mental  Retardation and Substance Abuse Services (DMHMRSAS) to regulate and license the  children's group homes and residential facilities for which it is now the  primary licensing agency.  The replacement regulations incorporate and  consolidate existing applicable regulations 22VAC42-11, Standards for  Interdepartmental Regulation of Children's Residential Facilities (known as the  "core" regulations), and the existing "mental health  module" regulations 12VAC35-45. The 2008 Virginia General Assembly  eliminated the interdepartmental regulation of children's residential facilities  and required DMHMRSAS, the Department of Social Services, and the Department of  Juvenile Justice to license specific children's residential facilities for  which they are now the primary licensing agency. This 2008 legislation requires  each of the aforementioned agencies to adopt regulations to replace and restate  the existing interdepartmental or core regulations.
    The proposed replacement regulations consist of regulatory  provisions that are now implemented by the department for facilities that  provide mental health, mental retardation, substance abuse, and brain injury  residential services for children. The State Mental Health, Mental Retardation  and Substance Abuse Services Board adopted amended core regulations 22VAC42-11  in 2007 pursuant to the standard public process required by the Virginia  Administrative Process Act. The proposed replacement regulations simply restate  the relevant provisions from the existing interdepartmental regulations and  consolidate them with the existing "mental health module" into a new  single set of regulations.
    CHAPTER 46 
  REGULATIONS FOR CHILDREN'S RESIDENTIAL FACILITIES 
    Part I
  General Provisions
    12VAC35-46-10. Definitions.
    The following words and terms when used in this chapter  shall have the following meanings unless the context clearly indicates  otherwise.
    "Allegation" means an accusation that a facility  is operating without a license or receiving public funds for services it is not  certified to provide.
    "Annual" means within 13 months of the previous  event or occurrence.
    "Applicable state regulation" means any  regulation that the department determines applies to the facility. The term  includes, but is not necessarily limited to, regulations promulgated by the  Departments of Education, Health, Housing and Community Development, or other  state agencies.
    "Applicant" means the person, corporation,  partnership, association, or public agency that has applied for a license.
    "Aversive stimuli" means the physical forces  (e.g., sound, electricity, heat, cold, light, water, or noise) or substances  (e.g., hot pepper sauce or pepper spray) measurable in duration and intensity  that when applied to a resident are noxious or painful to the resident but in  no case shall the term "aversive stimuli" include striking or hitting  the individual with any part of the body or with an implement or pinching,  pulling, or shaking the resident.
    "Behavior support" means those principles and  methods employed by a provider to help a child achieve positive behavior and to  address and correct a child's inappropriate behavior in a constructive and safe  manner in accordance with written policies and procedures governing program  expectations, treatment goals, child and staff safety and security, and the  child's individualized service plan.
    "Behavior support assessment" means identification  of a resident's behavior triggers, successful intervention strategies, anger  and anxiety management options for calming, techniques for self-management, and  specific goals that address the targeted behaviors that lead to emergency  safety interventions.
    "Body cavity search" means any examination of a  resident's rectal or vaginal cavities, except the performance of medical  procedures by medical personnel.
    "Brain injury" means any injury to the brain  that occurs after birth, but before age 65, that is acquired through traumatic  or nontraumatic insults. Nontraumatic insults may include, but are not limited  to, anoxia, hypoxia, aneurysm, toxic exposure, encephalopathy, surgical  interventions, tumor, and stroke. Brain injury does not include hereditary,  congenital, or degenerative brain disorders, or injuries induced by birth  trauma.
    "Brain Injury Waiver" means a Virginia Medicaid  home and community-based waiver for persons with brain injury approved by the  Centers for Medicare and Medicaid Services.
    "Care" or "treatment" means a set of  individually planned interventions, training, habilitation, or supports that  help a resident obtain or maintain an optimal level of functioning, reduce the  effects of disability or discomfort, or ameliorate symptoms, undesirable  changes or conditions specific to physical, mental, behavioral, or social  functioning.
    "Child" means any person legally defined as a  child under state law.  The term includes residents and other children  coming into contact with the resident or facility (e.g., visitors). When the  term is used, the requirement applies to every child at the facility regardless  of whether the child has been admitted to the facility for care (e.g.,  staff/child ratios apply to all children present even though some may not be  residents).
    "Child-placing agency" means any person licensed  to place children in foster homes or adoptive homes or a local board of social  services authorized to place children in foster homes or adoptive homes.
    "Children's residential facility" or  "facility" means a publicly or privately operated facility, other  than a private family home, where 24-hour per day care is provided to children  separated from their legal guardians and is required to be licensed or  certified by the Code of Virginia except: 
    1. Any facility licensed by the Department of Social  Services as a child-caring institution as of January 1, 1987, and that receives  public funds; and
    2. Acute-care private psychiatric hospitals serving  children that are licensed by the Department of Behavioral Health and  Developmental Services under the Rules and Regulations for the Licensing of  Providers of Mental Health, Mental Retardation and Substance Abuse, the  Individual and Family Developmental Disabilities Support Waiver, and  Residential Brain Injury Services, 12VAC35-105.
    "Commissioner" means the Commissioner of the  Department of Behavioral Health and Developmental Services or his authorized  agent.  
    "Complaint" means an accusation against a  licensed facility regarding an alleged violation of regulations or law.
    "Contraband" means any item prohibited by law or  by the rules and regulations of the department, or any item that conflicts with  the program or safety and security of the facility or individual  residents.  
    "Corporal punishment" means punishment  administered through the intentional inflicting of pain and discomfort to the  body through actions such as, but not limited to (i) striking or hitting with  any part of the body or with an implement; or (ii) any similar action that  normally inflicts pain or discomfort.
    "Counseling" means certain formal treatment  interventions such as individual, family, and group modalities, that provide  for support and problem solving.  Such interventions take place between  provider staff and resident families or groups and are aimed at enhancing  appropriate psychosocial functioning or personal sense of well-being.
    "Corrective action plan" means the provider's  pledged corrective action in response to cited areas of noncompliance  documented by the department.  A corrective action plan must be completed  within a specified time.
    "Crisis" means any acute emotional disturbance  in which a resident presents an immediate danger to self or others or is at  risk of serious mental or physical health deterioration caused by acute mental  distress, behavioral or situational factors, or acute substance abuse related  problems.
    "Crisis intervention" means those activities  aimed at the rapid management of a crisis.
    "Day" means calendar day unless the context  clearly indicates otherwise.
    "Department" means the Department of Behavioral  Health and Developmental Services (DBHDS).
    "DOE" means the Department of Education.
    "Emergency" means a sudden, generally unexpected  occurrence or set of circumstances demanding immediate action. Emergency does  not include regularly scheduled time off for permanent staff or other  situations that should reasonably be anticipated.  
    "Emergency admission" means the sudden,  unplanned, unexpected admittance of a child who needs immediate care or a  court-ordered placement.
    "Goal" means expected results or conditions that  usually involve a long period of time and that are written in behavioral terms  in a statement of relatively broad scope. Goals provide guidance in  establishing specific short-term objectives directed toward the attainment of  the goal. 
    "Good character and reputation" means findings  have been established and knowledgeable and objective people agree that the  individual maintains business or professional, family, and community  relationships that are characterized by honesty, fairness, truthfulness, and  dependability, and has a history or pattern of behavior that demonstrates that  the individual is suitable and able to care for, supervise, and protect  children.  Relatives by blood or marriage, and persons who are not  knowledgeable of the individual, such as recent acquaintances, shall not be  considered objective references.
    "Group home" means a children's residential  facility that is a community-based, homelike single dwelling, or its acceptable  equivalent, other than the private home of the operator, and serves up to 12.
    "Health record" means the file maintained by the  provider that contains personal health information.
    "Human research" means any systematic  investigation including research development, testing, and evaluation,  utilizing human subjects, that is designed to develop or contribute to  generalized knowledge.  Human research shall not include research exempt  from federal research regulations pursuant to 45 CFR 46.101(b).
    "Immediately" means directly without delay.
    "Independent living program" means a  competency-based program that is specifically approved by the department to  provide the opportunity for the residents to develop the skills necessary to  live successfully on their own following completion of the program.  
    "Individualized service plan" means a written  plan of action developed and modified at intervals to meet the needs of a  specific resident. It specifies measurable short and long-term goals,  objectives, strategies, and time frames for reaching the goals and the  individuals responsible for carrying out the plan.
    "Intellectual disability" means mental  retardation.
    "Legal guardian" means the natural or adoptive  parents or other person, agency, or institution that has legal custody of a  child.
    "License" means a document verifying approval to  operate a children's residential facility and that indicates the status of the  facility regarding compliance with applicable state regulations.
    "Live-in staff" means staff who are required to  be on duty for a period of 24 consecutive hours or more during each work week.
    "Living unit" means the space in which a  particular group of children in care of a residential facility reside. A living  unit contains sleeping areas, bath and toilet facilities, and a living room or  its equivalent for use by the residents of the unit.  Depending upon its  design, a building may contain one living unit or several separate living  units.
    "Mechanical restraint" means the use of a  mechanical device that cannot be removed by the individual to restrict the  freedom of movement or functioning of a limb or a portion of an individual's  body when that behavior places him or others at imminent risk.
    "Medication" means prescribed and  over-the-counter drugs.
    "Medication administration" means the direct  application of medications by injection, inhalation, or ingestion or any other  means to a resident by (i) persons legally permitted to administer medications;  or (ii) the resident at the direction and in the presence of persons legally permitted  to administer medications.
    "Medication error" means an error made in  administering a medication to a resident including the following: (i) the wrong  medication is given to the resident; (ii) the wrong resident is given the  medication; (iii) the wrong dosage is given to a resident; (iv) medication is  given to a resident at the wrong time or not at all; and (v) the proper method  is not used to give the medication to the resident.  A medication error  does not include a resident's refusal of offered medication.
    "Mental retardation" ("intellectual  disability") means a disability originating before the age of 18 years  characterized concurrently by (i) significantly subaverage  intellectual  functioning as demonstrated by performance on a standardized measure of  intellectual functioning, administered in conformity with accepted professional  practice, that is at least two standard deviations below the mean; and (ii)  significant limitations in adaptive behavior as expressed as conceptual,  social, and practical adaptive skills (§ 37.2-100 of the Code of  Virginia). According to the American Association of Intellectual Disabilities  (AAID) definition, these impairments should be assessed in the context of the  individual's environment, considering cultural and linguistic diversity as well  as differences in communication, and sensory motor and behavioral factors.  Within an individual limitations often coexist with strengths. The purpose of  describing limitations is to develop a profile of needed supports. With personalized  supports over a sustained period, the functioning of an individual will  improve. In some organizations the term "intellectual disability" is  used instead of "mental retardation."
    "Neurobehavioral services" means the assessment,  evaluation, and treatment of cognitive, perceptual, behavioral, and other  impairments caused by brain injury, that affect an individual's ability to  function successfully in the community.
    "Objective" means expected short-term results or  conditions that must be met in order to attain a goal. Objectives are stated in  measurable, behavioral terms and have a specified time for achievement.
    "On-duty" means that period of time during which  a staff person is responsible for the supervision of one or more children.
    "On-site" means services that are delivered by  the provider and are an integrated part of the overall service delivery system.
    "Parent" means a natural or adoptive parent or  surrogate parent appointed pursuant to DOE's regulations governing special  education programs for students with disabilities." "Parent"  means either parent unless the facility has been provided documentation that  there is a legally binding instrument, a state law, or court order governing  such matters as divorce, separation, or custody, that provides to the contrary.
    "Pat down" means a thorough external body search  of a clothed resident.
    "Personal health information" means oral,  written, or otherwise recorded information that is created or received by an  entity relating to either an individual's physical or mental health or the  provision of or payment for health care to an individual.
    "Placement" means an activity by any person that  provides assistance to a parent or legal guardian in locating and effecting the  movement of a child to a foster home, adoptive home, or children's residential  facility.
    "Premises" means the tracts of land on which any  part of a residential facility for children is located and any buildings on  such tracts of land.  
    "Provider" means any person, entity, or  organization, excluding an agency of the federal government by whatever name or  designation, that delivers (i) residential services to children with mental  illness, mental retardation (intellectual disability), or substance abuse; or  (ii) residential services for persons with brain injury. 
    "Record" means up-to-date written or automated  information relating to one resident. This information includes social data,  agreements, all correspondence relating to the care of the resident, service  plans with periodic revisions, aftercare plans and discharge summary, and any  other data related to the resident.
    "Resident" means a person admitted to a  children's residential facility for supervision, care, training, or treatment  on a 24-hour per day basis.
    "Residential treatment program" means 24-hour,  supervised, medically necessary, out-of-home programs designed to provide  necessary support and address mental health, behavioral, substance abuse,  cognitive, or training needs of a child or adolescent in order to prevent or  minimize the need for more intensive inpatient treatment. Services include, but  shall not be limited to, assessment and evaluation, medical treatment  (including medication), individual and group counseling, neurobehavioral  services, and family therapy necessary to treat the child. The service provides  active treatment or training beginning at admission related to the resident's  principle diagnosis and admitting symptoms. These services do not include  interventions and activities designed only to meet the supportive nonmental health  special needs including, but not limited to, personal care, habilitation, or  academic educational needs of the resident.
    "Respite care facility" means a facility that is  specifically approved to provide short-term, periodic residential care to  children accepted into its program in order to give the parents or legal  guardians temporary relief from responsibility for their direct care.
    "Rest day" means a period of not less than 24  consecutive hours during which a staff person has no responsibility to perform  duties related to the facility.
    "Restraint" means the use of a mechanical  device, medication, physical intervention, or hands-on hold to prevent an  individual from moving his body to engage in a behavior that places him or  others at imminent risk.  There are three kinds of restraints: 
    1. Mechanical restraint means the use of a mechanical  device that cannot be removed by the individual to restrict the freedom of  movement or functioning of a limb or a portion of an individual's body when  that behavior places him or others at imminent risk.
    2. Pharmacological restraint means the use of a medication  that is administered involuntarily for the emergency control of an individual's  behavior when that individual's behavior places him or others at imminent risk and  the administered medication is not a standard treatment for the individual's  medical or psychiatric condition.
    3. Physical restraint, also referred to as manual hold,  means the use of a physical intervention or hands-on hold to prevent an  individual from moving his body when that individual's behavior places him or  others at imminent risk.
    "Routine admission" means the admittance of a  child following evaluation of an application for admission and execution of a  written placement agreement.
    "Rules of conduct" means a listing of a  facility's rules or regulations that is maintained to inform residents and  others about behaviors that are not permitted and the consequences applied when  the behaviors occur.
    "Sanitizing agent" means any substance approved  by the Environmental Protection Agency to destroy bacteria. 
    "Seclusion" means the involuntary placement of  an individual alone in an area secured by a door that is locked or held shut by  a staff person by physically blocking the door, or by any other physical or  verbal means so that the individual cannot leave it. 
    "Self-admission" means the admittance of a child  who seeks admission to a temporary care facility as permitted by Virginia  statutory law without completing the requirements for "routine  admission."
    "Serious incident" means: 
    1. Any accident or injury requiring medical attention by a  physician; 
    2. Any illness that requires hospitalization; 
    3. Any overnight absence from the facility without  permission; 
    4. Any runaway; or 
    5. Any event that affects, or potentially may affect, the  health, safety or welfare of any resident being served by the provider. 
    "Serious injury" means any injury resulting in  bodily hurt, damage, harm, or loss that requires medical attention by a  licensed physician. 
    "Service" or "services" means planned  individualized interventions intended to reduce or ameliorate mental illness,  mental retardation (intellectual disability), or substance  abuse through  care, treatment, training, habilitation, or other supports that are delivered by  a provider to individuals with mental illness, mental retardation (intellectual  disability), or substance abuse. Services include residential services,  including those for persons with brain injury.
    "Severe weather" means extreme environment or  climate conditions that pose a threat to the health, safety, or welfare of  residents.
    "Social skills training" means activities aimed  at developing and maintaining interpersonal skills.
    "Strategies" means a series of steps and methods  used to meet goals and objectives.
    "Strip search" means a visual inspection of the  body of a resident when that resident's outer clothing or total clothing is  removed and an inspection of the removed clothing. Strip searches are conducted  for the detection of contraband.
    "Structured program of care" means a  comprehensive planned daily routine including appropriate supervision that  meets the needs of each resident both individually and as a group.
    "Student/intern" means an individual who  simultaneously is affiliated with an educational institution and a residential  facility. Every student/intern who is not an employee is either a volunteer or  contractual service provider depending upon the relationship among the  student/intern, educational institution, and facility.
    "Substantial compliance" means that while there  may be noncompliance with one or more regulations that represents minimal risk,  compliance clearly and obviously exists with most of the regulations as a  whole. 
    "Systemic deficiency" means violations  documented by the department that demonstrate defects in the overall operation  of the facility or one or more of its components.
    "Target population" means individuals with a  similar, specified characteristic or disability.
    "Temporary contract worker" means an individual  who is not a direct salaried employee of the provider but is employed by a  third party and is not a consistently scheduled staff member. 
    "Therapy" means provision of direct diagnostic,  preventive, and treatment services where functioning is threatened or affected  by social and psychological stress or health impairment.
    "Time out" means the involuntary removal of a  resident by a staff person from a source of reinforcement to a different open  location for a specified period of time or until the problem behavior has  subsided to discontinue or reduce the frequency of problematic behavior. 
    "Treatment" means individually planned, sound,  and therapeutic interventions that are intended to improve or maintain  functioning of an individual receiving services in those areas that show  impairment as the result of mental disability, substance addiction, or physical  impairment. In order to be considered sound and therapeutic, the treatment must  conform to current acceptable professional practice.
    "Variance" means temporary or permanent waiver  of compliance with a regulation or portion of a regulation, or permission to  meet the intent of the regulation by a method other than that specified in the  regulation, when the department, in its sole discretion, determines (i)  enforcement will create an undue hardship and (ii) resident care will not be  adversely affected. 
    "Volunteers" means any individual or group who  of their own free will, and without any financial gain, provides goods and  services to the program without compensation.
    12VAC35-46-20. Service description and applications;  required elements.
    A. In order to determine whether an applicant is subject  to these regulations, the applicant must submit a service description  initially.
    B. Each provider shall have a written service description  that accurately describes its structured program of care and treatment  consistent with the treatment, habilitation, or training needs of the  residential population it serves. Service description elements shall include: 
    1. The mental health, substance abuse, mental retardation,  or brain injury population it intends to serve; 
    2. The mental health, substance abuse, mental retardation,  or brain injury interventions it will provide; 
    3. Provider goals; 
    4. Services provided; and 
    5. Contract services, if any. 
    C.  The provider shall develop, implement, review,  and revise its services according to the provider's mission and shall have that  information available for public review. 
    D. Initial applications,
    1. A completed application includes, but is not limited to,  an initial application form; proposed working budget for the year showing  projected revenue and expenses for the first year of operation and a balance  sheet showing assets and liabilities; evidence of financial resources or a line  of credit sufficient to cover estimated operating expenses for 90 days unless  the facility is operated by a state or local government agency, board, or  commission; a service description; a proposed staffing/supervision plan  including the staff information sheet; copies of all job descriptions; evidence  of the applicant's authority to conduct business in Virginia; a copy of the  floor plan with dimensions of rooms; a certificate of occupancy; current health  inspection; evidence of consultation with state or local fire prevention  authorities; a list of board members, if applicable; three references for the  applicant; and, if required by the department, references for three officers of  the board if applicable. This information shall be submitted to and  approved by the department in order for the application to be considered  complete.
    2. All initial applications that are not complete within 12  months shall be closed.
    3. Facilities operated by state or local government  agencies, boards, and commissions shall submit evidence of sufficient funds to  operate including a working budget showing appropriated revenue and projected  expenses for the coming year.
    4. Currently licensed providers shall demonstrate that  they are operating in substantial compliance with applicable regulations before  new facilities operated by the same provider will be licensed.
    E. Renewal applications. A completed application for  renewal of a facility's license shall be submitted within 30 days after being  notified to submit a renewal application.
    12VAC35-46-30. The investigation.
    The department shall arrange and conduct an on-site  inspection of the facility and a thorough review of the services and an  investigation of the character, reputation, status, and responsibility of the  applicant. 
    12VAC35-46-40. Review of facilities.
    A. Representatives of the department shall make announced  and unannounced reviews during the effective dates of the license. The purpose  of these reviews is to monitor compliance with applicable regulations.
    B. Representatives of the department shall notify relevant  local governments and placing and funding agencies, including the Office of  Comprehensive Services, of multiple health and safety or human rights  violations in children's residential facilities when such violations result in  the lowering of the license to provisional status.
    12VAC35-46-50. Posting of information.
    A. Information concerning the application for initial  licensure of children's residential facilities shall be posted to the department's  website by locality.
    B. An accurate listing of all licensed facilities  including information on renewal, denial, or provisional licensure, and  services shall be posted on the department's website by locality.
    12VAC35-46-60. General requirements.
    A. The provider shall demonstrate substantial compliance  with these regulations to demonstrate that its program and physical plant  provide reasonably safe and adequate care while approved plans of action to  correct findings of noncompliance are being implemented and there are no  noncompliances that pose an immediate and direct danger to residents.
    B. Corporations sponsoring residential facilities for  children shall maintain their corporate status in accordance with Virginia law.  
    C. The provider shall comply with the terms of its  license.
    D. A license is not transferable and automatically expires  when there is a change of ownership or sponsorship. 
    E. The current license shall be posted at all times in a  place conspicuous to the public.
    F. A license shall not be issued to a facility when  noncompliance poses an immediate danger to a resident's life, health, or  safety.
    G. Intermediate sanctions authorized by statute may be  imposed at the discretion of the department.
    H. Each provider shall self-report to the department  within 10 days lawsuits against or settlements with residential facility  operators relating to the health and safety or human rights of residents and  any criminal charges against staff that may have been made relating to the  health and safety or human rights of residents.
    I. The provider shall comply with all other applicable  federal, state, or local laws and regulations.
    J. The provider's current policy and procedure manual  shall be readily accessible to all staff.
    K. Providers shall not engage in willful action or gross  negligence that jeopardizes the care or protection of residents.
    L. Providers shall not engage in conduct or practices that  are in violation of statutes related to abuse or neglect of children.
    M. Providers shall not deviate significantly from the  program or services for which a license was issued without obtaining prior  written approval from the department.
    N. Providers shall not make false statements on the  application for licensure or misrepresent facts in the application process.
    12VAC35-46-70. Resident's rights.
    Each provider shall guarantee resident rights as outlined  in § 37.2-400 of the Code of Virginia and in the Rules and  Regulations to Assure the Rights of Individuals Receiving Services from  Providers Licensed, Funded, or Operated by the Department of Mental Health,  Mental Retardation and Substance Abuse Services (12VAC35-115).
    12VAC35-46-80. Written corrective action plans.
    A. If there is noncompliance with applicable regulations  during an initial or ongoing review or investigation, the department shall  issue a licensing report describing the noncompliance and requesting the  provider to submit a corrective action plan.
    B. The provider shall submit to the department and  implement a written corrective action plan for each regulation for which the  provider is found to be in noncompliance.
    C. The corrective action plan shall include a:
    1. Description of each corrective action to be taken to  correct the noncompliance and to prevent reoccurrence in the future and the  person responsible for implementation;
    2. Date of completion for each action; and
    3. Signature of the person responsible for oversight of the  implementation of the pledged corrective action.
    D. The provider shall submit the corrective action plan to  the department within 15 business days of the issuance of the licensing report.  Extensions may be granted by the department when requested prior to the due  date, but extensions shall not exceed an additional 10 business days. An  immediate corrective action plan shall be required if the department determines  that the violations pose a threat to the health, safety, or welfare of  residents.
    E. A corrective action plan shall be approved by the  department. The provider shall have an additional 10 business days to submit a  revised corrective action plan after receiving a notice that the plan submitted  has not been approved. 
    12VAC35-46-90. Licenses.
    A. A conditional license shall be issued to a new provider  that demonstrates compliance with administrative and policy requirements but  has not demonstrated compliance with all of these regulations. A conditional  license shall not exceed six months, but may be renewed, not to exceed 12  successive months for all conditional licenses and renewals combined. 
    B. A provisional license may be issued to a provider that  has demonstrated an inability to maintain compliance with these regulations or  other applicable regulations, has violations of licensing regulations that pose  a threat to the health or safety of residents being served, or has two or more  systemic deficiencies.
    1. A provisional license may be issued at any time.
    2. The term of a provisional license may not exceed six  months unless allowed by the Code of Virginia.
    3. A provisional license may be renewed, but a provisional  license and any renewals shall not exceed 12 successive months for all  provisional licenses and renewals combined.
    C. An annual license: 
    1. Shall be issued when the provider applies for renewal  while holding a conditional or provisional license or certificate and  substantially meets or exceeds the requirements of these regulations and other  regulations and statutes.
    2. May be issued at any time if the provider has received  one systemic deficiency.
    3. May be renewed, but an annual license or certificate and  any renewals thereof shall not exceed a period of 36 successive months for all  annual licenses and renewals combined.
    D. A triennial license shall be issued when the provider:
    1. Applies for renewal while holding an annual or triennial  license; and
    2. Substantially meets or exceeds the requirements of these  regulations and other applicable regulations and statutes.
    E. The term of a facility's license may be modified at any  time during the licensure period based on a change in the facility's compliance  with these regulations and other applicable statutes and regulations.
    12VAC35-46-100. Application fees.
    A. There shall be a $500 nonrefundable initial application  fee. If the application is closed, denied, or withdrawn all subsequent initial  applications shall require another $500 fee.
    B. There shall be a $100 nonrefundable renewal application  fee.
    C. A renewal fee shall not be charged to providers  directly following the issuance of a conditional license.
    D. The application fee shall not apply to state or local  government-owned, operated, or contracted facilities.
    E. Application fees shall be used for the development and  delivery of training for providers and staff of children's residential  facilities and regulators of these facilities.
    12VAC35-46-110. Modification.
    A. The conditions of a license may be modified during the  term of the license with respect to the capacity, residents' age range,  facility location, residents' gender, or changes in the services. Limited  modifications may be approved during the conditional licensure period.
    B. The provider shall submit a written report of any  contemplated changes in operation that would affect the terms of the license or  the continuing eligibility for licensure to the department.
    C. A change shall not be implemented prior to approval by  the department. The provider shall be notified in writing within 60 days  following receipt of the request as to whether the modification is approved or  a new license is required.
    12VAC35-46-120. Denial.
    A. An application for licensure may be denied when the  applicant:
    1. Violates any provision of applicable laws or regulations  made pursuant to such laws;
    2. Has a founded disposition of child abuse or neglect  after the appeal process has been completed;
    3. Has been convicted of a crime listed in § 37.2-416 or 63.2-1726 of the Code of Virginia;
    4. Has made false statements on the application or  misrepresentation of facts in the application process;
    5. Has not demonstrated good character and reputation as  determined through references, background investigations, driving records, and  other application materials; 
    6. Has a history of adverse licensing actions or sanctions;
    7. Permits, aids, or abets in the commission of an illegal  act in services delivered by the provider; or
    8. Engages in conduct or practices detrimental to the  welfare of any individual receiving services from the provider.
    B. If denial of a license is recommended, the facility  shall be notified in writing of the deficiencies, the proposed action, the  right to appeal, and the appeal process.
    12VAC35-46-130. Revocation.
    A. A license may be revoked when the provider:
    1. Violates any provision of applicable laws or  regulations;
    2. Engages in conduct or practices that are in violation of  statutes related to abuse or neglect of children;
    3. Deviates significantly from the program or services for  which a license was issued without obtaining prior written approval from the  department or fails to correct such deviations within the specified time; 
    4. Permits, aids, or abets the commission of an illegal act  in services delivered by the provider; or 
    5.  Engages in conduct or practices detrimental to the  welfare of any individual receiving services.
    B. If revocation of a license is recommended, the facility  shall be notified in writing of the deficiencies, the proposed action, the  right to appeal, and the appeal process.
    12VAC35-46-140. Summary suspension.
    A. In conjunction with any proceeding for revocation,  denial, or other action, when conditions or practices exist that pose an  immediate and substantial threat to the health, safety, and welfare of the  residents, the commissioner may issue an order of summary suspension of the  license to operate a children's residential facility when he believes the  operation of the facility should be suspended during the pendency of such  proceeding.
    B. Prior to the issuance of an order of summary  suspension, the department shall contact the Executive Secretary of the Supreme  Court of Virginia to obtain the name of a hearing officer. The department shall  schedule the time, date, and location of the administrative hearing with the  hearing officer.
    C. The order of summary suspension shall take effect upon  its issuance. It shall be delivered by personal service and certified mail,  return receipt requested, to the address of record of the facility as soon as  practicable. The order shall set forth:
    1. The time, date, and location of the hearing;
    2. The procedures for the hearing;
    3. The hearing and appeal rights; and
    4. Facts and evidence that formed the basis for the order of  summary suspension.
    D. The hearing shall take place within three business days  of the issuance of the order of summary suspension.
    E. The department shall have the burden of proving in any  summary suspension hearing that it had reasonable grounds to require the  facility to cease operations during the pendency of the concurrent revocation,  denial, or other proceeding.
    F. The administrative hearing officer shall provide  written findings and conclusions, together with a recommendation as to whether  the license should be summarily suspended, to the commissioner within five  business days of the hearing.
    G. The commissioner shall issue a final order of summary  suspension or make a determination that the summary suspension is not warranted  based on the facts presented and the recommendation of the hearing officer  within seven business days of receiving the recommendation of the hearing  officer.
    H. The commissioner shall issue and serve on the  children's residential facility or its designee by personal service or by  certified mail, return receipt requested, either:
    1. A final order of summary suspension including (i) the  basis for accepting or rejecting the hearing officer's recommendations and (ii)  notice that the children's residential facility may appeal the commissioner's  decision to the appropriate circuit court no later than 10 days following  issuance of the order; or
    2. Notification that the summary suspension is not  warranted by the facts and circumstances presented and that the order of  summary suspension is rescinded.
    I. The facility may appeal the commissioner's decision on  the summary suspension to the appropriate circuit court no more than 10 days  after issuance of the final order.
    J. The outcome of concurrent revocation, denial, and other  proceedings shall not be affected by the outcome of any hearing pertaining to  the appropriateness of the order of summary suspension.
    K. At the time of the issuance of the order of summary  suspension, the department shall contact the appropriate agencies to inform  them of the action and the need to develop relocation plans for residents, and  ensure that parents and guardians are informed of the pending action.
    12VAC35-46-150. Variances.
    A. Any request for a variance shall be submitted in  writing to the department and shall include:
    1. Justification why enforcement of the regulation would  create an undue hardship; 
    2. How the facility can comply with the intent of the  regulation; and
    3. Justification why resident care would not be adversely  affected if the variance was granted.
    B. A variance shall not be implemented prior to approval  of the department. 
    12VAC35-46-160. Investigation of complaints and allegations.
    The department is responsible for complete and prompt  investigation of all complaints and allegations made against providers, and for  notification of the appropriate persons or agencies when removal of residents  may be necessary. Suspected criminal violations shall be reported to the  appropriate law-enforcement authority. 
    Part II
  Administration
    12VAC35-46-170. Governing body.
    A. The provider shall clearly identify the corporation,  association, partnership, individual, or public agency that is the licensee.
    B. The provider shall clearly identify any governing  board, body, entity, or person to whom it delegates the legal responsibilities  and duties of the provider.
    12VAC35-46-180. Responsibilities of the provider.
    A. The provider shall appoint a qualified chief  administrative officer to whom it delegates, in writing, the authority and  responsibility for administrative direction of the facility.
    B. The provider shall develop and implement a written  decision-making plan that shall provide for a staff person with the  qualifications of the chief administrative officer or program director to be  designated to assume the temporary responsibility for the operation of the  facility. Each plan shall include an organizational chart.
    C. The provider shall develop a written statement of the  objectives of the facility including a description of the target population and  the programs to be offered.
    D. The provider shall develop and implement written  policies and procedures to monitor and evaluate service quality and  effectiveness on a systematic and on-going basis. The provider shall implement  improvements when indicated.
    12VAC35-46-190. Fiscal accountability.
    A. Facilities operated by corporations, unincorporated  organizations or associations, individuals, or partnerships shall prepare at  the end of each fiscal year:
    1. An operating statement showing revenue and expenses for  the fiscal year just ended;
    2. A working budget showing projected revenue and expenses  for the next fiscal year that gives evidence that there are sufficient funds to  operate; and
    3. A balance sheet showing assets and liabilities for the  fiscal year just ended.
    B. There shall be a system of financial recordkeeping that  shows a separation of the facility's accounts from all other records.
    C. The provider shall develop and implement written  policies and procedures that address the day-to-day handling of facility funds  to include:
    1. Handling of deposits;
    2. Writing of checks; and
    3. Handling of petty cash.
    12VAC35-46-200. Insurance.
    A. The provider shall maintain liability insurance  covering the premises and the facility's operations.
    B. The provider shall provide documentation that all  vehicles used to transport residents are insured, including vehicles owned by  staff.
    C. The members of the governing body and staff who have  been authorized to handle the facility's or residents' funds shall be bonded or  otherwise indemnified against employee dishonesty.
    12VAC35-46-210. Fundraising.
    The provider shall not use residents in its fundraising  activities without written permission of the legal guardian and the permission  of residents 14 years or older.
    12VAC35-46-220. Weapons.
    The provider shall develop and implement written policies  and procedures governing the possession and use of firearms, pellet guns, air  guns, and other weapons on the facility's premises and during facility-related  activities. The policy shall provide that no firearms, pellet guns, air guns,  or other weapons shall be permitted on the premises or at facility-sponsored activities  unless the weapons are:
    1. In the possession of licensed security personnel or  law-enforcement officers;
    2. Kept securely under lock and key; or
    3. Used by a resident with the legal guardian's permission  under the supervision of a responsible adult in accord with policies and  procedures developed by the facility for the weapons' lawful and safe use.
    12VAC35-46-230. Relationship to the department.
    A. The provider shall submit or make available to the  department such reports and information as the department may require to  establish compliance with these regulations and other applicable regulations  and statutes.
    B. The governing body or its official representative shall  notify the department within five working days of any change in administrative structure  or newly hired chief administrative officer or program director.
    12VAC35-46-240. Facilities serving persons over the age of  17 years.
    Facilities that are approved to serve persons over the age  of 17 years shall comply with these regulations for all occupants regardless of  age, except when it is determined by the department that housing, programs,  services, and supervision for such persons are provided separately from those  for the other residents.
    12VAC35-46-250. Health information.
    A. Health information required by this section shall be  maintained for each staff member and for each individual who resides in a  building occupied by residents, including each person who is not a staff member  or resident of the facility. Health information shall be handled, maintained,  and stored in a fashion that maintains confidentiality of the information at  all times.
    B. Tuberculosis evaluation.
    1. At the time of hire or residency at the facility, each  individual shall submit the results of a screening assessment documenting the  absence of tuberculosis in a communicable form as evidenced by the completion  of a form containing, at a minimum, the elements of a current screening form  published by the Virginia Department of Health. The screening assessment shall  be no older than 30 days.
    2. Each individual shall annually submit the results of a  screening assessment, documenting that the individual is free of tuberculosis  in a communicable form as evidenced by the completion of a form containing, at  a minimum, the elements of a current screening form published by the Virginia  Department of Health.
    12VAC35-46-260. Physical or mental health of personnel.
    A. The provider or the department may require a report of  examination by a licensed physician or mental health professional when there  are indications that an individual's physical, mental, or emotional health may  jeopardize the care of residents.
    B. An individual who is determined by a licensed physician  or mental health professional to show an indication of a physical or mental  condition that may jeopardize the safety of residents or that would prevent the  performance of duties shall be removed immediately from contact with residents  and food served to residents until the condition is cleared as evidenced by a  signed statement from the physician or mental health professional.
    12VAC35-46-270. Qualifications.
    A. Regulations establishing minimum position  qualifications shall be applicable to all providers. In lieu of the minimum  position qualifications contained in this chapter, providers subject to (i) the  rules and regulations of the Virginia Department of Human Resource Management  or (ii) the rules and regulations of a local government personnel office may  develop written minimum entry-level qualifications in accord with the rules and  regulations of the supervising personnel authority.
    B. A person who assumes or is designated to assume the  responsibilities of a position or any combination of positions described in  these regulations after December 28, 2007, shall:
    1. Meet the qualifications of the position or positions;
    2. Fully comply with all applicable regulations for each  function; and
    3. Demonstrate a working knowledge of the policies and  procedures that are applicable to his specific position or positions.
    C. When services or consultations are obtained on a  contractual basis they shall be provided by professionally qualified personnel.
    12VAC35-46-280. Job descriptions.
    A. There shall be a written job description for each  position that, at a minimum, includes the:
    1. Job title;
    2. Duties and responsibilities of the incumbent;
    3. Job title of the immediate supervisor; and 
    4. Minimum education, experience, knowledge, skills, and  abilities required for entry-level performance of the job.
    B. A copy of the job description shall be given to each  person assigned to a position at the time of employment or assignment.
    12VAC35-46-290. Written personnel policies and procedures.
    A. The provider shall have and implement provider approved  written personnel policies and make its written personnel policies readily  accessible to each staff member.
    B. The provider shall develop and implement written  policies and procedures to assure that persons employed in or designated to  assume the responsibilities of each position possess the education, experience,  knowledge, skills, and abilities specified in the job description for the  position.
    12VAC35-46-300. Personnel records.
    A. Separate up-to-date written or automated personnel  records shall be maintained for each employee, student/intern, volunteer, and  contractual service provider for whom background investigations are required by  Virginia statute. Content of personnel records of volunteers, students/interns,  and contractual service providers may be limited to documentation of compliance  with requirements of Virginia laws regarding child protective services and  criminal history background investigations.
    B. The records of each employee shall include:
    1. A completed employment application form or other written  material providing the individual's name, address, phone number, and social  security number or other unique identifier;
    2. Educational background and employment history;
    3. Written references or notations of oral references;
    4. Reports of required health examinations;
    5. Annual performance evaluations;
    6. Date of employment for each position held and  separation; 
    7. Documentation of compliance with requirements of  Virginia laws regarding child protective services and criminal history  background investigations;
    8. Documentation of educational degrees and of professional  certification or licensure; 
    9. Documentation of all training required by these  regulations and any other training received by individual staff; and
    10. A current job description.
    C. Personnel records, including separate health records,  shall be retained in their entirety for at least three years after separation  from employment, contractual service, student/intern, or volunteer service.
    12VAC35-46-310. Staff development.
    A. Required initial training.
    1. Within seven days following their begin date, each staff  member responsible for supervision of children shall receive basic orientation  to the facility's behavior intervention policies, procedures, and techniques  regarding less restrictive interventions, timeout, and physical restraint. 
    2. Within 14 days following an individual's begin date, and  before an individual is alone supervising children, the provider shall  conduct emergency preparedness and response training that shall include:
    a. Alerting emergency personnel and sounding alarms;
    b. Implementing evacuation procedures, including evacuation  of residents with special needs (i.e., deaf, blind, nonambulatory);
    c. Using, maintaining, and operating emergency equipment;
    d. Accessing emergency information for residents including  medical information; and 
    e. Utilizing community support services.
    3. Within 14 days following their begin date, new employees,  employees transferring from other facilities operated by the same provider,  relief staff, volunteers, and students/interns shall be given orientation and  training regarding:
    a. The objectives of the facility; 
    b. Practices of confidentiality;
    c. The decision-making plan; 
    d. These regulations including the prohibited actions as  outlined in this regulation; and 
    e. Other policies and procedures that are applicable to  their positions, duties, and responsibilities.
    4. Within 30 days following their begin date, all staff  working with residents shall be enrolled in a standard first aid class and in a  cardiopulmonary resuscitation class facilitated by the American Red Cross or  other recognized authority, unless the individual is currently certified in  first aid and cardiopulmonary resuscitation.
    5. Within 30 days following their begin date, all staff  working with residents shall be trained in child abuse and neglect, mandatory  reporting, maintaining appropriate professional relationships, and interaction  among staff and residents, and suicide prevention.
    6. Within 30 days following their begin date, all staff  shall be trained on the facility's policies and procedures regarding standard  precautions.
    7. Within 30 days following their begin date, all staff  shall be trained on appropriate siting of children's residential facilities,  and good neighbor policies and community relations.
    8. Before administering medication, all staff responsible  for medication administration shall have successfully completed a medication  training program approved by the Board of Nursing or be licensed by the  Commonwealth of Virginia to administer medications. 
    9. All staff shall be trained in any area of quality  improvement as identified from the results of the quality improvement plan. 
    B. Required annual retraining.
    1. All employees, contractors, students/interns, and  volunteers shall complete an annual refresher emergency preparedness and  response training that shall include:
    a. Alerting emergency personnel and sounding alarms;
    b. Implementing evacuation procedures, including evacuation  of residents with special needs (i.e., deaf, blind, nonambulatory);
    c. Using, maintaining, and operating emergency equipment;
    d. Accessing emergency information for residents including  medical information; and
    e. Utilizing community support services.
    2. All staff who administer medication shall complete  annual refresher medication training.
    3. All child care staff shall receive annual retraining on  the provider's behavior supports and timeout policies and procedures.
    4. All staff working with residents shall receive annual  retraining in child abuse and neglect, mandatory reporting, maintaining  appropriate professional relationships, and interaction among staff and  residents, and suicide prevention.
    5. All staff shall receive annual retraining on the  provider's  policies and procedures regarding standard precautions.
    C. Each full-time staff person who works with residents  shall complete an additional 15 hours of annual training applicable to their  job duties. 
    D. Providers shall develop and implement written  policies and procedures to ensure that part-time staff receive training  applicable to their positions.
    E. Training provided shall be comprehensive and based on  the needs of the population served to ensure that staff have the competencies  to perform their jobs.
    12VAC35-46-320. Staff supervision.
    The provider shall develop and implement written policies  and procedures regarding the supervision of employees, volunteers, contractors,  and students/interns. These policies and procedures shall include:
    1. Type of supervision;
    2. Frequency of supervision; and
    3. How the supervision will be documented.
    12VAC35-46-330. The applicant.
    As a condition of initial licensure and, if appropriate,  license renewal, each applicant shall: 
    1. Provide documentation that they have been trained on  appropriate siting of children's residential facilities, and good neighbor  policies and community relations;
    2. Be interviewed in person by the department to determine  the qualifications of the owner or operator as set out in these regulations.  Should the applicant not be qualified to perform the duties of the chief  administrative officer, the applicant shall hire an individual with the  qualifications, as set out in these regulations, to perform the duties of the  chief administrative officer; and
    3. Provide evidence of having relevant prior experience.
    12VAC35-46-340. The chief administrative officer.
    A. The chief administrative officer shall have the  following responsibilities:
    1. Responsibility for compliance with these regulations and  other applicable regulations;
    2. Responsibility for all personnel;
    3. Responsibility for overseeing the facility operation in  its entirety, including the approval of the design of the structured program of  care and its implementation; and
    4. Responsibility for the facility's financial integrity.
    B. A chief administrative officer appointed after December  28, 2007, shall have at least:
    1. A master's degree in social work, psychology,  counseling, nursing, or administration and a combination of two years  professional experience working with children and in administration and  supervision; 
    2. A baccalaureate degree in social work, psychology,  counseling, nursing, or administration and three years of combined professional  experience with children, and in administration and supervision; or
    3. A baccalaureate degree and a combination of four years  professional experience in a children's residential facility and in  administration and supervision.
    C. Any applicant for the chief administrative officer  position shall submit the following to demonstrate compliance with the  qualifications required by this regulation for the chief administrative  officer:
    1. Official transcripts from the accredited college or  university of attendance within 30 days of hire; and
    2. Documentation of prior relevant experience.
    12VAC35-46-350. Program director.
    A. The facility's program shall be directed by one or more  qualified persons.
    B. Persons directing programs shall be responsible for the  development and implementation of the programs and services offered by the  facility, including overseeing assessments, service planning, staff scheduling,  and supervision.
    C. Persons directing programs of a facility licensed to  care for 13 or more residents shall be full-time, qualified staff members.
    D. A person appointed after December 28, 2007, to direct  programs shall have at least:
    1. A master's degree in social work, psychology,  counseling, or nursing and a combination of two years professional experience  with children in a children's residential facility and in administration or  supervision; 
    2. A baccalaureate degree in social work, psychology,  counseling, or nursing and a combination of three years professional experience  with children in a children's residential facility and in administration or  supervision; 
    3. A baccalaureate degree and a combination of four years  of professional experience with children in a children's residential facility  and in administration or supervision; or 
    4. A license issued by the Commonwealth of Virginia as a  drug or alcoholism counselor/worker if the facility's purpose is to treat drug  abuse or alcoholism.
    E. For services providing brain injury services, a person  appointed to direct programs shall have a master's degree in psychology, or be  a nurse licensed in Virginia, a rehabilitation professional licensed in  Virginia, or a Certified Brain Injury Specialist with at least one year of clinical  experience working with individuals with brain injury. Program directors who  hold a bachelor's degree in the field of institutional management, social work,  education, or other allied discipline shall have a minimum of two years of  experience working with individuals with brain injury.
    F. Any applicant for the program director position shall  submit the following to demonstrate compliance with the qualifications required  by this regulation for the program director:
    1. Official transcripts from the accredited college or  university of attendance within 30 days of hire; and
    2. Documentation of prior relevant experience.
    12VAC35-46-360. Case manager.
    A. Case managers shall have the responsibility for  coordination of all services offered to each resident.
    B. Case managers shall have:
    1. A master's degree in social work, psychology, or  counseling;
    2. A baccalaureate degree in social work or psychology with  documented field work experience and shall be supervised by the program  director or other staff employed by the provider with the same qualifications;  or
    3. A baccalaureate degree and three years of professional  experience working with children. 
    12VAC35-46-370. Child care supervisor.
    A. Child care supervisors shall have responsibility for  the:
    1. Development of the daily living program within each  child care unit; and
    2. Orientation, training, and supervision of direct care  workers.
    B. Child care supervisors shall have:
    1. A baccalaureate degree in social work or psychology and  two years of professional experience working with children one year of which  must have been in a residential facility for children; 
    2. A high school diploma or a General Education Development  Certificate (G.E.D.) and a minimum of five years professional experience  working with children with at least two years in a residential facility for  children; or
    3. A combination of education and experience working with  children as approved by the department.
    12VAC35-46-380. Child care staff.
    A. The child care worker shall have responsibility for guidance  and supervision of the children to whom he is assigned including:
    1. Overseeing physical care;
    2. Development of acceptable habits and attitudes;
    3. Management of resident behavior; and
    4. Helping to meet the goals and objectives of any required  individualized service plan. 
    B. A child care worker and a relief child care worker  shall:
    1. Have a baccalaureate degree in human services;
    2. Have an associates degree and three months experience  working with children; or
    3. Be a high school graduate or have a G.E.D. and have six  months of experience working with children.
    C. Child care staff with a high school diploma or G.E.D.  with no experience working with children may not work alone, but may be  employed as long as they are working directly with the chief administrative  officer, program director, case manager, child care supervisor, or a child care  worker with one or more years of professional experience working with children.  
    D. Child care staff in brain injury residential services  shall have two years experience working with children with disabilities.
    E. An individual hired, promoted, demoted, or transferred  to a child care worker's position after August 6, 2009, shall be at least 21  years old, except as provided in 12VAC35-46-270 A.
    F. The provider shall not be dependent on temporary  contract workers to provide resident care.
    12VAC35-46-390. Relief staff.
    Qualified relief staff shall be employed as necessary to  meet the needs of the programs and services offered and to maintain a  structured program of care in accordance with these regulations.
    12VAC35-46-395. Additional requirements for residential  facilities for individuals with brain injury.
    The provider of brain injury services shall employ or  contract with a neuropsychologist or licensed clinical psychologist  specializing in brain injury to assist, as appropriate, with initial  assessments, development of individualized service plans, crises, staff  training, and service design.
    12VAC35-46-400. Volunteers and student/interns.
    A. A facility that uses volunteers or students/interns  shall develop and implement written policies and procedures governing their  selection and use.
    B. The facility shall not be dependent upon volunteers or  students/interns to provide basic services.
    C. Responsibilities of volunteers and students/interns  shall be clearly defined in writing.
    D. Volunteers and students/interns shall have  qualifications appropriate to the services they render.
    12VAC35-46-410. Support functions.
    A. Child care workers and other staff responsible for  child care may assume the duties of nonchild care personnel only when these  duties do not interfere with their child care responsibilities.
    B. Residents shall not be solely responsible for support  functions including, but not necessarily limited to, food service, maintenance  of building and grounds, and housekeeping.
    Part III
  Residential Environment
    12VAC35-46-420. Buildings, inspections and building plans.
    A. All buildings and building related equipment shall be  inspected and approved by the local building official. Approval shall be  documented by a certificate of occupancy.
    B. The facility shall document at the time of its original  application evidence of consultation with state or local fire prevention  authorities.
    C. The facility shall document annually after the initial  application that buildings and equipment are maintained in accordance with the  Virginia Statewide Fire Prevention Code (13VAC5-51).
    D. At the time of the original application and at least  annually thereafter the buildings shall be inspected and approved by state or  local health authorities, whose inspection and approval shall include:
    1. General sanitation;
    2. The sewage disposal system;
    3. The water supply; and
    4. Food service operations.
    E. The buildings and physical environment shall provide  adequate space and shall be of a design that is suitable to house the programs  and services provided and meet specialized needs of the residents.
    F. Building plans and specifications for new construction,  change in use of existing buildings, and any structural modifications or  additions to existing buildings shall be submitted to and approved by the  department and by other appropriate regulatory authorities.
    G. Swimming pools shall be inspected annually by the state  or local health authorities or by a swimming pool business.
    12VAC35-46-430. Heating systems, ventilation, and cooling  systems.
    A. Heat shall be evenly distributed in all rooms occupied  by the residents such that a temperature no less than 68°F is maintained,  unless otherwise mandated by state or federal authorities.
    B. Natural or mechanical ventilation to the outside shall  be provided in all rooms used by residents.
    C. Air conditioning or mechanical ventilating systems,  such as electric fans, shall be provided in all rooms occupied by residents  when the temperature in those rooms exceeds 80°F.
    12VAC35-46-440. Lighting.
    A. Artificial lighting shall be by electricity.
    B. All areas within buildings shall be lighted for safety  and the lighting shall be sufficient for the activities being performed.
    C. Lighting in halls shall be adequate and shall be  continuous at night.
    D. Operable flashlights or battery-powered lanterns shall  be available for each staff member on the premises between dusk and dawn to use  in emergencies.
    E. Outside entrances and parking areas shall be lighted  for protection against injuries and intruders.
    12VAC35-46-450. Plumbing.
    A. Plumbing shall be maintained in good operational  condition.
    B. An adequate supply of hot and cold running water shall  be available at all times.
    C. Precautions shall be taken to prevent scalding from  running water. Water temperatures shall be maintained between 100°F and 120°F.
    12VAC35-46-460. Toilet facilities.
    A. There shall be at least one toilet, one hand basin, and  one shower or bathtub in each living unit.
    B. There shall be at least one bathroom equipped with a  bathtub in each facility.
    C. There shall be at least one toilet, one hand basin, and  one shower or tub for every eight residents for facilities licensed before July  1, 1981.
    D. There shall be one toilet, one hand basin, and one  shower or tub for every four residents in any building constructed or  structurally modified after July 1, 1981, except secure custody facilities.  Facilities licensed after December 28, 2007, shall comply with the one-to-four  ratio.
    E. The maximum number of staff members on duty in the living  unit shall be counted in determining the required number of toilets and hand  basins when a separate bathroom is not provided for staff.
    12VAC35-46-470. Personal necessities.
    A. An adequate supply of personal necessities shall be  available to the residents at all times for purposes of personal hygiene and  grooming.
    B. Clean, individual washcloths and towels shall be in  good repair and available once each week and more often if needed.
    C. When residents are incontinent or not toilet trained:
    1. Provision shall be made for sponging, diapering, or  other similar care on a nonabsorbent changing surface that shall be cleaned  with warm soapy water after each use.
    2. A covered diaper pail, or its equivalent, with leakproof  disposable liners shall be used to dispose of diapers. If both cloth and  disposable diapers are used, there shall be a diaper pail for each.
    3. Adapter seats and toilet chairs shall be cleaned  immediately after each use with appropriate cleaning materials.
    4. Staff shall thoroughly wash their hands with warm soapy  water immediately after assisting a child or themselves with toileting.
    5. Appropriate privacy, confidentiality, and dignity shall  be maintained for residents during toileting and diapering.
    12VAC35-46-480. Sleeping areas.
    A. When residents are four years of age or older, boys and  girls shall have separate sleeping areas.
    B. No more than four children shall share a bedroom  or sleeping area.
    C. Children who use wheelchairs, crutches, canes, or other  mechanical devices for assistance in walking shall be provided with a planned,  personalized means of effective egress for use in emergencies.
    D. Beds shall be at least three feet apart at the head,  foot, and sides and double-decker beds shall be at least five feet apart at the  head, foot, and sides.
    E. Sleeping quarters in facilities established,  constructed, or structurally modified after July 1, 1981, shall have:
    1. At least 80 square feet of floor area in a bedroom  accommodating one person;
    2. At least 60 square feet of floor area per person in  rooms accommodating two or more persons; and
    3. Ceilings with a primary height of at least 7-1/2 feet  exclusive of protrusions, duct work, or dormers.
    F. Each child shall have a separate, clean, comfortable  bed equipped with a clean mattress, clean pillow, clean blankets, clean bed  linens, and, if needed, a clean waterproof mattress cover.
    G. Bed linens shall be changed at least every seven days  and more often if needed.
    H. Mattresses shall be fire retardant as evidenced by  documentation from the manufacturer except in buildings equipped with an  automated sprinkler system as required by the Virginia Uniform Statewide  Building Code (5VAC63).
    I. Cribs shall be provided for residents under two years  of age.
    J. Each resident shall be assigned drawer space and closet  space, or their equivalent, that is accessible to the sleeping area for storage  of clothing and personal belongings except in secure custody facilities.
    K. The environment of sleeping areas shall be conducive to  sleep and rest.
    12VAC35-46-490. Smoking prohibition.
    Smoking shall be prohibited in living areas and in areas  where residents participate in programs.
    12VAC35-46-500. Residents' privacy.
    A. When bathrooms are not designated for individual use:
    1. Each toilet shall be enclosed for privacy; and
    2. Bathtubs and showers shall provide visual privacy for  bathing by use of enclosures, curtains, or other appropriate means.
    B. Windows in bathrooms, sleeping areas, and dressing  areas shall provide for privacy.
    C. Every sleeping area shall have a door that may be  closed for privacy or quiet and this door shall be readily opened in case of  fire or other emergency. 
    D. Residents shall be provided privacy from routine sight  supervision by staff members of the opposite gender while bathing, dressing, or  conducting toileting activities. This section does not apply to medical  personnel performing medical procedures, staff providing assistance to infants,  or staff providing assistance to residents whose physical or mental  disabilities dictate the need for assistance with these activities as justified  in the resident's record.
    12VAC35-46-510. Audio and visual recordings.
    Each provider shall have written policies and procedures  regarding the photographing and audio or audio-video recordings of residents  approved by the Office of Human Rights that shall ensure and provide that:
    1. The written consent of the resident or the resident's  legal guardian shall be obtained before the resident is photographed or  recorded for research or provider publicity purposes.
    2. No photographing or recording by provider staff shall  take place without the resident or the resident's family or legal guardian  being informed.
    3. All photographs and recordings shall be used in a manner  that respects the dignity and confidentiality of the resident.
    12VAC35-46-520. Living rooms and indoor recreation space.
    A. Each living unit shall have a living room, or other  area for informal use, relaxation, and entertainment. The furnishings shall  provide a comfortable, homelike environment that is appropriate to the ages of  the residents.
    B. All facilities shall have indoor recreation space that  contains indoor recreation materials appropriate to the ages and interests of  the residents. 
    C. Facilities licensed to care for 13 or more residents  shall have indoor recreation space distinct from the living room.  Recreation space is not required in every living unit.
    12VAC35-46-530. Study space.
    A. Facilities serving a school-age population shall  provide study space. Study space may be assigned in areas used interchangeably  for other purposes.
    B. Study space shall be well lighted, quiet, and equipped  with tables or desks and chairs.
    12VAC35-46-540. Kitchen and dining areas.
    A. Meals shall be served in areas equipped with sturdy  tables and benches or chairs that are size and age appropriate for the  residents.
    B. Adequate kitchen facilities and equipment shall be  provided for preparation and serving of meals.
    C. Walk-in refrigerators, freezers, and other enclosures  shall be equipped to permit emergency exits.
    12VAC35-46-550. Laundry areas.
    Appropriate space and equipment in good repair shall be  provided if laundry is done at the facility.
    12VAC35-46-560. Storage.
    Space shall be provided for safe storage of items such as  first aid equipment, household supplies, recreational equipment, luggage,  out-of-season clothing, and other materials.
    12VAC35-46-570. Staff quarters.
    A. A separate, private bedroom shall be provided for staff  and their families when a staff member is on duty for 24 consecutive hours or  more.
    B. A separate private bathroom shall be provided for staff  and their families when there are more than four persons in the living unit and  the staff person is on duty for 24 consecutive hours or more.
    C. Staff and members of their families shall not share  bedrooms with residents.
    12VAC35-46-580. Office space.
    Space shall be provided for administrative activities  including, as appropriate to the program, confidential conversations and  provision for storage of records and materials.
    12VAC35-46-590. Building and grounds.
    A. The facility's grounds shall be safe, properly  maintained, and free of clutter and rubbish. The grounds include, but are not  limited to, all areas where residents, staff, and visitors may reasonably be  expected to have access, including roads, pavements, parking lots, open areas,  stairways, railings, and potentially hazardous or dangerous areas.
    B. The interior and exterior of all buildings shall be  safe, properly maintained, clean, and in good working order. This includes, but  is not limited to, required locks, mechanical devices, indoor and outdoor  equipment, and furnishings.
    C. Outdoor recreation space shall be available and  appropriately equipped for the residents' use.
    12VAC35-46-600. Equipment and furnishings.
    A. All furnishings and equipment shall be safe, clean, and  suitable to the ages and number of residents.
    B. There shall be at least one continuously operable,  nonpay telephone accessible to staff in each building in which children sleep  or participate in programs.
    12VAC35-46-610. Housekeeping and maintenance.
    A. All buildings shall be well ventilated and free of  stale, musty, or foul odors.
    B. Adequate provision shall be made for the collection and  legal disposal of garbage and waste materials.
    C. Buildings shall be kept free of flies, roaches, rats,  and other vermin.
    D. A sanitizing agent shall be used in the laundering of  bed, bath, table, and kitchen linens.
    12VAC35-46-620. Farm and domestic animals.
    A. Horses and other animals maintained on the premises  shall be quartered at a reasonable distance from sleeping, living, eating and  food preparation areas, as well as a safe distance from water supplies. 
    B. Animals maintained on the premises shall be tested,  inoculated, and licensed as required by law.
    C. The premises shall be kept free of stray domestic  animals.
    D. Pets shall be provided with clean quarters and adequate  food and water.
    Part IV
  Programs and Services
    12VAC35-46-625. Minimum service requirements.
    A. The provider shall have and implement written policies  and procedures for the on-site provision of a structured program of care or  treatment of residents with mental illness, mental retardation, substance  abuse, or brain injury. The provision, intensity, and frequency of mental  health, mental retardation, substance abuse, or brain injury interventions  shall be based on the assessed needs of the resident. These interventions,  applicable to the population served, shall include, but are not limited to: 
    1. Individual counseling; 
    2. Group counseling; 
    3. Training in decision making, family and interpersonal  skills, problem solving, self-care, social, and independent living skills; 
    4. Training in functional skills; 
    5. Assistance with activities of daily living (ADL's); 
    6. Social skills training in therapeutic recreational  activities, e.g., anger management, leisure skills education and development,  and community integration; 
    7. Providing positive behavior supports; 
    8. Physical, occupational, and/or speech therapy; 
    9. Substance abuse education and counseling; and
    10.  Neurobehavioral services for individuals with  brain injury.
    B. Each provider shall have formal arrangements for the  evaluation, assessment, and treatment of the mental health or brain injury  needs of the resident. 
    C. The provider shall have and implement written policies  and procedures that address the provision of: 
    1. Psychiatric care; 
    2. Family therapy; and 
    3. Staffing appropriate to the needs and behaviors of the  residents served.
    12VAC35-46-630. Acceptance of children.
    Children shall be accepted only by court order or by  written placement agreement with legal guardians.
    12VAC35-46-640. Admission procedures.
    A. The facility shall have written criteria for admission  that shall include:
    1. A description of the population to be served; 
    2. A description of the types of services offered; 
    3. Intake and admission procedures;
    4. Exclusion criteria to define those behaviors or problems  that the facility does not have the staff with experience or training to  manage; and
    5. Description of how educational services will be provided  to the population being served.
    B. The facility shall accept and serve only those children  whose needs are compatible with the services provided through the facility  unless a child's admission is ordered by a court of competent jurisdiction.
    C. Acceptance of a child as eligible for respite care by a  facility approved to provide residential respite care is considered admission  to the facility. Each individual period of respite care is not considered a  separate admission.
    D. Each facility shall provide documentation showing proof  of contractual agreements or staff expertise to provide educational services,  counseling services, psychological services, medical services, or any other  services needed to serve the residents in accordance with the facility's  program description as defined by the facility's criteria of admission.
    12VAC35-46-650. Least restrictive programming.
    Each resident shall be placed in the least restrictive  level of programming appropriate to individual functioning and available  services. 
    12VAC35-46-660. Maintenance of residents' records.
    A. A separate written or automated case record shall be  maintained for each resident. In addition, all correspondence and documents  received by the facility relating to the care of that  resident shall be maintained as part of the case record. A separate  health record may be kept on each resident. 
    B. Each record shall be kept up to date and in a uniform  manner.
    C. The provider shall develop and implement written  policies and procedures for management of all records, written and automated,  that shall describe confidentiality, accessibility, security, and retention of  records pertaining to residents, including:
    1. Access, duplication, dissemination, and acquiring of  information only to persons legally authorized according to federal and state  laws;
    2. Facilities using automated records shall address  procedures that include:
    a. How records are protected from unauthorized access;
    b. How records are protected from unauthorized Internet  access;
    c. How records are protected from loss;
    d. How records are protected from unauthorized alteration;  and
    e. How records are backed up;
    3. Security measures to protect records from loss,  unauthorized alteration, inadvertent or unauthorized access, and disclosure of  information and during transportation of records between service sites;
    4. Designation of person responsible for records  management; and
    5. Disposition of records in the event the facility ceases  to operate.
    D. The policy shall specify what information is available  to the resident.
    E. Active and closed records shall be kept in areas that  are accessible to authorized staff and protected from unauthorized access,  fire, and flood.
    1. When not in use written records shall be stored in a  metal file cabinet or other metal compartment.
    2. Facility staff shall assure the confidentiality of the  residents'  records by placing them in a locked cabinet or drawer or in a  locked room when the staff member is not present.
    F. Each resident's written record shall be stored  separately subsequent to the resident's discharge according to applicable  statutes and regulations.
    G. Written and automated records shall be retained in  their entirety for a minimum of three years after the date of discharge unless  otherwise specified by state or federal requirements.
    H. The face sheet shall be retained permanently unless  otherwise specified by state or federal requirements.
    I. Entries in a resident's record shall be current, dated,  and authenticated by the person making the entry. Errors shall be corrected by  striking through and initialing. If records are electronic, the provider shall  develop and implement a policy and procedure to identify how corrections to the  record will be made. 
    12VAC35-46-670. Record reviews.
    Complete written policies and procedures for record  reviews shall be developed and implemented that shall evaluate records for  completeness, accuracy, and timeliness of documentation. Such policies shall  include provisions for ongoing review to determine whether records contain all  required service documentation, and release of information documents required  by the provider.
    12VAC35-46-680. Interstate compact on the placement of  children.
    A. Documentation of the prior approval of the administrator  of the Virginia Interstate Compact on the Placement of Children, Virginia  Department of Social Services, shall be retained in the record of each resident  admitted from outside Virginia. The requirements of this section shall not  apply to a facility providing documentation that the administrator of the  Virginia Interstate Compact has determined the facility is statutorily exempt  from the compact's provisions.
    B. Documentation that the provider has sent copies of all  serious incident reports regarding any child placed through the Interstate  Compact to the administrator of the Virginia Interstate Compact on the  Placement of Children shall be kept in the resident's record.
    C. No later than five days after a resident has been  transferred to another facility operated by the same sponsor, the resident's  record shall contain documentation that the administrator of the Virginia  Interstate Compact on the Placement of Children was notified in writing of the  resident's transfer.
    D. No later than 10 days after discharge, the resident's  record shall contain documentation that the administrator of the Virginia  Interstate Compact on the Placement of Children was notified in writing of the  discharge.
    E. The provider shall not discharge or send out-of-state  youth in the custody of out-of-state social services agencies and courts to  reside with a parent, relative, or other individual who lives in Virginia  without the approval of the administrator of the Virginia Interstate Compact on  the Placement of Children.
    12VAC35-46-690. Participation of residents in human  research.
    The provider shall:
    1. Implement a written policy stating that residents will  not be used as subjects of human research; or
    2. Document approval, as required by the department for  each research project using residents as subjects of human research, unless  such research is exempt from review.
    12VAC35-46-700. Emergency and self-admissions.
    Providers accepting emergency or self-admissions shall:
    1. Develop and implement written policies and procedures governing  such admissions that shall include procedures to make and document prompt  efforts to obtain (i) a written placement agreement signed by the legal  guardian or (ii) the order of a court of competent jurisdiction;
    2. Place in each resident's record the order of a court of  competent jurisdiction, a written request for care, or documentation of an oral  request for care; and justification of why the resident is to be admitted on an  emergency basis; and
    3. Clearly document in written assessment information  gathered for the emergency admission that the individual meets the facility's  criteria for admission.
    12VAC35-46-710. Application for admission.
    A. Admission shall be based on evaluation of an  application for admission. The requirements of this section do not apply to  court-ordered placements or transfer of a resident between residential  facilities located in Virginia and operated by the same sponsor.
    B. Providers shall develop, and fully complete prior to  acceptance for care, an application for admission that is designed to compile  information necessary to determine:
    1. The educational needs of the prospective resident;
    2. The mental health, emotional, and psychological needs of  the prospective resident;
    3. The physical health needs, including the immunization  needs, of the prospective resident;
    4. The protection needs of the prospective resident;
    5. The suitability of the prospective resident's admission;
    6. The behavior support needs of the prospective resident;
    7. Family history and relationships; 
    8. Social and development history;
    9. Current behavioral functioning and social competence;
    10. History of previous treatment for mental health, mental  retardation, substance abuse, brain injury, and behavior problems; and
    11. Medication and drug use profile, which shall include:
    a. History of prescription, nonprescription, and illicit  drugs that were taken over the six months prior to admission;
    b. Drug allergies, unusual and other adverse drug  reactions, and ineffective medications; and
    c. Information necessary to develop an individualized  service plan and a behavior support plan.
    C. The resident's record shall contain a completed  assessment at the time of a routine admission or within 30 days after an  emergency admission.
    D. Each facility shall develop and implement written  policies and procedures to assess each prospective resident as part of the  application process to ensure that:
    1. The needs of the prospective resident can be addressed  by the facility's services; 
    2. The facility's staff are trained to meet the prospective  resident's needs; and
    3. The admission of the prospective resident would not pose  any significant risk to (i) the prospective resident or (ii) the facility's  residents or staff.
    12VAC35-46-720. Written placement agreement.
    A. The facility, except a facility that accepts admission  only upon receipt of the order of a court of competent jurisdiction, shall  develop a written placement agreement that:
    1. Authorizes the resident's placement;
    2. Addresses acquisition of and consent for any medical  treatment needed by the resident;
    3. Addresses the rights and responsibilities of each party  involved;
    4. Addresses financial responsibility for the placement;
    5. Addresses visitation with the resident; and
    6. Addresses the education plan for the resident and the  responsibilities of all parties.
    B. Each resident's record shall contain, prior to a  routine admission, a completed placement agreement signed by a facility  representative and the parent, legal guardian, or placing agency.
    C. The record of each person admitted based on a court  order shall contain a copy of the court order.
    12VAC35-46-730. Face sheet.
    A. At the time of admission, each resident's record shall  include a completed face sheet that contains (i) the resident's full name, last  known residence, birth date, birthplace, gender, race, social security number  or other unique identifier, religious preference, and admission date; and (ii)  names, addresses, and telephone numbers of the resident's legal guardians,  placing agency, emergency contacts, and parents, if appropriate.
    B. Information shall be updated when changes occur.
    C. The face sheet for pregnant teens shall also include  the expected date of delivery and the name of the hospital to provide delivery  services to the resident.
    D. The face sheet of residents who are transferred to  facilities operated by the same sponsor shall indicate the address and dates of  placement and transfer at each location.
    E. At the time of discharge the following information  shall be added to the face sheet:
    1. Date of discharge;
    2. Reason for discharge;
    3. Names and addresses of persons to whom the resident was  discharged; and
    4. Forwarding address of the resident, if known.
    12VAC35-46-740. Initial objectives and strategies.
    Within three days following admission, individualized,  measurable objectives and strategies for the first 30 days shall be developed,  distributed to affected staff and the resident, and placed in the resident's  record. The objectives and strategies shall be based on the reasons for admitting  the resident. 
    12VAC35-46-750. Individualized service plans/quarterly  reports.
    A. An individualized service plan shall be developed and  placed in the resident's record within 30 days following admission and  implemented immediately thereafter.
    B. Individualized service plans shall describe in  measurable terms the:
    1. Strengths and needs of the resident;
    2. Resident's current level of functioning;
    3. Goals, objectives, and strategies established for the  resident;
    4. Projected family involvement;
    5. Projected date for accomplishing each objective; and
    6. Status of the projected discharge plan and estimated  length of stay, except that this requirement shall not apply to a facility that  discharges only upon receipt of the order of a court of competent jurisdiction.
    C. The initial individualized service plan shall be  reviewed within 60 days of the initial plan and within each 90-day period  thereafter and revised as necessary. 
    D. The provider shall develop and implement written  policies and procedures to document progress of the resident towards meeting  goals and objectives of the individualized service plan that shall include the:
    1. Format;
    2. Frequency; and
    3. Person responsible.
    E. There shall be a documented quarterly review of each  resident's progress 60 days following the initial individualized service plan  and within each 90-day period thereafter that shall report the:
    1. Resident's progress toward meeting the plan's  objectives;
    2. Family's involvement;
    3. Continuing needs of the resident;
    4. Resident's progress towards discharge; and
    5. Status of discharge planning.
    F. Each plan and quarterly progress report shall include  the date it was developed and the signature of the person who developed it.
    G. Staff responsible for daily implementation of the resident's  individualized service plan shall be able to describe the resident's behavior  in terms of the objectives in the plan.
    H. There shall be documentation showing the involvement of  the following parties unless clearly inappropriate, in developing and updating  the individualized service plan and in developing the quarterly progress  report:
    1. The resident;
    2. The resident's family, if appropriate, and legal  guardian;
    3. The placing agency; and
    4. Facility staff.
    I. The initial individualized service plan, each update,  and all quarterly progress reports shall be distributed to the resident; the  resident's family, if appropriate, legal guardian, or  authorized  representative; the placing agency; and appropriate facility staff. 
    12VAC35-46-760. Resident transfer between residential  facilities located in Virginia and operated by the same sponsor.
    A. Except when transfer is ordered by a court of competent  jurisdiction, the receiving provider shall document at the time of transfer:
    1. Preparation through sharing information with the  resident, the family, if appropriate, the legal guardian, and the placing  agency about the facility, the staff, the population served, activities, and  criteria for admission;
    2. Notification to the family, if appropriate; the resident,  the placement agency, and the legal guardian;
    3. Receipt from the sending facility of a written summary  of the resident's progress while at the facility, justification for the  transfer, and the resident's current strengths and needs; and
    4. Receipt of the resident's record.
    B. The sending facility shall retain a copy of the face  sheet and a written summary of the child's progress while at the facility and  shall document the date of transfer and the name of the facility to which the  resident has been transferred.
    12VAC35-46-765. Discharge.
    A. The provider shall have written criteria for discharge  that shall include:
    1. Criteria for a resident's completing the program that  are consistent with the facility's programs and services; 
    2. Conditions under which a resident may be discharged  before completing the program; and
    3. Procedures for assisting placing agencies in placing the  residents should the facility cease operation.
    B. The provider's criteria for discharge shall be  accessible to prospective residents, legal guardians, and placing agencies.
    C. The record of each resident discharged upon receipt of  the order of a court of competent jurisdiction shall contain a copy of the  court order.
    D. Residents shall be discharged only to the legal  guardian or legally authorized representative.
    E. A facility approved to provide residential respite care  shall discharge a resident when the legal guardian no longer intends to use the  facility's services.
    F. Information concerning current medications, need for  continuing therapeutic interventions, educational status, and other items  important to the resident's continuing care shall be provided to the legal  guardian or legally authorized representative, as appropriate.
    G. Unless discharge is ordered by a court of competent  jurisdiction prior to the planned discharge date, each resident's record shall  contain: 
    1. Documentation that discharge has been planned and  discussed with the parent, if appropriate; legal guardian; child-placing  agency; and resident; and 
    2. A written discharge plan.
    H. Discharge summaries.
    1. No later than 30 days after discharge, a comprehensive  discharge summary shall be placed in the resident's record and sent to the  persons or agency that made the placement. The discharge summary shall review:
    a. Services provided to the resident;
    b. The resident's progress toward meeting individualized  service plan objectives;
    c. The resident's continuing needs and recommendations, if  any, for further services and care;
    d. Reasons for discharge and names of persons to whom the  resident was discharged;
    e. Dates of admission and discharge; and
    f. Date the discharge summary was prepared and the  signature of the person preparing it.
    2. In lieu of a comprehensive discharge summary, the record  of each resident discharged upon receipt of the order of a court of competent  jurisdiction shall contain a copy of the court order.
    12VAC35-46-770. Placement of residents outside the facility.
    A resident shall not be placed outside the facility prior  to the facility obtaining a child-placing agency license from the Department of  Social Services, except as permitted by statute or by order of a court of  competent jurisdiction.
    12VAC35-46-780. Case management services.
    A. The program of the facility shall be designed to  provide case management services. At the time of the admission of any resident,  the provider shall identify in writing the staff member responsible for  providing case management services. Case management services shall address:
    1. Helping the resident and the parents or legal guardian  to understand the effects on the resident of separation from the family and the  effect of group living;
    2. Assisting the resident and the family to maintain their  relationships and prepare for the resident's future care; 
    3. Utilizing appropriate community resources to provide  services and maintain contacts with such resources;
    4. Helping the resident strengthen his capacity to function  productively in interpersonal relationships;
    5. Conferring with the child care staff to help them understand   the resident's needs in order to promote adjustment to group living; and
    6. Working with the resident and with the family or any  placing agency that may be involved in planning for the resident's future and  in preparing the resident for the return home or to another family for  independent living or for other residential care.
    B. The provision of case management services shall be  documented in each resident's record.
    12VAC35-46-790. Therapy.
    Therapy shall be provided by an individual (i) appropriately  licensed by the Department of Health Professions to provide mental health  therapy or counseling; or (ii) who is eligible for licensure and working under  the supervision of a licensed therapist unless exempted from these requirements  under the Code of Virginia.
    12VAC35-46-800. Structured program of care.
    A. There shall be evidence of a structured program of care  designed to:
    1. Meet the residents' physical and emotional needs;
    2. Provide protection, guidance, and supervision; and
    3. Meet the objectives of any required individualized  service plan.
    B. There shall be evidence of a structured daily routine  designed to ensure the delivery of program services.  
    C. A daily communication log shall be maintained to inform  staff of significant happenings or problems experienced by residents.
    D. Health and dental complaints and injuries shall be  recorded and shall include the (i) resident's name, complaint, and affected  area; and (ii) time of the complaint. 
    E. The identity of the individual making each entry in the  daily communication log shall be recorded.
    F. Routines shall be planned to ensure that each resident  receives the amount of sleep and rest appropriate for his age and physical  condition.
    G. Staff shall promote good personal hygiene of residents  by monitoring and supervising hygiene practices each day and by providing  instruction when needed.
    H. The structured daily routine shall comply with any  facility and locally imposed curfews.
    12VAC35-46-810. Health care procedures.
    A. The provider shall have and implement written  procedures for promptly:
    1. Providing or arranging for the provision of medical and  dental services for health problems identified at admission; 
    2. Providing or arranging for the provision of routine  ongoing and follow-up medical and dental services after admission;
    3. Providing emergency services for each resident; 
    4. Providing emergency services for any resident  experiencing or showing signs of suicidal or homicidal thoughts, symptoms of  mood or thought disorders, or other mental health problems; and
    5. Ensuring that the required information in subsection B  of this section is accessible and up to date.
    B. The following written information concerning each  resident shall be readily accessible to staff who may have to respond to a  medical or dental emergency:
    1. Name, address, and telephone number of the physician and  dentist to be notified;
    2. Name, address, and telephone number of a relative or  other person to be notified;
    3. Medical insurance company name and policy number or  Medicaid number;
    4. Information concerning:
    a. Use of medication;
    b. All allergies, including medication allergies;
    c. Substance abuse and use; and
    d. Significant past and present medical problems; and
    5. Written permission for emergency medical care, dental  care, and obtaining immunizations or a procedure and contacts for obtaining  consent.
    C. Facilities approved to provide respite care shall  update the information required by subsection B of this section at the time of  each stay at the facility.
    12VAC35-46-820. Written policies and procedures for a crisis  or clinical emergency.
    The provider shall develop and implement written policies  and procedures for a crisis or clinical emergency that shall include: 
    1. Procedures for crisis or clinical stabilization, and  immediate access to appropriate internal and external resources, including a  provision for obtaining physician and mental health clinical services if  on-call physician back-up or mental health clinical services are not available;  and 
    2. Employee or contractor responsibilities.
    12VAC35-46-830. Documenting crisis intervention and clinical  emergency services.
    A. The provider shall develop and implement a method for  documenting the provision of crisis intervention and clinical emergency  services. Documentation shall include the following: 
    1. Date and time;
    2. Nature of crisis or emergency;
    3. Name of resident;
    4. Precipitating factors;
    5. Interventions/treatment provided;
    6. Employees or contractors involved;
    7. Outcome; and
    8. Any required follow-up.
    B. If a crisis or clinical emergency involves a resident  who receives medical or mental health services, the crisis intervention  documentation shall become part of his record. 
    C. There shall be written policies and procedures for  referring to or receiving residents from: 
    1. Hospitals; 
    2. Law-enforcement officials; 
    3. Physicians; 
    4. Clergy; 
    5. Schools; 
    6. Mental health facilities; 
    7. Court services; 
    8. Private outpatient providers; and 
    9. Support groups or others, as applicable. 
    12VAC35-46-840. Medical examinations and treatment.
    A. Each child accepted for care shall have a physical  examination by or under the direction of a licensed physician no earlier than  90 days prior to admission to the facility or no later than seven days  following admission, except (i) the report of an examination within the  preceding 12 months shall be acceptable if a child transfers from one  residential facility licensed or certified by a state agency to another; and  (ii) a physical examination shall be conducted within 30 days following an  emergency admission if a report of physical examination is not available.
    B. Within seven days of placement, each resident shall  have had a screening assessment for tuberculosis as evidenced by the completion  of a screening form containing, at a minimum, the elements found on the Report  of Tuberculosis Screening form published by the Virginia Department of Health.  The screening assessment may be no older than 30 days. 
    C. A screening assessment for tuberculosis shall be  completed annually on each resident as evidenced by the completion of a form  containing, at a minimum, the elements of the Report of Tuberculosis Screening  form published by the Virginia Department of Health. 
    D. Each resident's health record shall include written  documentation of (i) the initial physical examination; (ii) an annual physical  examination by or under the direction of a licensed physician, including any  recommendation for follow-up care; and (iii) documentation of the provision of  follow-up medical care recommended by the physician or as indicated by the  needs of the resident. 
    E. Each physical examination report shall include:
    1. Information necessary to determine the health and  immunization needs of the resident, including:
    a. Immunizations administered at the time of the exam;
    b. Vision exam;
    c. Hearing exam;
    d. General physical condition, including documentation of  apparent freedom from communicable disease, including tuberculosis; 
    e. Allergies, chronic conditions, and handicaps, if any;
    f. Nutritional requirements, including special diets, if  any;
    g. Restrictions on physical activities, if any; and
    h. Recommendations for further treatment, immunizations,  and other examinations indicated;
    2. Date of the physical examination; and
    3. Signature of a licensed physician, the physician's  designee, or an official of a local health department.
    F. A child with a communicable disease shall not be  admitted unless a licensed physician certifies that:
    1. The facility is capable of providing care to the child  without jeopardizing residents and staff; and 
    2. The facility is aware of the required treatment for the  child and the procedures to protect residents and staff.
    G. Each resident's health record shall include written  documentation of (i) an annual examination by a licensed dentist and (ii)  follow-up dental care recommended by the dentist or as indicated by the needs  of the resident. This requirement does not apply to respite care facilities.
    H. Each resident's health record shall include notations  of health and dental complaints and injuries and shall summarize symptoms and  treatment given.
    I. Each resident's health record shall include or document  the facility's efforts to obtain treatment summaries of ongoing psychiatric or  other mental health treatment and reports.
    J. The provider shall develop and implement written  policies and procedures that include use of standard precautions and address  communicable and contagious medical conditions. These policies and procedures  shall be approved by a medical professional.
    K. A well-stocked first aid kit shall be maintained and  readily accessible for minor injuries and medical emergencies.
    12VAC35-46-850. Medication.
    A. The provider shall develop and implement written  policies and procedures regarding the delivery and administration of  prescription and nonprescription medications used by residents. At a minimum  these policies will address:
    1. Identification of the staff member responsible for  routinely communicating to the prescribing physician: 
    a. The effectiveness of prescribed medications; and 
    b. Any adverse reactions, or any suspected side effects. 
    2. Storage of controlled substances; 
    3. Documentation of medication errors and drug reactions;  and
    4. Documentation of any medications prescribed and  administered following admission. 
    B. All medication shall be securely locked and properly  labeled.
    C. All staff responsible for medication administration  shall have successfully completed a medication training program approved by the  Board of Nursing or be licensed by the Commonwealth of Virginia to administer  medications before they can administer medication.
    D. Staff authorized to administer medication shall be  informed of any known side effects of the medication and the symptoms of the  side effects.
    E. A program of medication, including over-the-counter  medication, shall be initiated for a resident only when prescribed in writing  by a person authorized by law to prescribe medication.
    F. Medication prescribed by a person authorized by law  shall be administered as prescribed.
    G. A medication administration record shall be maintained  of all medicines received by each resident and shall include:
    1. Date the medication was prescribed;
    2. Drug name;
    3. Schedule for administration;
    4. Strength;
    5. Route;
    6. Identity of the individual who administered the  medication; and
    7. Dates the medication was discontinued or changed.
    H. In the event of a medication error or an adverse drug  reaction, first aid shall be administered if indicated. Staff shall promptly  contact a poison control center, pharmacist, nurse, or physician and shall take  actions as directed. If the situation is not addressed in standing orders, the  attending physician shall be notified as soon as possible and the actions taken  by staff shall be documented.
    I. Medication refusals shall be documented including  action taken by staff.
    J. The provider shall develop and implement written  policies and procedures for documenting medication errors, reviewing medication  errors and reactions and making any necessary improvements, the disposal of  medication, the storage of controlled substances, and the distribution of  medication off campus. The policy and procedures must be approved by a health  care professional. The provider shall keep documentation of this approval.
    K. The telephone number of a regional poison control  center and other emergency numbers shall be posted on or next to each nonpay  telephone that has access to an outside line in each building in which children  sleep or participate in programs.
    L. Syringes and other medical implements used for  injecting or cutting skin shall be locked.
    12VAC35-46-860. Nutrition.
    A. Each resident shall be provided a daily diet that (i)  consists of at least three nutritionally balanced meals and an evening snack;  (ii) includes an adequate variety and quantity of food for the age of the  resident; and (iii) meets minimum nutritional requirements and the U.S.  Department of Health and Human Services and U.S. Department of Agriculture  Dietary Guidelines for Americans, 2005, 6th Edition.
    B. Menus of actual meals served shall be kept on file for  at least six months.
    C. Special diets shall be provided when prescribed by a  physician and the established religious dietary practices of the resident shall  be observed.
    D. Staff who eat in the presence of the residents shall be  served the same meals as the residents unless a special diet has been  prescribed by a physician for the staff or residents or the staff or residents  are observing established religious dietary practices.
    E. There shall not be more than 15 hours between the  evening meal and breakfast the following day.
    F. Providers shall assure that food is available to  residents who need to eat breakfast before the 15 hours have expired.
    G. Providers shall receive approval from the department if  they wish to extend the time between meals on weekends and holidays. There  shall never be more than 17 hours between the evening meal and breakfast the  following day on weekends and holidays.
    12VAC35-46-870. Staff supervision of residents.
    A. No member of the child care staff shall be on duty more  than six consecutive days without a rest day, except in an emergency or as  approved by the department for live-in staff.
    B. Child care staff shall have an average of at least two  rest days per week in any four-week period. Rest days shall be in addition to  vacation time and holidays.
    C. Child care staff other than live-in staff shall not be  on duty more than 16 consecutive hours, except in an emergency.
    D. There shall be at least one trained child care worker  on duty and actively supervising residents at all times that one or more  residents are present.
    E. Whenever children are being supervised by staff there  shall be at least one staff person present with a current basic certificate in  standard first aid and a current certificate in cardiopulmonary resuscitation  issued by the American Red Cross or other recognized authority.
    F. Supervision policies.
    1. The provider shall develop and implement written  policies and procedures that address staff supervision of children including contingency  plans for resident illnesses, emergencies, off-campus activities, and resident  preferences. These policies and procedures shall be based on the:
    a. Needs of the population served;
    b. Types of services offered; 
    c. Qualifications of staff on duty; and
    d. Number of residents served.
    2. At all times the ratio of staff to residents shall be at  least one staff to eight residents for facilities during the hours residents  are awake, except when the department has approved or required a supervision  plan with a different ratio based on the needs of the population served. 
    3. Providers requesting a ratio that allows a higher number  of residents to be supervised by one staff person than was approved or required  shall submit a justification to the department that shall include:
    a. Why resident care will not be adversely affected; and
    b. How residents' needs will be met on an individual as  well as group basis. 
    4. Written policies and procedures governing supervision of  residents and any justifications for a ratio deviation that allows a higher number  of residents to be supervised by one staff than was approved or required shall  be reviewed and approved by the department prior to implementation.
    5. The supervision policies or a summary of the policies  shall be provided, upon request, to the placing agency or legal guardian prior  to placement. 
    12VAC35-46-880. Emergency telephone numbers.
    A. There shall be an emergency telephone number where a  staff person may be immediately contacted 24 hours a day.
    B. Residents who are away from the facility and the adults  responsible for their care during the absence shall be furnished with the  emergency phone number.
    12VAC35-46-890. Searches.
    A. Strip searches and body cavity searches are prohibited  except:
    1. As permitted by other applicable state regulations; or
    2. As ordered by a court of competent jurisdiction.
    B. A provider that does not conduct pat downs shall have a  written policy prohibiting them.
    C. A provider that conducts pat downs shall develop and  implement written policies and procedures governing them that shall provide  that:
    1. Pat downs shall be limited to instances where they are  necessary to prohibit contraband;
    2. Pat downs shall be conducted by personnel of the same  gender as the resident being searched;
    3. Pat downs shall be conducted only by personnel who are  specifically authorized to conduct searches by the written policies and  procedures; and
    4. Pat downs shall be conducted in such a way as to protect  the resident's dignity and in the presence of one or more witnesses.
    12VAC35-46-900. Behavior support.
    A. Within 30 days of admission, the provider shall develop  and implement a written behavior support plan that allows the resident to  self-manage his own behaviors. Each individualized behavior support plan shall  include: 
    1. Identification of positive and problem behavior;
    2. Identification of triggers for behaviors;
    3. Identification of successful intervention strategies for  problem behavior;
    4. Techniques for managing anger and anxiety; and
    5. Identification of interventions that may escalate  inappropriate behaviors.
    B. Individualized behavior support plans shall be  developed in consultation with the:
    1. Resident;
    2. Legal guardian;
    3. Resident's parents, if appropriate;
    4. Program director;
    5. Placing agency staff; and
    6. Other appropriate individuals.
    C. Prior to working alone with an assigned resident each  staff member shall demonstrate knowledge and understanding of that resident's  behavior support plan.
    D. Each provider shall develop and implement written  policies and procedures concerning behavior support plans and other behavioral  interventions that are directed toward maximizing the growth and development of  the resident. In addition to addressing the previous requirements of this  regulation, these policies and procedures shall: 
    1. Define and list techniques that are used and are  available for use in the order of their relative degree of intrusiveness or  restrictiveness; 
    2. Specify the staff members who may authorize the use of  each technique; 
    3. Specify the processes for implementing such policies and  procedures; 
    4. Specify the mechanism for monitoring the use of behavior  support techniques; and 
    5. Specify the methods for documenting the use of behavior  support techniques. 
    12VAC35-46-910. Timeout.
    A. The provider shall develop and implement written  policies and procedures governing the conditions under which a resident may be  placed in timeout and the maximum period of timeout. The conditions and maximum  period of timeout shall be based on the resident's chronological and developmental  level.
    B. The area in which a resident is placed shall not be  locked nor the door secured in a manner that prevents the resident from opening  it.
    C. A resident in timeout shall be able to communicate with  staff.
    D. Staff shall check on the resident in the timeout area  at least every 15 minutes and more often depending on the nature of the  resident's disability, condition, and behavior.
    E. Use of timeout and staff checks on the residents shall  be documented.
    12VAC35-46-920. Prohibitions.
    The following actions are prohibited:
    1. Deprivation of drinking water or food necessary to meet  a resident's daily nutritional needs, except as ordered by a licensed physician  for a legitimate medical purpose and documented in the resident's record;
    2. Limitation on contacts and visits with the resident's  attorney, a probation officer, regulators, or placing agency representative;
    3. Bans on contacts and visits with family or legal  guardians, except as permitted by other applicable state regulations or by  order of a court of competent jurisdiction;
    4. Delay or withholding of incoming or outgoing mail,  except as permitted by other applicable state and federal regulations or by  order of a court of competent jurisdiction;
    5. Any action that is humiliating, degrading, or abusive;
    6. Corporal punishment;
    7. Subjection to unsanitary living conditions;
    8. Deprivation of opportunities for bathing or access to  toilet facilities, except as ordered by a licensed physician for a legitimate  medical purpose and documented in the resident's record;
    9. Deprivation of health care;
    10. Deprivation of appropriate services and treatment;
    11. Application of aversive stimuli, except as permitted  pursuant to other applicable state regulations;
    12. Administration of laxatives, enemas, or emetics, except  as ordered by a licensed physician or poison control center for a legitimate  medical purpose and documented in the resident's record;
    13. Deprivation of opportunities for sleep or rest, except  as ordered by a licensed physician for a legitimate medical purpose and  documented in the resident's record; and
    14. Limitation on contacts and visits with advocates  employed by the department or the Virginia Office for Protection and Advocacy.
    12VAC35-46-930. Pharmacological or mechanical restraints.
    A. Use of mechanical restraints is prohibited except as  permitted by other applicable state regulations or as ordered by a court of  competent jurisdiction.
    B. Use of pharmacological restraints is prohibited.
    12VAC35-46-940. Behavior interventions.
    A. The provider shall develop and implement written  policies and procedures for behavioral interventions and for documenting and  monitoring the management of resident behavior. Rules of conduct shall be  included in the written policies and procedures. These policies and procedures  shall:
    1. Define and list techniques that are used and available  for use in the order of their relative degree of restrictiveness;
    2. Specify the staff members who may authorize the use of  each technique; and
    3. Specify the processes for implementing such policies and  procedures. 
    B. Written information concerning the policies and  procedures of the provider's behavioral support and intervention programs shall  be provided prior to admission to prospective residents, legal guardians, and  placing agencies. For court-ordered and emergency admissions, this information  shall be provided to:
    1. Residents within 12 hours following admission;
    2. Placing agencies within 72 hours following the  resident's admission; and
    3. Legal guardians within 72 hours following the resident's  admission. This requirement does not apply when a state psychiatric hospital is  evaluating a child's treatment needs as provided by the Code of Virginia.
    C. When substantive revisions are made to policies and  procedures governing management of resident behavior, written information  concerning the revisions shall be provided to:
    1. Residents prior to implementation; and
    2. Legal guardians and placing agencies prior to  implementation except when a state psychiatric hospital is evaluating a  child's treatment needs as provided by the Code of Virginia.
    D. The provider shall develop and implement written  policies and procedures governing use of physical restraint that shall include:
    1. The staff position who will write the report and  timeframe; 
    2. The staff position who will review the report and  timeframe; and
    3. Methods to be followed should physical restraint, less  intrusive interventions, or measures permitted by other applicable state regulations  prove unsuccessful in calming and moderating the resident's behavior.
    E. All physical restraints shall be reviewed and evaluated  to plan for continued staff development for performance improvement.
    F. Use of physical restraint shall be limited to that  which is minimally necessary to protect the resident or others.
    G. Trained staff members may physically restrain a  resident only after less restrictive interventions.
    H. Only trained staff members may manage resident  behavior.
    I. Each application of physical restraint shall be fully  documented in the resident's record including:
    1. Date;
    2. Time;
    3. Staff involved;
    4. Justification for the restraint;
    5. Less restrictive interventions that were unsuccessfully  attempted prior to using physical restraint;
    6. Duration;
    7. Description of method or methods of physical restraint  techniques used; 
    8. Signature of the person completing the report and date;  and
    9. Reviewer's signature and date.
    J. Providers shall ensure that restraint may only be  implemented, monitored, and discontinued by staff who have been trained in the  proper and safe use of restraint, including hands-on techniques.
    K. The provider shall review the facility's behavior  intervention techniques and policies and procedures at least annually to determine  appropriateness for the population served.
    L. Any time children are present staff shall be present  who have completed all trainings in behavior intervention.
    12VAC35-46-950. Seclusion.
    Seclusion is allowed only as permitted by other applicable  state regulations.
    12VAC35-46-960. Seclusion room requirements.
    A. The room used for seclusion shall meet the design  requirements for buildings used for detention or seclusion of persons.
    B. The seclusion room shall be at least six feet wide and  six feet long with a minimum ceiling height of eight feet.
    C. The seclusion room shall be free of all protrusions,  sharp corners, hardware, fixtures, or other devices, that may cause injury to  the occupant.
    D. Windows in the seclusion room shall be constructed to  minimize breakage and otherwise prevent the occupant from harming himself.
    E. Light fixtures and other electrical receptacles in the  seclusion room shall be recessed or so constructed as to prevent the occupant  from harming himself. Light controls shall be located outside the seclusion  room.
    F. Doors to the seclusion room shall be at least 32 inches  wide, shall open outward and shall contain observation view panels of  transparent wire glass or its approved equivalent, not exceeding 120 square  inches but of sufficient size for someone outside the door to see into all  corners of the room.
    G. The seclusion room shall contain only a mattress with a  washable mattress covering designed to avoid damage by tearing.
    H. The seclusion room shall maintain temperatures appropriate  for the season.
    I. All space in the seclusion room shall be visible  through the locked door, either directly or by mirrors.
    12VAC35-46-970. Education.
    A. Each resident of compulsory school attendance age shall  be enrolled, as provided in the Code of Virginia, in an appropriate educational  program within five school business days. Documentation of the enrollment shall  be kept in the resident's record.
    B. The provider shall ensure that educational guidance and  counseling in selecting courses is provided for each resident and shall ensure  that education is an integral part of the resident's total program.
    C. Providers operating educational programs for children  with disabilities shall operate those programs in compliance with applicable  state and federal statutes and regulations.
    D. When a child with a disability has been placed in a  residential facility, the facility shall contact the division superintendent of  the resident's home locality. Documentation of the contact with the resident's  home school shall be kept in the resident's record.
    E. A provider that has an academic or vocational program  that is not certified or approved by the Department of Education shall document  that teachers meet the qualifications to teach the same subjects in the public schools.
    F. Each provider shall develop and implement written  policies and procedures to ensure that each resident has adequate study time.
    12VAC35-46-980. Religion.
    A. The provider shall have and implement written policies  regarding opportunities for residents to participate in religious activities.
    B. The provider's policies on religious participation  shall be available to residents and any individual or agency considering  placement of a child in the facility.
    C. Residents shall not be coerced to participate in  religious activities.
    12VAC35-46-990. Recreation.
    A. The provider shall have a written description of its  recreation program that describes activities that are consistent with the  facility's total program and with the ages, developmental levels, interests,  and needs of the residents that includes:
    1. Opportunities for individual and group activities;
    2. Free time for residents to pursue personal interests  that shall be in addition to a formal recreation program, except this  subdivision does not apply to secure custody facilities;
    3. Use of available community recreational resources and  facilities, except this subdivision does not apply to secure custody  facilities;
    4. Scheduling of activities so that they do not conflict  with meals, religious services, educational programs, or other regular events;  and
    5. Regularly scheduled indoor and outdoor recreational  activities that are structured to develop skills and attitudes.
    B. The provider shall develop and implement written  policies and procedures to ensure the safety of residents participating in  recreational activities that include:
    1. How activities will be directed and supervised by  individuals knowledgeable in the safeguards required for the activities;
    2. How residents are assessed for suitability for an  activity and the supervision provided; and
    3. How safeguards for water-related activities will be  provided, including ensuring that a certified lifeguard supervises all swimming  activities. 
    C. For all overnight recreational trips away from the  facility the provider shall document trip planning to include: 
    1. A supervision plan for the entire duration of the  activity including awake and sleeping hours;
    2. A plan for safekeeping and distribution of medication;
    3. An overall emergency, safety, and communication plan for  the activity including emergency numbers of facility administration;
    4. Staff training and experience requirements for each  activity;
    5. Resident preparation for each activity;
    6. A plan to ensure that all necessary equipment for the  activity is in good repair and appropriate for the activity;
    7. A trip schedule giving addresses and phone numbers of  locations to be visited and how the location was chosen/evaluated;
    8. A plan to evaluate residents' physical health throughout  the activity and to ensure that the activity is conducted within the boundaries  of the resident's capabilities, dignity, and respect for self-determination;
    9. A plan to ensure that a certified life guard supervises  all swimming activities in which residents participate; and
    10. Documentation of any variations from trip plans and  reason for the variation.
    D. All overnight out-of-state or out-of-country  recreational trips require written permission from each resident's legal  guardian. Documentation of the written permission shall be kept in the  resident's record.
    12VAC35-46-1000. Community relationships.
    A. Opportunities shall be provided for the residents to  participate in activities and to utilize resources in the community.
    B. The provider shall develop and implement written  policies and procedures for evaluating persons or organizations in the  community who wish to associate with residents on the premises or take  residents off the premises. The procedures shall cover how the facility will  determine if participation in such community activities or programs would be in  the residents' best interest.
    C. Each facility shall have a staff community liaison who  shall be responsible for facilitating cooperative relationships with neighbors,  the school system, local law enforcement, local government officials, and the  community at large.
    D. Each provider shall develop and implement written  policies and procedures for promoting positive relationships with the neighbors  that shall be approved by the department.
    12VAC35-46-1010. Clothing.
    A. Provision shall be made for each resident to have an  adequate supply of clean, comfortable, and well-fitting clothes and shoes for  indoor and outdoor wear.
    B. Clothes and shoes shall be similar in style to those  generally worn by children of the same age in the community who are engaged in  similar activities, except this requirement does not apply to secure custody  facilities.
    C. Residents shall have the opportunity to participate in  the selection of their clothing, except this requirement does not apply to  secure custody facilities.
    D. Residents shall be allowed to take personal clothing  when leaving the facility.
    12VAC35-46-1020. Allowances and spending money.
    A. The provider shall provide opportunities appropriate to  the ages and developmental levels of the residents for learning the value and  use of money.
    B. There shall be a written policy regarding allowances  that shall be made available to legal guardians at the time of admission.
    C. The provider shall develop and implement written  policies for safekeeping and for recordkeeping of any money that belongs to  residents.
    D. A resident's funds, including any allowance or  earnings, shall be used for the resident's benefit.
    12VAC35-46-1030. Work and employment.
    A. Assignment of chores, that are paid or unpaid work  assignments, shall be in accordance with the age, health, ability, and service  plan of the resident.
    B. Chores shall not interfere with school programs, study  periods, meals, or sleep.
    C. Work assignments or employment outside the facility,  including reasonable rates of pay, shall be approved by the program director  with the knowledge and consent of the legal guardian.
    D. In both work assignments and employment, the program  director shall evaluate the appropriateness of the work and the fairness of the  pay.
    12VAC35-46-1040. Visitation at the facility and to the  resident's home.
    A. The provider shall have and implement written  visitation policies and procedures that allow reasonable visiting privileges  and flexible visiting hours, except as permitted by other applicable state  regulations.
    B. Copies of the written visitation policies and  procedures shall be made available to the parents, when appropriate, legal  guardians, the resident, and other interested persons important to the resident  no later than the time of admission, except that when parents or legal  guardians do not participate in the admission process, visitation policies and  procedures shall be mailed to them within 24 hours after admission.
    12VAC35-46-1050. Resident visitation at the homes of staff.
    If a provider permits staff to take residents to the  staff's home, the facility must receive written permission of the resident's  legal guardian or placing agency before the visit occurs. The written  permission shall be kept in the resident's record.
    12VAC35-46-1060. Vehicles and power equipment.
    A. Transportation provided for or used by children shall  comply with local, state, and federal laws relating to:
    1. Vehicle safety and maintenance;
    2. Licensure of vehicles;
    3. Licensure of drivers; and
    4. Child passenger safety, including requiring children to  wear appropriate seat belts or restraints for the vehicle in which they are  being transported.
    B. There shall be written safety rules for transportation  of residents appropriate to the population served that shall include  taking head counts at each stop.
    C. The provider shall develop and implement written safety  rules for use and maintenance of vehicles and power equipment.
    12VAC35-46-1070. Serious incident reports.
    A. Any serious incident, accident, or injury to the  resident; any overnight absence from the facility without permission; any  runaway; and any other unexplained absence shall be reported within 24 hours  (i) to the placing agency; (ii) to either the parent or legal guardian, or both  as appropriate; and (iii) noted in the resident's record.
    B. The provider shall document the following:
    1. The date and time the incident occurred;
    2. A brief description of the incident;
    3. The action taken as a result of the incident;
    4. The name of the person who completed the report;
    5. The name of the person who made the report to the  placing agency and to either the parent or legal guardian; and
    6. The name of the person to whom the report was made.
    C. The provider shall notify the department within 24  hours of any serious illness or injury, any death of a resident, and all other  situations as required by the department. Such reports shall include:
    1. The date and time the incident occurred;
    2. A brief description of the incident;
    3. The action taken as a result of the incident;
    4. The name of the person who completed the report;
    5. The name of the person who made the report to the  placing agency and to either the parent or legal guardian; and
    6. The name of the person to whom the report was made.
    D. In the case of a serious injury or death, the report  shall be made on forms approved by the department. 
    12VAC35-46-1080. Suspected child abuse or neglect.
    A. Written policies and procedures related to child abuse  and neglect shall be distributed to all staff members. These shall include  procedures for:
    1. Handling accusations against staff; and
    2. Promptly referring, consistent with requirements of the  Code of Virginia, suspected cases of child abuse and neglect to the local child  protective services unit and for cooperating with the unit during any  investigation.
    B. Any case of suspected child abuse or neglect shall be  reported to the local child protective services unit as required by the Code of  Virginia. 
    C. Any case of suspected child abuse or neglect occurring  at the facility, on a facility-sponsored event or excursion, or involving  facility staff shall be reported immediately to (i) the Office of Human Rights  and placing agency; and (ii) either the resident's parent or legal guardian, or  both, as appropriate.
    D. When a case of suspected child abuse or neglect is  reported to child protective services, the resident's record shall include:
    1. The date and time the suspected abuse or neglect  occurred;
    2. A description of the suspected abuse or neglect;
    3. Action taken as a result of the suspected abuse or  neglect; and
    4. The name of the person to whom the report was made at  the  local child protective services unit.
    12VAC35-46-1090. Grievance procedures.
    A. The provider shall develop and implement written  policies and procedures governing the handling of grievances by residents. If  not addressed by other applicable regulations, the policies and procedures  shall:
    1. Be written in clear and simple language;
    2. Be communicated to the residents in an age or developmentally  appropriate manner;
    3. Be posted in an area easily accessible to residents and  their parents and legal guardians;
    4. Ensure that any grievance shall be investigated by an  objective employee who is not the subject of the grievance; and
    5. Require continuous monitoring by the provider of any  grievance to assure there is no retaliation or threat of retaliation against  the child. 
    B. All documentation regarding grievances shall be kept on  file at the facility for three years unless other regulations require a longer  retention period. 
    Part V
  Disaster or Emergency Planning
    12VAC35-46-1100. Disaster or emergency planning.
    The facility is required to have written procedures to  follow in emergencies.  It is also required that these plans be known by staff  and, as appropriate, residents.  It is advisable that the facility develop  its emergency plans with the assistance of state or local public safety  authorities.
    12VAC35-46-1110. Emergency and evacuation procedures.
    A. The provider shall develop a written emergency  preparedness and response plan for all locations. The plan shall address:
    1. Documentation of contact with the local emergency  coordinator to determine (i) local disaster risks; (ii) communitywide plans to  address different disasters and emergency situations; and (iii) assistance, if  any, that the local emergency management office will provide to the facility in  an emergency;
    2. Analysis of the provider's capabilities and potential  hazards, including natural disasters, severe weather, fire, flooding, work  place violence or terrorism, missing persons, severe injuries, or other  emergencies that would disrupt the normal course of service delivery;
    3. Written emergency management policies outlining specific  responsibilities for provision of administrative direction and management of  response activities, coordination of logistics during the emergency,  communications, life safety of employees, contractors, students/intern,  volunteers, visitors and residents, property protection, community outreach, and  recovery and restoration;
    4. Written emergency response procedures for assessing the  situation; protecting residents, employees, contractors, students/interns,  volunteers, visitors, equipment, and vital records; and restoring services.  Emergency response procedures shall address:
    a. Communicating with employees, contractors, and community  responders;
    b. Warning and notification of residents;
    c. Providing emergency access to secure areas and opening  locked doors;
    d. Conducting evacuations to emergency shelters or  alternative sites and accounting for all residents;
    e. Relocating residents, if necessary;
    f. Notifying family members, if appropriate, and legal  guardians;
    g. Alerting emergency personnel and sounding alarms; and
    h. Locating and shutting off utilities when necessary;
    5. Supporting documents that would be needed in an  emergency, including emergency call lists, building and site maps necessary to  shut off utilities, designated escape routes, and list of major resources such  as local emergency shelters; and
    6. Schedule for testing the implementation of the plan and  conducting emergency preparedness drills.
    B. The provider shall develop emergency preparedness and  response training for all employees, contractors, students/interns, and  volunteers that shall include responsibilities for:
    1. Alerting emergency personnel and sounding alarms;
    2. Implementing evacuation procedures, including evacuation  of residents with special needs (i.e., deaf, blind, nonambulatory);
    3. Using, maintaining, and operating emergency equipment;
    4. Accessing emergency information for residents including  medical information; and
    5. Utilizing community support services.
    C. The provider shall document the review of the emergency  preparedness plan annually and make necessary revisions. Such revisions shall  be communicated to employees, contractors, students, and volunteers and  incorporated into training for employees, contractors, students/interns, and  volunteers and orientation of residents to services.
    D. In the event of a disaster, fire, emergency, or any  other condition that may jeopardize the health, safety, and welfare of  residents, the provider shall take appropriate action to protect the health,  safety, and welfare of the residents and take appropriate action to remedy the conditions  as soon as possible.
    E. Employees, contractors, students/interns, and  volunteers shall be knowledgeable in and prepared to implement the emergency  preparedness plan in the event of an emergency. 
    F. In the event of a disaster, fire, emergency, or any  other condition that may jeopardize the health, safety, and welfare of  residents, the provider should first respond and stabilize the  disaster/emergency. After the disaster/emergency is stabilized, the provider  shall report the disaster/emergency and the conditions at the facility to the  legal guardian and the placing agency as soon as possible of the conditions at  the facility and report the disaster/emergency to the department as soon as  possible, but no later than 72 hours after the incident occurs.
    G. Floor plans showing primary and secondary means of  egress shall be posted on each floor in locations where they can easily be seen  by staff and residents.
    H. The procedures and responsibilities reflected in the  emergency procedures shall be communicated to all residents within seven days  following admission or a substantive change in the procedures.
    I. At least one evacuation drill (the simulation of the  facility's emergency procedures) shall be conducted each month in each building  occupied by residents.
    J. Evacuation drills shall include, at a minimum:
    1. Sounding of emergency alarms; 
    2. Practice in evacuating buildings; 
    3. Practice in alerting emergency authorities; 
    4. Simulated use of emergency equipment; and
    5. Practice in securing resident emergency information.
    K. During any three consecutive calendar months, at least  one evacuation drill shall be conducted during each shift.
    L. A record shall be maintained for each evacuation drill  and shall include the following:
    1. Buildings in which the drill was conducted; 
    2. Date and time of drill; 
    3. Amount of time to evacuate the buildings; 
    4. Specific problems encountered; 
    5. Staff tasks completed including: 
    a. Head count, and
    b. Practice in notifying emergency authorities. 
    6. The name of the staff members responsible for conducting  and documenting the drill and preparing the record.
    M. The record for each evacuation drill shall be retained  for three years after the drill, unless a longer retention period is required  by applicable law or regulation.
    N. The facility shall assign one staff member who shall  ensure that all requirements regarding the emergency preparedness and response  plan and the evacuation drill program are met.
    Part VI
  Special Programs
    12VAC35-46-1120. Independent living programs.
    A. Each independent living program must demonstrate that a  structured program using materials and curriculum, approved by the department,  is being used to teach independent living skills. The curriculum must include  information regarding each of the following areas:
    1. Money management and consumer awareness;
    2. Food management;
    3. Personal appearance;
    4. Social skills;
    5. Health/sexuality;
    6. Housekeeping;
    7. Transportation;
    8. Educational planning/career planning;
    9. Job-seeking skills;
    10. Job maintenance skills;
    11. Emergency and safety skills;
    12. Knowledge of community resources;
    13. Interpersonal skills/social relationships;
    14. Legal skills;
    15. Leisure activities; and
    16. Housing.
    B. Within 14 days of placement the provider must complete  an assessment, including strengths and needs, of the resident's life skills  using an independent living assessment tool approved by the department. The  assessment must cover the following areas: 
    1. Money management and consumer awareness;
    2. Food management;
    3. Personal appearance;
    4. Social skills;
    5. Health/sexuality;
    6. Housekeeping;
    7. Transportation;
    8. Educational planning/career planning;
    9. Job-seeking skills;
    10. Job maintenance skills;
    11. Emergency and safety skills;
    12. Knowledge of community resources;
    13. Interpersonal skills/social relationships;
    14. Legal skills;
    15. Leisure activities; and
    16. Housing.
    C. The resident's individualized service plan shall, in  addition to the requirements found in 12VAC35-105-750, address each of the  following areas, as applicable:
    1. Money management and consumer awareness;
    2. Food management;
    3. Personal appearance;
    4. Social skills;
    5. Health/sexuality;
    6. Housekeeping;
    7. Transportation;
    8. Educational planning/career planning;
    9. Job-seeking skills;
    10. Job maintenance skills;
    11. Emergency and safety skills;
    12. Knowledge of community resources;
    13. Interpersonal skills/social relationships;
    14. Legal skills;
    15. Leisure activities; and
    16. Housing.
    D. Each independent living program shall develop and  implement policies and procedures to train all direct care staff within 14 days  of employment on the content of the independent living curriculum, the use of  the independent living materials, the application of the assessment tool, and  the documentation methods used. Documentation of the orientation shall be  kept in the employee's staff record.
    E. If residents age 18 years or older are to share in the  responsibility for their own medication with the provider, the independent  living program shall develop and implement written policies and procedures that  include:
    1. Training for the resident in self administration of  medication and recognition of side effects;
    2. Method for storage and safekeeping of medication;
    3. Method for obtaining approval for the resident to self  administer medication from a person authorized by law to prescribe medication;  and 
    4. Method for documenting the administration of medication.
    F. Each independent living program shall develop and  implement written policies and procedures that ensure that each resident is  receiving adequate nutrition as required in 12VAC35-46-860.
    12VAC35-46-1130. Mother/baby programs.
    A. Each provider shall develop and implement written  policies and procedures to orient direct care staff within 14 days of hire  regarding the following:
    1. Responsibilities of mothers regarding the child; 
    2. Child development including age-appropriate behavior for  each stage of development; 
    3. Appropriate behavioral interventions for infants and  toddlers; 
    4. Basic infant and toddler care including but not limited  to nutritional needs, feeding procedures, bathing techniques; and 
    5. Safety issues for infants and toddlers. 
    B. Each direct care worker shall have certification in  infant CPR and first aid prior to working alone with infants or toddlers. 
    C. A placement agreement shall be signed by the legal  guardian for each adolescent mother and a separate placement agreement shall be  signed for each child at the time of admission. 
    D. In addition to the requirements of 12VAC35-46-710 the  application for admission for the adolescent's child must include:
    1. The placement history of the child;
    2. The developmental milestones of the child; and
    3. The nutritional needs of the child.
    E. In addition to the requirements of 12VAC35-46-660, the  face sheet for adolescent's child shall also include:
    1. Type of delivery;
    2. Weight and length at birth;
    3. Any medications or allergies; and
    4. Name and address, if known, of the biological father. 
    F. A combined service plan following the requirements of  12VAC35-46-750 must be written for the adolescent mother and her child within  30 days of the admission of the adolescent's child. 
    G. There shall be a combined documented review of the adolescent  mother's and her child's progress following the requirements of the quarterly  report 60 days following the first combined service plan and within each 90-day  period thereafter. 
    H. The developmental milestones of the adolescent's child  must be documented in each quarterly progress report.
    I. The record of each child 18 months or younger shall  include the child's feeding schedule and directions for feeding. This  information shall be posted in the kitchen.
    J. The provider shall develop and implement written  policies and procedures for tracking:
    1. What a child 18 months or younger is eating; 
    2. How much a child 18 months or younger is eating; and 
    3. The response to newly introduced foods of the child 18  months or younger.
    K. The provider shall develop and implement written  policies and procedures to record all diaper changes.
    L. The provider shall monitor that all infants are held  and spoken to and placed in a position to observe activities when they are  awake. 
    M. Bottle-fed infants who cannot hold their own bottles  shall be held when fed. Bottles shall not be propped.
    N. The provider shall monitor that all children of  adolescent mothers have access to age-appropriate toys and are provided  opportunity for visual and sound stimulation.
    O. The provider shall ensure that when an adolescent  mother is in school or is working, her child is appropriately cared for, either  in a licensed child day program or at the facility.
    P. A daily activity log must be kept for each child of the  adolescent mother showing what activities the child actually participated in  during the day. The daily log must show that children have the opportunity to  participate in sensory, language, manipulative, building, large muscle, and  learning activities.
    Q. The provider shall develop and implement written  policies and procedures regarding health care of the adolescent's child  including:
    1. Obtaining health care;
    2. Ensuring follow-up care is provided;
    3. Ensuring adolescent mothers administer to their children  only prescription and nonprescription medication authorized by a health care  professional licensed to prescribe medication; and
    4. Medication administration.
    R. The provider shall develop and implement written  policies and procedures to ensure that all toys and equipment to be used by  children are sturdy, are of safe construction, are nontoxic and free of  hazards, and meet industry safety standards.
    S. The facility shall develop and implement written  policies and procedures for inspecting toys and equipment on a regular basis  for cleanliness and safety.
    T. Cribs shall be placed where objects outside the crib  such as cords from the blinds or curtains are not within reach of infants or  toddlers.
    U. Pillows and filled comforters shall not be used by  children under two years of age.
    V. Infant walkers shall not be used.
    W. Adolescent mothers and their babies may share a bedroom  as allowed by 12VAC35-46-480, but shall not share a room with other adolescents  or their children. 
    X. Pregnant adolescents may share a room as allowed by  12VAC35-46-480.
    Y. Providers shall develop and implement written policies  and procedures to protect infants, toddlers, and young children from dangers in  their environment. The policies and procedures must include but not be limited  to protection from:
    1. Electrocution;
    2. Falling down steps or ramps or gaining access to  balconies, porches, or elevated areas; and
    3. Poisons, including poisonous plants.
    12VAC35-46-1140. Campsite programs or adventure activities.
    A. All wilderness campsite programs and providers that take  residents on wilderness/adventure activities shall develop and implement  policies and procedures that include:
    1. Staff training and experience requirements for each  activity;
    2. Resident training and experience requirements for each  activity;
    3. Specific staff-to-resident ratio and supervision plan  appropriate for each activity; including sleeping arrangements and supervision  during night time hours;
    4. Plans to evaluate and document each participant's  physical health throughout the activity;
    5. Preparation and planning needed for each activity and  time frames;
    6. Arrangement, maintenance, and inspection of activity  areas;
    7. A plan to ensure that any equipment and gear that is to  be used in connection with a specified wilderness/adventure activity is appropriate  to the activity, certified if required, in good repair, in operable condition,  and age and body size appropriate;
    8. Plans to ensure that all ropes and paraphernalia used in  connection with rope rock climbing, rappelling, high and low ropes courses, or  other adventure activities in which ropes are used are approved annually by an  appropriate certifying organization, and have been inspected by staff  responsible for supervising the adventure activity before engaging residents in  the activity; 
    9. Plans to ensure that all participants are appropriately  equipped, clothed, and wearing safety gear, such as a helmet, goggles, safety  belt, life jacket, or a flotation device, that is appropriate to the adventure  activity in which the resident is engaged;
    10. Plans for food and water supplies and management of  these resources; 
    11. Plans for the safekeeping and distribution of  medication;
    12. Guidelines to ensure that participation is conducted  within the  boundaries of the resident's capabilities, dignity, and  respect for self-determination;
    13. Overall emergency, safety, and communication plans for  each activity including rescue procedures, frequency of drills, resident  accountability, prompt evacuation, and notification of outside emergency  services; and
    14. Review of trip plans by the trip coordinator. 
    B. All wilderness campsite programs and providers that  take residents on wilderness/adventure activities must designate one staff  person to be the trip coordinator who will be responsible for all facility wilderness  or adventure trips.
    1. This person shall have experience in and knowledge  regarding wilderness activities and be trained in wilderness first aid. The  individual shall also have at least one year experience at the facility and be  familiar with the facility procedures, staff, and residents.
    2. Documentation regarding this knowledge and experience  shall  be found in the individual's staff record.
    3. The trip coordinator shall review all trip plans and  procedures and shall ensure that staff and residents meet the requirements as  outlined in the facility's policy regarding each wilderness/adventure activity  to take place during the trip.
    C. The trip coordinator shall conduct a posttrip  debriefing within 72 hours of the group's return to base to evaluate individual  and group goals as well as the trip as a whole.
    D. The trip coordinator shall be responsible for writing a  summary of the debriefing session and shall be responsible for ensuring that  procedures and policies are updated to reflect improvements needed.
    E. A trip folder shall be developed for each  wilderness/adventure activity conducted away from the facility and shall  include:
    1. Medical release forms including pertinent medical  information on the trip participants; 
    2. Phone numbers for administrative staff and emergency  personnel;
    3. Daily trip logs;
    4. Incident reports;
    5. Swimming proficiency list if trip is near water;
    6. Daily logs;
    7. Maps of area covered by the trip; and
    8. Daily plans. 
    F. Initial physical forms used by wilderness campsite  programs and providers that take residents on wilderness or adventure  activities shall include:
    1. A statement notifying the doctor of the types of  activities the resident will be participating in; and
    2. A statement signed by the doctor stating the  individual's health does not prevent him from participating in the described  activities.
    G. First aid kits used by wilderness campsite programs and  providers that take residents on adventure activities shall be activity  appropriate and shall be accessible at all times. 
    H. Direct care workers hired by wilderness campsite  programs and providers that take residents on wilderness/adventure activities  shall be trained in a wilderness first aid course. 
    I. The provider shall ensure that before engaging in any  aquatic activity, each resident shall be classified by the trip coordinator or  designee according to swimming ability in one of two classifications: swimmer  and nonswimmer. This shall be documented in the resident's record and in the  trip folder.
    J. The provider shall ensure that lifesaving equipment is  provided for all aquatic activities and is placed so that it is immediately  available in case of an emergency. At a minimum, the equipment shall include:
    1. A whistle or other audible signal device; and
    2. A lifesaving throwing device.
    K. A separate bed, bunk, or cot shall be made available  for each person.
    L. A mattress cover shall be provided for each mattress.
    M. Sleeping areas shall be protected by screening or other  means to prevent admittance of flies and mosquitoes.
    N. Bedding shall be clean, dry, sanitary, and in good  repair.
    O. Bedding shall be adequate to ensure protection and  comfort in cold weather.
    P. Sleeping bags, if used, shall be fiberfill and rated  for 0°F.
    Q. Linens shall be changed as often as required for  cleanliness and sanitation but not less frequently than once a week.
    R. Each resident shall be provided with an adequate supply  of clean clothing that is suitable for outdoor living and is appropriate to the  geographic location and season.
    S. Sturdy, water-resistant, outdoor footwear shall be  provided for each resident.
    T. Each resident shall have adequate personal storage  area.
    U. Fire extinguishers of a 2A 10BC rating shall be  maintained so that it is never necessary to travel more than 75 feet to a fire  extinguisher from combustion-type heating devices, campfires, or other source  of combustion.
    V. Artificial lighting shall be provided in a safe manner.
    W. All areas of the campsite shall be lighted for safety  when occupied by residents.
    X. Staff of the same sex may share a sleeping area with  the residents.
    Y. A telephone or other means of communication is required  at each area where residents sleep or participate in programs.
    DOCUMENTS INCORPORATED BY REFERENCE (22VAC40-675)
    Report of Tuberculosis Screening, Virginia Department of  Health, http://www.vdh.virginia.gov/epidemiology/ DiseasePrevention/Programs/Tuberculosis/Forms/documents/  Form2.pdf, Virginia Department of Health.
    U.S. Department of Health and Human Services and U.S.  Department of Agriculture Dietary Guidelines for Americans, 6th Edition,  January 2005, U.S. Government Printing Office, Washington, D.C.
    VA.R. Doc. No. R09-1612; Filed May 22, 2009, 1:15 p.m. 
TITLE 13. HOUSING
VIRGINIA HOUSING DEVELOPMENT AUTHORITY
Final Regulation
        REGISTRAR'S NOTICE: The  Virginia Housing Development Authority is exempt from the Administrative  Process Act (§ 2.2-4000 et seq. of the Code of Virginia) pursuant to  § 2.2-4002 A 4; however, under the provisions of § 2.2-4031, it is  required to publish all proposed and final regulations.
         Title of Regulation: 13VAC10-40. Rules and  Regulations for Single Family Mortgage Loans to Persons and Families of Low and  Moderate Income (amending 13VAC10-40-20, 13VAC10-40-40,  13VAC10-40-50, 13VAC10-40-120, 13VAC10-40-130, 13VAC10-40-140, 13VAC10-40-160,  13VAC10-40-170, 13VAC10-40-220).
    Statutory Authority: § 36-55.30.3 of the Code of  Virginia.
    Effective Date: June 5, 2009. 
    Agency Contact: J. Judson McKellar, Jr., General  Counsel, Virginia Housing Development Authority, 601 S. Belvidere Street,  Richmond, VA 23220, telephone (804) 343-5540 or email judson.mckellar@vhda.com.
    Summary:
    To address potential sale of single family mortgage loans  to investors, the amended regulations provide that: 
    1. The authority may apply the tax-exempt financing  requirements and restrictions (e.g., first-time homebuyer restrictions, maximum  incomes and maximum sales price) to mortgage loans that are not financed with  tax-exempt bonds; 
    2. Investor underwriting guidelines that are more stringent  than authority guidelines will apply to loans investors will purchase; and 
    3. The reservation period (currently 60 days) may be  shortened to meet investor loan delivery deadlines. 
    The following amendments are made to the FHA Plus program: 
    1. The authority's FHA Plus second loan may be combined  with an FHA first mortgage loan financed by a lender other than VHDA; 
    2. Flexibility is provided to lower the maximum amount of  the FHA Plus second loan below the standard 5.0% of the lesser of appraised  value or sales price; 
    3. If the authority is not making the FHA first mortgage  loan, the authority may require that the FHA Plus first loan meet the  authority's underwriting guidelines; 
    4. Flexibility is provided to impose more stringent  underwriting criteria on the FHA Plus second loan than are applicable to the  FHA Plus first loan; 
    5. The authority may charge an origination fee and/or a  discount point on the FHA plus loan in an amount determined by the executive  director to be necessary to compensate the authority for originating,  processing, and closing the FHA plus loan, if the first deed of trust is to be  financed by another lender; 
    6. The sum of all liens may not exceed 100% of the cost to  acquire the property (the cost to acquire the property is the sales price plus  allowable borrower paid closing costs, discount points, and prepaid expenses);  and 
    7. The FHA insured first mortgage when combined with the  FHA plus second mortgage and any other liens may not result in cash back to the  borrower. 
    In underwriting FHA, VA, and RD loans, the authority may  impose its more stringent borrower's employment, income, and credit requirement  on loans that otherwise would be subject only to the applicable insurer or  guarantor's requirements. 
    In order to address investor requirements, the regulations  are amended to provide that the authority's single family mortgage loans are  assumable only if permitted by the authority. For example, Fannie Mae  guidelines do not permit loans to be assumed. An exception is provided for  loans (such as FHA loans) that are assumable in accordance with insurer or  guarantor guidelines or applicable law. 
    The authority may require that the company issuing private  mortgage insurance insuring an authority mortgage loan have a Moody's Investors  Service Insurance Financial Strength rating not lower than Aa3 or a Standard  & Poor's Ratings Services Financial Strength rating not lower than AA-.
    The authority may impose a minimum credit score requirement  for borrowers if the authority determines that such a requirement is standard  and customary in the single family mortgage loan industry and is necessary to  protect the authority's financial interests.
    13VAC10-40-20. Origination and servicing of mortgage loans.
    A. The originating of mortgage loans and the processing of  applications for the making or financing thereof in accordance herewith shall,  except as noted in subsection G of this section, be performed through  commercial banks, savings and loan associations, private mortgage bankers,  redevelopment and housing authorities, and agencies of local government  approved as originating agents ("originating agents") of the  authority. The servicing of mortgage loans shall, except as noted in subsection  H of this section, be performed through commercial banks, savings and loan  associations and private mortgage bankers approved as servicing agents  ("servicing agents") of the authority. 
    To be initially approved as an originating agent or as a  servicing agent and to continue to be so approved, the applicant must meet the  following qualifications: 
    1. Be authorized to do business in the Commonwealth of  Virginia and be licensed as a mortgage lender or broker, as applicable, under  the Virginia Mortgage Lender and Broker Act as set forth in Chapter 16 (§  6.1-408 et seq.) of Title 6.1 of the Code of Virginia (including nonprofit  corporations that may be exempt from licensing when making mortgage loans on  their own behalf under subdivision 4 of § 6.1-411 of the Code of Virginia);  provided, however, that such licensing requirement shall not apply to persons  exempt from licensure under:
    a. Subdivision 2 of § 6.1-411 of the Code of Virginia (any  person subject to the general supervision of or subject to examination by the  Commissioner of the Bureau of Financial Institutions of the Virginia State  Corporation Commission); 
    b. Subdivision 3 of § 6.1-411 of the Code of Virginia (any  lender authorized to engage in business as a bank, savings institution or  credit union under the laws of the United States, any state or territory of the  United States, or the District of Columbia, and subsidiaries and affiliates of  such entities, which lender, subsidiary or affiliate is subject to the general  supervision or regulation of or subject to audit or examination by a regulatory  body or agency of the United States, any state or territory of the United  States, or the District of Columbia); or
    c. Subdivision 5 of § 6.1-411 of the Code of Virginia  (agencies of the federal government, or any state or municipal government, or  any quasi-governmental agency making or brokering mortgage loans under the  specific authority of the laws of any state or the United States).
    2. Have a net worth equal to or in excess of $500,000 or such  other amount as the executive director shall from time to time deem  appropriate, except that this qualification requirement shall not apply to redevelopment  and housing authorities and agencies of local government; 
    3. Have a staff with demonstrated ability and experience in  mortgage loan origination, underwriting, processing and closing (in the case of  an originating agent applicant) or servicing (in the case of a servicing agent  applicant); 
    4. To be approved as an originating agent, have a physical  office located in Virginia that is open to the general public during  commercially reasonable business hours, staffed with individuals qualified to  take mortgage loan applications, and to which the general public may physically  go to make an application for a mortgage loan;
    5. To be approved as an originating agent, be eligible to, and  have a staff qualified to (as set forth in subdivision 3 of this subsection),  originate mortgage loans under all of the authority's single-family mortgage  loan programs (not including the Rural Development loan program);
    6. Have a fidelity bond and mortgage errors and omissions  coverage in an amount at least equal to $500,000 and provide the authority a  certificate from the insurance carrier naming the authority as a party in  interest to the bond, or the policies or bonds shall name the authority as one  of the parties insured. The policy's deductible clause may be for any amount up  to the greater of $100,000 or 5.0% of the face amount of the policy;
    7. Have a past history of satisfactory performance in the  authority's and other mortgage lenders', insurers', guarantors' and investors'  mortgage programs that, in the determination of the executive director,  demonstrates that the applicant will be capable of meeting its obligations  under the authority's programs, and provided further that, any applicant that  has been previously terminated as an originating by the Authority shall not be  eligible to reapply for 24 months after the effective date of such termination;  and
    8. Meet such other qualifications as the executive director  shall deem to be related to the performance of its duties and responsibilities.
    Notwithstanding the foregoing, any applicant that has been  approved and has entered into a servicing or origination agreement as of  November 13, 2007, but that does not meet the above requirements, shall have  until March 31, 2009, to comply with such requirements.
    Notwithstanding the foregoing, in the event that the  executive director determines that it is reasonable or necessary (after taking  into consideration the number of existing origination and servicing agents, the  current and expected level of loan production and demand for mortgage loans,  and the current and expected resources available to the authority to make  mortgage loans) to cease approving additional originating and servicing agents,  the authority may at any time decline to accept further applications and to  approve applications previously submitted.
    Each originating agent approved by the authority shall enter  into an originating agreement ("originating agreement"), with the  authority containing such terms and conditions as the executive director shall  require with respect to the origination and processing of mortgage loans  hereunder. Each servicing agent approved by the authority shall enter into a  servicing agreement with the authority containing such terms and conditions as  the executive director shall require with respect to the servicing of mortgage  loans. 
    An applicant may be approved as both an originating agent and  a servicing agent ("originating and servicing agent"). Each  originating and servicing agent shall enter into both an originating agreement  and a servicing agreement. 
    Once such agreements are executed, continued participation in  the authority's programs shall be subject to the terms and conditions in such  agreements.
    For the purposes of this chapter, the term "originating  agent" shall hereinafter be deemed to include the term "originating  and servicing agent," unless otherwise noted or the context indicates  otherwise. The term "servicing agent" shall continue to mean an agent  authorized only to service mortgage loans. 
    Originating agents and servicing agents shall maintain  adequate books and records with respect to mortgage loans which they originate  and process or service, as applicable, shall permit the authority to examine  such books and records, and shall submit to the authority such reports  (including annual financial statements) and information as the authority may  require. The fees payable to the originating agents and servicing agents for  originating and processing or for servicing mortgage loans hereunder shall be  established from time to time by the executive director and shall be set forth  in the originating agreements and servicing agreements applicable to such  originating agents and servicing agents. 
    B. The executive director shall allocate funds for the making  or financing of mortgage loans hereunder in such manner, to such persons and  entities, in such amounts, for such period, and subject to such terms and  conditions as he shall deem appropriate to best accomplish the purposes and  goals of the authority. Without limiting the foregoing, the executive director  may allocate funds (i) to mortgage loan applicants on a first-come, first-serve  or other basis, (ii) to originating agents and state and local government  agencies and instrumentalities for the origination of mortgage loans to  qualified applicants and/or (iii) to builders for the permanent financing of  residences constructed or rehabilitated or to be constructed or rehabilitated  by them and to be sold to qualified applicants. In determining how to so  allocate the funds, the executive director may consider such factors as he  deems relevant, including any of the following: 
    1. The need for the expeditious commitment and disbursement of  such funds for mortgage loans; 
    2. The need and demand for the financing of mortgage loans  with such funds in the various geographical areas of the Commonwealth; 
    3. The cost and difficulty of administration of the allocation  of funds; 
    4. The capability, history and experience of any originating  agents, state and local governmental agencies and instrumentalities, builders,  or other persons and entities (other than mortgage loan applicants) who are to  receive an allocation; and 
    5. Housing conditions in the Commonwealth. 
    In the event that the executive director shall determine to  make allocations of funds to builders as described above, the following  requirements must be satisfied by each such builder: 
    1. The builder must have a valid contractor's license in the  Commonwealth; 
    2. The builder must have at least three years' experience of a  scope and nature similar to the proposed construction or rehabilitation; and 
    3. The builder must submit to the authority plans and  specifications for the proposed construction or rehabilitation which are  acceptable to the authority. 
    The executive director may from time to time take such action  as he may deem necessary or proper in order to solicit applications for  allocation of funds hereunder. Such actions may include advertising in  newspapers and other media, mailing of information to prospective applicants  and other members of the public, and any other methods of public announcement  which the executive director may select as appropriate under the circumstances.  The executive director may impose requirements, limitations and conditions with  respect to the submission of applications as he shall consider necessary or  appropriate. The executive director may cause market studies and other research  and analyses to be performed in order to determine the manner and conditions  under which funds of the authority are to be allocated and such other matters  as he shall deem appropriate relating thereto. The authority may also consider  and approve applications for allocations of funds submitted from time to time  to the authority without any solicitation therefor on the part of the  authority. 
    C. This chapter constitutes a portion of the originating  guide of the authority. The processing originating guide and all  exhibits and other documents referenced herein are not included in, and shall  not be deemed to be a part of this chapter. The executive director is  authorized to prepare and from time to time revise a processing an  originating guide and a servicing guide which shall set forth the  accounting and other procedures to be followed by all originating agents and  servicing agents responsible for the origination, closing and servicing of  mortgage loans under the applicable originating agreements and servicing  agreements. Copies of the processing originating guide and the  servicing guide shall be available upon request. The executive director shall be  responsible for the implementation and interpretation of the provisions of the  originating guide (including the processing originating guide)  and the servicing guide. 
    D. The authority may from time to time (i) make mortgage  loans directly to mortgagors with the assistance and services of its  originating agents and (ii) agree to purchase individual mortgage loans from  its originating agents or servicing agents upon the consummation of the closing  thereof. The review and processing of applications for such mortgage loans, the  issuance of mortgage loan commitments therefor, the closing and servicing (and,  if applicable, the purchase) of such mortgage loans, and the terms and  conditions relating to such mortgage loans shall be governed by and shall  comply with the provisions of the applicable originating agreement or servicing  agreement, the originating guide, the servicing guide, the Act and this  chapter. 
    If the applicant and the application for a mortgage loan meet  the requirements of the Act and this chapter, the executive director may issue  on behalf of the authority a mortgage loan commitment to the applicant for the  financing of the single family dwelling unit. Such mortgage loan commitment  shall be issued only upon the determination of the authority that such a  mortgage loan is not otherwise available from private lenders upon reasonably  equivalent terms and conditions, and such determination shall be set forth in  the mortgage loan commitment. The original principal amount and term of such  mortgage loan, the amortization period, the terms and conditions relating to  the prepayment thereof, and such other terms, conditions and requirements as  the executive director deems necessary or appropriate shall be set forth or  incorporated in the mortgage loan commitment issued on behalf of the authority  with respect to such mortgage loan. 
    E. The authority may purchase from time to time existing  mortgage loans with funds held or received in connection with bonds issued by  the authority prior to January 1, 1981, or with other funds legally available  therefor. With respect to any such purchase, the executive director may request  and solicit bids or proposals from the authority's originating agents and  servicing agents for the sale and purchase of such mortgage loans, in such  manner, within such time period and subject to such terms and conditions as he  shall deem appropriate under the circumstances. The sales prices of the single  family housing units financed by such mortgage loans, the gross family incomes  of the mortgagors thereof, and the original principal amounts of such mortgage  loans shall not exceed such limits as the executive director shall establish,  subject to approval or ratification by resolution of the board. The executive  director may take such action as he deems necessary or appropriate to solicit  offers to sell mortgage loans, including mailing of the request to originating  agents and servicing agents, advertising in newspapers or other publications  and any other method of public announcement which he may select as appropriate  under the circumstances. After review and evaluation by the executive director  of the bids or proposals, he shall select those bids or proposals that offer  the highest yield to the authority on the mortgage loans (subject to any  limitations imposed by law on the authority) and that best conform to the terms  and conditions established by him with respect to the bids or proposals. Upon  selection of such bids or proposals, the executive director shall issue  commitments to the selected originating agents and servicing agents to purchase  the mortgage loans, subject to such terms and conditions as he shall deem  necessary or appropriate. Upon satisfaction of the terms of the commitments,  the executive director shall execute such agreements and documents and take  such other action as may be necessary or appropriate in order to consummate the  purchase and sale of the mortgage loans. The mortgage loans so purchased shall  be serviced in accordance with the applicable originating agreement or  servicing agreement and the servicing guide. Such mortgage loans and the  purchase thereof shall in all respects comply with the Act and the authority's  rules and regulations. 
    F. The executive director may, in his discretion, delegate to  one or more originating agents all or some of the responsibility for  underwriting, issuing commitments for mortgage loans and disbursing the  proceeds hereof without prior review and approval by the authority. The  executive director may delegate to one or more servicing agents all or some of  the responsibility for underwriting and issuing commitments for the assumption  of existing authority mortgage loans without prior review and approval by the  authority. If the executive director determines to make any such delegation, he  shall establish criteria under which originating agents may qualify for such  delegation. If such delegation has been made, the originating agents shall submit  all required documentation to the authority at such time as the authority may  require. If the executive director determines that a mortgage loan does not  comply with any requirement under the originating guide, the applicable  originating agreement, the Act or this chapter for which the originating agent  was delegated responsibility, he may require the originating agents to purchase  such mortgage loan, subject to such terms and conditions as he may prescribe. 
    G. The authority may utilize financial institutions, mortgage  brokers and other private firms and individuals and governmental entities  ("field originators") approved by the authority for the purpose of  receiving applications for mortgage loans. To be approved as a field  originator, the applicant must meet the following qualifications: 
    1. Be authorized to do business in the Commonwealth of  Virginia; 
    2. Have made any necessary filings or registrations and have  received any and all necessary approvals or licenses in order to receive  applications for mortgage loans in the Commonwealth of Virginia; 
    3. Have the demonstrated ability and experience in the receipt  and processing of mortgage loan applications; and 
    4. Have such other qualifications as the executive director  shall deem to be related to the performance of its duties and responsibilities.  
    Each field originator approved by the authority shall enter  into such agreement as the executive director shall require with respect to the  receipt of applications for mortgage loans. Field originators shall perform  such of the duties and responsibilities of originating agents under this  chapter as the authority may require in such agreement. 
    Field originators shall maintain adequate books and records  with respect to mortgage loans for which they accept applications, shall permit  the authority to examine such books and records, and shall submit to the  authority such reports and information as the authority may require. The fees  to the field originators for accepting applications shall be payable in such  amount and at such time as the executive director shall determine. 
    In the case of mortgage loans for which applications are  received by field originators, the authority may process and originate the  mortgage loans; accordingly, unless otherwise expressly provided, the  provisions of this chapter requiring the performance of any action by  originating agents shall not be applicable to the origination and processing by  the authority of such mortgage loans, and any or all of such actions may be  performed by the authority on its own behalf. 
    H. The authority may service mortgage loans for which the  applications were received by field originators or any mortgage loan which, in  the determination of the authority, originating agents and servicing agents  will not service on terms and conditions acceptable to the authority or for  which the originating agent or servicing agent has agreed to terminate the  servicing thereof. 
    13VAC10-40-40. Compliance with certain requirements of the  Internal Revenue Code of 1986, as amended ("the tax code").
    The tax code imposes certain requirements and restrictions on  the eligibility of mortgagors and residences for financing with the proceeds of  tax-exempt bonds (as well as requirements and restrictions on the assumption  of mortgage loans so financed). In order to comply with these federal  requirements and restrictions, the authority has established certain procedures  which must be performed by the originating agent in order to determine such  eligibility. The eligibility requirements for the borrower or the borrowers and  the dwelling are described below as well as the procedures to be performed. The  originating agent will perform these procedures and evaluate a borrower's or  borrowers' eligibility prior to the authority's approval of each loan. No loan  will be approved by the authority unless all of the federal eligibility  requirements are met as well as the usual requirements of the authority set  forth in other parts of this originating guide. 
    The executive director may apply some or all of the above-referenced  tax exempt bond requirements and restrictions to authority mortgage loans that  are not funded with tax exempt bonds if the executive director determines that  such requirement and restrictions are necessary to enable the authority to  effectively and efficiently allocate its current and anticipated financial  resources so as to best meet the current and future housing needs of the  citizens throughout the Commonwealth.
    13VAC10-40-50. Eligible borrowers. 
    A. In order to be considered eligible for an authority  mortgage loan, an applicant must, among other things, meet all of the following  federal criteria: 
    1. Each applicant must not have had a present ownership  interest in his principal residence within the three years preceding the date  of execution of the mortgage loan documents (see subsection B of this section);  
    2. Each applicant must agree to occupy and use the residential  property to be purchased as his permanent, principal residence within 60 days  (90 days in the case of a rehabilitation loan as described in 13VAC10-40-200)  after the date of the closing of the mortgage loan (see subsection C of this  section); 
    3. Each applicant must not use the proceeds of the mortgage  loan to acquire or replace an existing mortgage or debt, except in the case of  certain types of temporary financing (see subsection D of this section); 
    4. Each applicant must have contracted to purchase an eligible  dwelling (see 13VAC10-40-60, Eligible dwellings); 
    5. Each applicant must execute an affidavit of borrower (Exhibit  E) at the time of loan application; 
    6. The applicant or applicants must not receive income in an  amount in excess of the applicable federal income limit imposed by the tax code  (see 13VAC10-40-100, Maximum gross income); 
    7. Each applicant must agree not to sell, lease or otherwise  transfer an interest in the residence or permit the assumption of his mortgage  loan unless certain requirements are met (see 13VAC10-40-140, Loan  assumptions); and 
    8. Each applicant must be over the age of 18 years or have been  declared emancipated by order or decree of a court having jurisdiction. 
    B. An eligible borrower does not include any borrower who, at  any time during the three years preceding the date of execution of the mortgage  loan documents, had a "present ownership interest" (as hereinafter  defined) in his principal residence. Each borrower must certify on the  affidavit of borrower that at no time during the three years preceding the  execution of the mortgage loan documents has he had a present ownership interest  in his principal residence. This requirement does not apply to residences  located in "targeted areas" (see 13VAC10-40-70, Targeted areas);  however, even if the residence is located in a "targeted area," the  tax returns for the most recent taxable year (or the letter described in  subdivision 3 below) must be obtained for the purpose of determining compliance  with other requirements. 
    1. "Present ownership interest" includes: 
    a. A fee simple interest, 
    b. A joint tenancy, a tenancy in common, or a tenancy by the  entirety, 
    c. The interest of a tenant shareholder in a cooperative, 
    d. A life estate, 
    e. A land contract, under which possession and the benefits  and burdens of ownership are transferred although legal title is not  transferred until some later time, and 
    f. An interest held in trust for the eligible borrower  (whether or not created by the eligible borrower) that would constitute a  present ownership interest if held directly by the eligible borrower. 
    Interests which do not constitute a present ownership interest  include: 
    a. A remainder interest, 
    b. An ordinary lease with or without an option to purchase, 
    c. A mere expectancy to inherit an interest in a principal  residence, 
    d. The interest that a purchaser of a residence acquires on  the execution of an accepted offer to purchase real estate, and 
    e. An interest in other than a principal residence during the  previous three years. 
    2. This requirement applies to any person who will execute the  mortgage document or note and will have a present ownership interest (as  defined above) in the eligible dwelling. 
    3. To verify that each eligible borrower meets the three-year  requirement, the originating agent must obtain copies of signed federal income  tax returns filed by the eligible borrower for the three tax years immediately  preceding execution of the mortgage documents (or certified copies of the  returns) or a copy of a letter from the Internal Revenue Service stating that  its Form 1040A or 1040EZ was filed by the eligible borrower for any of the  three most recent tax years for which copies of such returns are not obtained.  If the eligible borrower was not required by law to file a federal income tax  return for any of these three years and did not so file, and so states on the  borrower affidavit, the requirement to obtain a copy of the federal income tax  return or letter from the Internal Revenue Service for such year or years is  waived. 
    The originating agent shall examine the tax returns  particularly for any evidence that an eligible borrower may have claimed  deductions for property taxes or for interest on indebtedness with respect to  real property constituting his principal residence. 
    4. The originating agent must, with due diligence, verify the  representations in the affidavit of borrower (Exhibit E) regarding each  eligible borrower's prior residency by reviewing any information including the  credit report and the tax returns furnished by each eligible borrower for  consistency, and make a determination that on the basis of its review each  borrower has not had present ownership interest in a principal residence at any  time during the three-year period prior to the anticipated date of the loan  closing. 
    C. Each eligible borrower must intend at the time of closing  to occupy the eligible dwelling as a principal residence within 60 days (90  days in the case of a purchase and rehabilitation loan) after the closing of  the mortgage loan. Unless the residence can reasonably be expected to become  the principal residence of each eligible borrower within 60 days (90 days in  the case of a purchase and rehabilitation loan) of the mortgage loan closing  date, the residence will not be considered an eligible dwelling and may not be  financed with a mortgage loan from the authority. Each eligible borrower must  covenant to intend to occupy the eligible dwelling as a principal residence  within 60 days (90 days in the case of a purchase and rehabilitation loan)  after the closing of the mortgage loan on the affidavit of borrower (to be  updated by at the verification and update of information form)  closing of the mortgage loan) and as part of the attachment to the deed  of trust. 
    1. A principal residence does not include any residence which  can reasonably be expected to be used: (i) primarily in a trade or business,  (ii) as an investment property, or (iii) as a recreational or second home. A  residence may not be used in a manner which would permit any portion of the  costs of the eligible dwelling to be deducted as a trade or business expense  for federal income tax purposes or under circumstances where more than 15% of  the total living area is to be used primarily in a trade or business. 
    2. The land financed by the mortgage loan may not provide,  other than incidentally, a source of income to an eligible borrower. Each  eligible borrower must indicate on the affidavit of borrower that, among other  things: 
    a. No portion of the land financed by the mortgage loan  provides a source of income (other than incidental income); 
    b. He does not intend to farm any portion (other than as a  garden for personal use) of the land financed by the mortgage loan; and 
    c. He does not intend to subdivide the property. 
    3. Only such land as is reasonably necessary to maintain the  basic liveability of the residence may be financed by a mortgage loan. The  financed land must not exceed the customary or usual lot in the area.  Generally, the financed land will not be permitted to exceed two acres, even in  rural areas. However, exceptions may be made to permit lots larger than two  acres, but in no event in excess of five acres: (i) if the land is owned free  and clear and is not being financed by the loan, the lot may be as large as  five acres, (ii) if difficulty is encountered locating a well or septic field,  the lot may include the additional acreage needed, (iii) local city and county  ordinances which require more acreage will be taken into consideration, or (iv)  if the lot size is determined by the authority, based upon objective  information provided by the borrower, to be usual and customary in the area for  comparably priced homes. 
    4. The affidavit of borrower (Exhibit E) must be reviewed by  the originating agent for consistency with each eligible borrower's federal  income tax returns and the credit report, and the originating agent must, based  on such review, make a determination that each borrower has not used any  previous residence or any portion thereof primarily in any trade or business. 
    5. The originating agent shall establish procedures to (i)  review correspondence, checks and other documents received from the borrower or  borrowers during the 120-day period following the loan closing for the purpose  of ascertaining that the address of the residence and the address of the  borrower or borrowers are the same and (ii) notify the authority if such  addresses are not the same. Subject to the authority's approval, the  originating agent may establish different procedures to verify compliance with  this requirement. 
    D. Mortgage loans may be made only to an eligible borrower  who did not have a mortgage (whether or not paid off) on the eligible dwelling  at any time prior to the execution of the mortgage. Mortgage loan proceeds may  not be used to acquire or replace an existing mortgage or debt for which an  eligible borrower is liable or which was incurred on behalf of an eligible  borrower, except in the case of construction period loans, bridge loans or  similar temporary financing which has a term of 24 months or less. 
    1. For purposes of applying the new mortgage requirement, a  mortgage includes deeds of trust, conditional sales contracts (i.e. generally a  sales contract pursuant to which regular installments are paid and are applied  to the sales price), pledges, agreements to hold title in escrow, a lease with  an option to purchase which is treated as an installment sale for federal  income tax purposes and any other form of owner-financing. Conditional land  sale contracts shall be considered as existing loans or mortgages for purposes  of this requirement. 
    2. In the case of a mortgage loan (having a term of 24 months  or less) made to refinance a loan for the construction of an eligible dwelling,  the authority shall not make such mortgage loan until it has determined that  such construction has been satisfactorily completed. 
    3. Prior to closing the mortgage loan, the originating agent  must examine the affidavit of borrower (Exhibit E), the affidavit of seller  (Exhibit F), and related submissions, including (i) each eligible borrower's  federal income tax returns for the preceding three years, and (ii) credit  report, in order to determine whether the eligible borrower will meet the new  mortgage requirements. Based upon such review, the originating agent shall make  a determination that the proceeds of the mortgage loan will not be used to  repay or refinance an existing mortgage debt of any borrower and that each  borrower did not have a mortgage loan on the eligible dwelling prior to the  date hereof, except for permissible temporary financing described above. 
    E. Any eligible borrower may not have more than one  outstanding authority first mortgage loan. 
    13VAC10-40-120. Mortgage insurance requirements.
    Unless the loan is an FHA, VA or Rural Development loan, the  borrower or borrowers are required to purchase at time of loan closing full  private mortgage insurance (in an amount equal to the percentage of the loan  that exceeds 80% of the lesser or sales price or appraised value of the  property or such higher percentage as the executive director may determine is  necessary to protect the authority's financial interests) on each loan the  amount of which exceeds 80% of the lesser of sales price or appraised value of  the property to be financed. Such insurance shall be issued by a company  acceptable to the authority. The originating agent is required to escrow for  annual payment of mortgage insurance, unless an alternative payment plan is  approved by the authority. If the authority requires FHA, VA or Rural  Development insurance or guarantee, the loan will either, at the election of  the authority, (a) be closed in the authority's name in accordance with the  procedures and requirements herein or (b) be closed in the originating agent's  name and purchased by the authority once the FHA Certificate of Insurance, VA  Guaranty or Rural Development Guarantee has been obtained or subject to the  condition that such FHA Certificate of Insurance, VA Guaranty or Rural  Development Guarantee be obtained. In the event that the authority purchases an  FHA, VA or Rural Development loan, the originating agent must enter into a  purchase and sale agreement on such form as shall be provided by the authority.  For assumptions of conventional loans (i.e., loans other than FHA, VA or Rural  Development loans), full private mortgage insurance as described above is  required unless waived by the authority.
    The executive director may waive the requirements for private  mortgage insurance in the preceding paragraph for a loan having a principal  amount in excess of 80% of the lesser of sales price or appraised value of the  property to be financed if the applicant satisfies the criteria set forth in  subdivisions 11 through 17 of 13VAC10-40-230 or if the executive director  otherwise determines that the financial integrity of the program is protected  by the financial strength of the applicant or applicants or the terms of the  financing. 
    If the executive director determines it to be necessary to  protect the authority's financial interests, the executive director may require  that the company issuing such private mortgage insurance have a Moody's  Investors Service Insurance Financial Strength rating not lower than Aa3 or a  Standard & Poor's Ratings Services Financial Strength rating not lower than  AA-.
    13VAC10-40-130. Underwriting.
    A. In general, to be eligible for authority financing, an applicant  or applicants must satisfy the following underwriting criteria which  demonstrate the willingness and ability to repay the mortgage debt and  adequately maintain the financed property.
    1. The applicant or applicants must document the receipt of a  stable current income which indicates that the applicant or applicants will  receive future income which is sufficient to enable the timely repayment of the  mortgage loan as well as other existing obligations and living expenses.
    2. The applicant or, in the case of multiple applicants, the  applicants individually and collectively must possess a credit history which  reflects the ability to successfully meet financial obligations and a  willingness to repay obligations in accordance with established credit repayment  terms.
    3. An applicant having a foreclosure instituted by the  authority on his property financed by an authority mortgage loan will not be  eligible for a mortgage loan hereunder. The authority will consider previous  foreclosures (other than on authority financed loans) on an exception basis  based upon circumstances surrounding the cause of the foreclosure, length of  time since the foreclosure, the applicant's subsequent credit history and  overall financial stability. Under no circumstances will an applicant be  considered for an authority loan within three years from the date of the  foreclosure. The authority has complete discretion to decline to finance a loan  when a previous foreclosure is involved.
    4. The applicant or applicants must document that sufficient  funds will be available for required down payment and closing costs.
    a. The terms and sources of any loan to be used as a source  for down payment or closing costs must be reviewed and approved in advance of  loan approval by the authority.
    b. Sweat equity, the imputed value of services performed by an  eligible borrower or members of his family (brothers and sisters, spouse,  ancestors and lineal descendants) in constructing or completing the residence,  generally is not an acceptable source of funds for down payment and closing  costs. Any sweat equity allowance must be approved by the authority prior to  loan approval.
    5. Proposed monthly housing expenses compared to current  monthly housing expenses will be reviewed. If there is a substantial increase  in such expenses, the applicant or applicants must demonstrate his ability to  pay the additional expenses.
    6. All applicants are encouraged to attend a home ownership  educational program to be better prepared to deal with the home buying process  and the responsibilities related to homeownership. The authority may require  all applicants applying for certain authority loan programs to complete an  authority approved homeownership education program prior to loan approval.
    B. In addition to the requirements set forth in subsection A  of this section, the following requirements must be met in order to satisfy the  authority's underwriting requirements for conventional loans. However,  additional or more stringent requirements may be imposed (i) by private  mortgage insurance companies with respect to those loans on which private  mortgage insurance is required or; (ii) on loans as described in  the last paragraph of 13VAC10-40-120; or (iii) on loans that may be sold by  the authority to an investor (including, without limitation, Fannie Mae,  Freddie Mac, and Ginnie Mae) in which case such additional or more stringent  requirements of the investor will apply. 
    1. The following rules apply to the authority's employment and  income requirement. 
    a. Employment for the preceding two-year period must be  documented. Education or training for employment during this two-year period  shall be considered in satisfaction of this requirement if such education or  training is related to an applicant's current line of work and adequate future  income can be anticipated because such education and training will expand the  applicant's job opportunities. The applicant must be employed a minimum of six  months with present employer. An exception to the six-month requirement can be  granted by the authority if it can be determined that the type of work is  similar to previous employment and previous employment was of a stable nature. 
    b. Note: Under the tax code, the residence may not be expected  to be used in trade or business. (See 13VAC10-40-50 C.) Any self-employed  applicant must have a minimum of two years of self-employment with the same  company and in the same line of work. In addition, the following information is  required at the time of application: 
    (1) Federal income tax returns for the two most recent tax  years. 
    (2) Balance sheets and profit and loss statements prepared by  an independent public accountant. 
    In determining the income for a self-employed applicant,  income will be averaged for the two-year period. 
    c. The following rules apply to income derived from sources  other than primary employment. 
    (1) When considering alimony and child support. A copy of the  legal document and sufficient proof must be submitted to the authority  verifying that alimony and child support are court ordered and are being  received. Child support payments for children 15 years or older are not  accepted as income in qualifying an applicant or applicants for a loan. 
    (2) When considering social security and other retirement  benefits. Social Security Form No. SSA 2458 must be submitted to verify that  applicant is receiving social security benefits. Retirement benefits must be  verified by receipt or retirement schedules. VA disability benefits must be  verified by the VA. Educational benefits and social security benefits for  dependents 15 years or older are not accepted as income in qualifying an  applicant or applicants for a loan. 
    (3) All part-time employment must be continuous for a minimum  of 24 months, except that the authority may consider part-time employment that  is continuous for more than 12 months but less than 24 months if such part-time  employment is of a stable nature and is likely to continue after closing of the  mortgage loan. 
    (4) Overtime earnings must be guaranteed by the employer or  verified for a minimum of two years. Bonus and commissions must be reasonably  predictable and stable and the applicant's employer must submit evidence that  they have been paid on a regular basis and can be expected to be paid in the  future. 
    2. The following rules apply to each applicant's credit: 
    a. The authority requires that an applicant's previous credit  experience be satisfactory. Poor credit references without an acceptable  explanation will cause a loan to be rejected. Satisfactory credit references  and history are considered to be important requirements in order to obtain an  authority loan. The executive director may impose a minimum credit score  requirement if the executive director determines that such a requirement is  standard and customary in the single family mortgage loan industry and is  necessary to protect the authority's financial interests.
    b. An applicant will not be considered for a loan if the  applicant has been adjudged bankrupt within the past two years. If longer than  two years, the applicant must submit a written explanation giving details  surrounding the bankruptcy. The authority has complete discretion to decline a  loan when a bankruptcy is involved. 
    c. An applicant is required to submit a written explanation  for all judgments and collections. In most cases, judgments and collections  must be paid before an applicant will be considered for an authority loan. 
    3. The authority reserves the right to obtain an independent  appraisal in order to establish the fair market value of the property and to  determine whether the dwelling is eligible for the mortgage loan requested. 
    4. The applicant or applicants satisfy the authority's minimum  income requirement for financing if the monthly principal and interest (at the  rate determined by the authority), tax, insurance ("PITI") and other  additional monthly fees such as condominium association fees (excluding unit  utility charges), townhouse assessments, etc. do not exceed 32% of monthly gross  income and if the monthly PITI plus outstanding monthly debt payments with more  than 10 months duration (and payments on debts lasting less than 10 months, if  making such payments will adversely affect the applicant's or applicants'  ability to make mortgage loan payments in the months following loan closing) do  not exceed 40% of monthly gross income (see Exhibit B). However, with respect  to those mortgage loans on which private mortgage insurance is required, the  private mortgage insurance company may impose more stringent requirements. If  either of the percentages set forth are exceeded, compensating factors may be  used by the authority, in its sole discretion, to approve the mortgage loan.
    5. Funds necessary to pay the downpayment and closing costs must  be deposited at the time of loan application. The authority does not permit an  applicant to borrow funds for this purpose unless approved in advance by the  authority. If the funds are being held in an escrow account by the real estate  broker, builder or closing attorney, the source of the funds must be verified.  A verification of deposit from the parties other than financial institutions  authorized to handle deposited funds is not acceptable.
    6. The applicant may receive a gift from only a relative, employer  or nonprofit entity not involved in the transfer or financing of the property.  The individual(s) making the gift must provide a letter to the authority  confirming that the transfer of funds is a gift with no obligation on the part  of an applicant to repay the funds at any time. The party making the gift must  submit proof that the funds are available. The executive director may approve  gifts from other sources provided the executive director determines that such  transfer of funds to the applicant is not subject to repayment by the applicant  and is not made in consideration of any past or future obligation of the  applicant or in consideration of any terms of the property transfer or mortgage  loan transaction.
    7. Seller contributions for settlement or financing costs  (including closing costs, discount points and upfront mortgage insurance  premiums) may not exceed the lesser of 6.0% of the sales price or the amount  permitted by the applicable mortgage insurer guidelines. 
    C. The following rules are applicable to FHA loans only. 
    1. The authority will normally accept FHA underwriting  requirements and property standards for FHA loans. However, the applicant or  applicants must satisfy the underwriting criteria set forth in subsection A of  this section and most of the authority's basic eligibility requirements  including those described in 13VAC10-40-30 through 13VAC10-40-100 hereof remain  in effect due to treasury restrictions or authority policy. In addition, the  executive director may impose one or more of the requirements of subsection B  of this section to FHA loans on the same or less stringent basis as they apply  to the authority's conventional loans if the executive director determines that  such requirements are necessary to protect its financial interests. 
    2. The applicant's or applicants' mortgage insurance premium  fee may be included in the FHA acquisition cost and may be financed provided  that the final loan amount does not exceed the authority's maximum allowable  sales price. In addition, in the case of a condominium, such fee may not be  paid in full in advance but instead is payable in annual installments. 
    3. The FHA allowable closing fees may be included in the FHA  acquisition cost and may be financed provided the final loan amount does not  exceed the authority's maximum allowable sales price. 
    4. FHA appraisals are acceptable. VA certificates of  reasonable value (CRV's) are acceptable if acceptable to FHA. 
    D. The following rules are applicable to VA loans only. 
    1. The authority will normally accept VA underwriting  requirements and property guidelines for VA loans. However, the applicant or  applicants must satisfy the underwriting criteria set forth in subsection A of  this section and most of the authority's basic eligibility requirements  (including those described in 13VAC10-40-30 through 13VAC10-40-100) remain in  effect due to treasury restrictions or authority policy. In addition, the  executive director may impose one or more of the requirements of subsection B  of this section to VA loans on the same or less stringent basis as they apply  to the authority's conventional loans if the executive director determines that  such requirements are necessary to protect its financial interests. 
    2. The funding fee can be included in loan amount provided the  final loan amount does not exceed the authority's maximum allowable sales  price. 
    3. VA certificates of reasonable value (CRV's) are acceptable  in lieu of an appraisal. 
    E. The following rules are applicable to Rural Development  loans only. 
    1. The authority will normally accept Rural Development  underwriting requirements and property standards for Rural Development loans.  However, the applicant or applicants must satisfy the underwriting criteria set  forth in subsection A of this section and most of the authority's basic  eligibility requirements including those described in 13VAC10-40-30 through  13VAC10-40-100 remain in effect due to treasury restrictions or authority  policy. In addition, the executive director may impose one or more of the  requirements of subsection B of this section to Rural Development loans on the  same or less stringent basis as they apply to the authority's conventional  loans if the executive director determines that such requirements are necessary  to protect its financial interests. 
    2. The Rural Development guarantee fee can be included in loan  amount provided the final loan amount does not exceed the authority's maximum  allowable sales price. 
    F. With respect to FHA, VA, RD and conventional loans, the  authority permits the deposit of a sum of money (the "buydown funds")  by a party (the "provider") with an escrow agent, a portion of which  funds are to be paid to the authority each month in order to reduce the amount  of the borrower's or borrowers' monthly payment during a certain period of time.  Such arrangement is governed by an escrow agreement for buydown mortgage loans  (see Exhibit V) executed at closing (see 13VAC10-40-180 for additional  information). The escrow agent will be required to sign a certification  (Exhibit X) in order to satisfy certain insurer or guarantor requirements. For  the purposes of underwriting buydown mortgage loans, the reduced monthly  payment amount may be taken into account based on insurer or guarantor  guidelines then in effect (see also subsection C, D or E of this section, as  applicable). 
    G. Unlike the program described in subsection E of this  section which permits a direct buydown of the borrower's or borrowers' monthly  payment, the authority also from time to time permits the buydown of the  interest rate on a conventional, FHA or VA mortgage loan for a specified period  of time. 
    13VAC10-40-140. Loan assumptions. 
    A. VHDA currently permits may from time to time, in  its discretion, permit assumptions of all or some of its single  family mortgage loans provided that certain, subject to satisfaction  of the applicable requirements in this section; provided, however, that  assumptions shall be permitted when required by the mortgage insurer or  guarantor rules or applicable law if the applicable requirements in this section  are met. For all loans closed prior to January 1, 1991, except FHA loans which  were closed during calendar year 1990, the maximum gross income for the person  or persons assuming a loan shall be 100% of the applicable median family  income. For such FHA loans closed during 1990, if assumed by a household of  three or more persons, the maximum gross income shall be 115% of the applicable  median family income (140% for a residence in a targeted area) and if assumed  by a household of fewer than three persons, the maximum gross income shall be  100% of the applicable median family income (120% for a residence in a targeted  area). For all loans closed after January 1, 1991, the maximum gross income for  the person or persons assuming loans shall be the highest percentage, as then  in effect under 13VAC10-40-100 A, of applicable median family income for the  number or persons to occupy the dwelling upon assumption of the mortgage loan,  unless otherwise provided in the deed of trust. The requirements for each of  the two different categories of mortgage loans listed below (and the  subcategories within each) are as follows: 
    1. The following rules apply to assumptions of conventional  loans, if permitted by the authority. 
    a. For assumptions of conventional loans financed by the  proceeds of bonds issued on or after December 17, 1981, the requirements of the  following sections hereof must be met: 
    (1) Maximum gross income requirement in 13VAC10-40-140 A 
    (2) 13VAC10-40-50 C (Principal residence requirement) 
    (3) 13VAC10-40-130 (Authority underwriting requirements) 
    (4) 13VAC10-40-50 B (Three-year requirement) 
    (5) 13VAC10-40-60 B (Acquisition cost requirements) 
    (6) 13VAC10-40-120 (Mortgage insurance requirements). 
    b. For assumptions of conventional loans financed by the  proceeds of bonds issued prior to December 17, 1981, the requirements of the  following sections hereof must be met: 
    (1) Maximum gross income requirement in 13VAC10-40-140 A 
    (2) 13VAC10-40-50 C (Principal residence requirements) 
    (3) 13VAC10-40-130 (Authority underwriting requirements) 
    (4) 13VAC10-40-120 (Mortgage insurance requirements). 
    2. The following rules apply to assumptions of FHA, VA or  Rural Development loans, if permitted by the authority. 
    a. For assumptions of FHA, VA or Rural Development loans  financed by the proceeds of bonds issued on or after December 17, 1981, the  following conditions, if applicable, must be met: 
    (1) Maximum gross income requirement in this 13VAC10-40-140 A 
    (2) 13VAC10-40-50 C (Principal residence requirement) 
    (3) 13VAC10-40-50 B (Three-year requirement) 
    (4) 13VAC10-40-60 B (Acquisition cost requirements). 
    In addition, all applicable FHA, VA or Rural Development  underwriting requirements, if any, must be met. 
    b. For assumptions of FHA, VA or Rural Development loans  financed by the proceeds of bonds issued prior to December 17, 1981, only the  applicable FHA, VA or Rural Development underwriting requirements, if any, must  be met. 
    B. Upon receipt from an originating agent or servicing  agent of an application package for If the authority will permit an  assumption, the authority will determine whether or not the applicable  requirements referenced above for assumption of the loan have been met and will  advise the originating agent or servicing agent of such determination in  writing. The authority will further advise the originating agent or servicing  agent of all other requirements necessary to complete the assumption process.  Such requirements may include but are not limited to the submission of  satisfactory evidence of hazard insurance coverage on the property, approval of  the deed of assumption, satisfactory evidence of mortgage insurance or mortgage  guaranty including, if applicable, pool insurance, submission of an escrow transfer  letter and execution of a Recapture Requirement Notice (VHDA Doc. R-1). 
    13VAC10-40-160. Reservations/fees. 
    A. The authority currently reserves funds for each mortgage  loan on a first come, first serve basis. Reservations are made by specific originating  agents or field originators with respect to specific applicants and properties.  No substitutions are permitted. Similarly, locked-in interest rates are also  nontransferable. However, if the applicant can document circumstances beyond  the applicant's control constituting good cause, the executive director may  permit such substitution and transfer. Funds will not be reserved longer than  60 days unless the originating agent requests and receives an additional  one-time extension prior to the 60-day deadline; provided, however, the  foregoing time periods may be shortened by the executive director as he deems  necessary if the mortgage loan is to be sold by the authority to an investor  (including, without limitation, Fannie Mae, Freddie Mac, and Ginnie Mae).  Locked-in interest rates on all loans, including those on which there may be a  VA Guaranty, cannot be reduced under any circumstances. 
    B. The applicant or applicants, including an applicant or  applicants for a loan to be guaranteed by VA, may request a second reservation  if the first has expired or has been cancelled. If the second reservation is  made within 12 months of the date of the original reservation, the interest  rate will be the greater of (i) the locked-in rate or (ii) the current rate  offered by the authority at the time of the second reservation. However, if the  applicant can document circumstances beyond the applicant's control  constituting good cause, the executive director may waive the requirement in  the preceding sentence. 
    C. The originating agent or field originator shall collect a  nonrefundable reservation fee in such amount and according to such procedures  as the authority may require from time to time. Under no circumstances is this  fee refundable. A second reservation fee must be collected for a second  reservation. No substitutions of applicants or properties are permitted. 
    D. The following other fees shall be collected. 
    1. In connection with the origination and closing of the loan,  the originating agent shall collect at closing or, at the authority's option,  simultaneously with the acceptance of the authority's commitment, an amount  equal to 1.0% of the loan amount (please note that for FHA loans the loan  amount for the purpose of this computation is the base loan amount only); provided,  however, that the executive director may require the payment of an additional  fee not in excess of 1.0% of the loan amount in the case of a step loan (i.e.,  a loan on which the initial interest rate is to be increased to a new interest  rate after a fixed period of time). If the loan does not close, then the  origination fee shall be waived. 
    2. The originating agent shall collect at the time of closing  an amount equal to 1.0% of the loan amount. 
    If the executive director determines that the financial  integrity of the program is protected by an adjustment to the rate of interest  charged to the applicant or applicants or otherwise, the authority may provide  the applicant or applicants with the option of an alternative fee requirement. 
    13VAC10-40-170. Commitment (Exhibit J).
    A. Upon approval of the applicant or applicants, the  authority will send a mortgage loan commitment to the borrower or borrowers in  care of the originating agent. The originating agent shall ask the borrower or  borrowers to indicate acceptance of the mortgage loan commitment by signing and  returning it to the originating agent prior to settlement.
    A commitment must be issued in writing by an authorized  officer of the authority and signed by the applicant or applicants before a  loan may be closed. The term of a commitment may be extended in certain cases  upon written request by the applicant or applicants and approved by the  authority. If an additional commitment is issued to an applicant or applicants,  the interest rate may be higher than the rate offered in the original  commitment and additional fees may be charged. Such new rate and the  availability of funds therefor shall in all cases be determined by the  authority in its discretion.
    B. If the application fails to meet any of the standards,  criteria and requirements herein, a loan rejection letter will be issued by the  authority (see Exhibit L). In order to have the application reconsidered, the  applicant or applicants must resubmit the application within 30 days after loan  rejection. If the application is so resubmitted, the credit documentation  cannot be more than 90 days old and the appraisal not more than six months old.
    13VAC10-40-220. FHA plus program. 
    A. Notwithstanding anything to the contrary herein, the  authority may make loans secured by second deed of trust liens ("second  loans") to provide downpayment and closing cost assistance to an eligible  borrower or borrowers who are obtaining FHA loans secured by first deed of trust  liens. Such first deed of trust liens must be financed by the authority;  provided that the authority may, in its discretion, permit such first deeds of  trust to be financed by other lenders, subject to such terms and conditions as  the executive director shall determine to be necessary to protect the financial  integrity of the FHA plus program. Second loans shall not be available to a  borrower or borrowers if the FHA loan is being made under the FHA buydown  program or is subject to a step adjustment in the interest rate thereon or is  subject to a reduced interest rate due to the financial support of the  authority. 
    B. The second loans shall not be insured by mortgage  insurance; accordingly, the requirements of 13VAC10-40-120 regarding mortgage  insurance shall not be applicable to the second loan. 
    C. The requirements of 13VAC10-40-110 regarding calculation  of maximum loan amount shall not be applicable to the second loan. In order to  be eligible for a second loan, the borrower or borrowers must obtain an FHA  loan for the maximum loan amount permitted by FHA. The principal amount of the  second loan shall not exceed 5.0% of the lesser of the sales price or appraised  value, or such lesser percentage as may be determined by the executive  director to protect the financial integrity of the FHA plus program. 
    In no event shall the combined FHA loan and the second loan  amount exceed (i) the sum of the lesser of the sales price or appraised value  plus closing costs and fees to be paid by borrower or (ii) the authority's  maximum allowable sales price. The sum of all liens may not exceed 100% of  the cost to acquire the property. The cost to acquire the property is the sales  price plus allowable borrower paid closing costs, discount points and prepaid  expenses. 
    Verified liquid funds (funds other than gifts, loans or  retirement accounts) in an amount not less than 1.0% of the sales price must  be: (i) contributed by the borrower or borrowers towards closing costs or  prepaid items; (ii) retained by the borrower or borrowers as cash reserves  after closing; or (iii) contributed and retained by the borrower or borrowers  for the purposes of clauses (i) and (ii), respectively. At the closing, the  borrower or borrowers may not receive any loan proceeds in excess of the amount  of funds paid by the borrower or borrowers prior to closing. The  FHA-insured first mortgage when combined with the FHA plus second mortgage and  any other liens may not result in cash back to the borrower.
    D. If the authority is not making the FHA loan secured by  the first deed of trust lien, the authority may require that, as a condition of  financing the FHA plus loan, the FHA loan secured by the first deed of trust  lien meet the authority's requirements applicable to FHA loans. With  respect to underwriting, no additional more stringent  requirements or criteria other than those applicable to the FHA loan shall  may be imposed on the second loan if the executive director  determines such more stringent requirements or criteria are necessary to  protect the financial integrity of the FHA plus program. 
    E. The second mortgage loan shall be assumable on the same  terms and conditions as the FHA loan. 
    F. No origination fee or discount point shall be collected on  the second loan; provided, however, that the authority may charge an  origination fee and/or a discount point in an amount determined by the  executive director to be necessary to compensate the authority for originating,  processing, and closing the FHA plus loan, if the first deed of trust is to be  financed by another lender. 
    G. Upon approval of the applicant or applicants, the  authority will issue a mortgage loan commitment pursuant to 13VAC10-40-170. The  mortgage loan commitment will include the terms and conditions of the FHA loan  and the second loan and an addendum setting will set forth  additional terms and conditions applicable to the second loan. Also enclosed in  the commitment package will be other documents necessary to close the second  loan. 
    VA.R. Doc. No. R09-1911; Filed June 5, 2009, 10:09 a.m. 
TITLE 18. PROFESSIONAL AND OCCUPATIONAL LICENSING 
COMMON INTEREST COMMUNITY BOARD 
Proposed Regulation 
    Title of Regulation: 18VAC48-50. Common Interest  Community Manager Regulations (adding 18VAC48-50-10 through 18VAC48-50-290).
    Statutory Authority: § 54.1-2349 of the Code of  Virginia.
    Public Hearing Information:
    August 3, 2009 - 10 a.m. - Department of Professional and  Occupational Regulation, 9960 Mayland Drive, 2nd Floor, Board Room 1, Richmond,  VA
    Public Comments: Public comments may be submitted until  5 p.m. on August 21, 2009.
    Agency Contact: Trisha Henshaw, Executive Director,  Common Interest Community Board, 9960 Mayland Drive, Suite 400, Richmond, VA  23233, telephone (804) 367-8510, FAX (804) 527-4298, or email  cic@dpor.virginia.gov.
    Basis: Section 54.1-2349 states in part that the board  shall have the power and duty to promulgate regulations to carry out the  requirements of Chapter 23.3 (§ 54.1-2345 et seq.) of Title 54.1 of the  Code of Virginia. In addition, § 54.1-2349 A 2 states that the board shall  establish criteria for the licensing of common interest community managers and  § 54.1-2349 A 6 states that the board shall establish standards of conduct  for common interest community managers. Section 54.1-201 (5) states in part  that regulatory boards shall promulgate regulations in accordance with the  Administrative Process Act necessary to assure continued competence, to prevent  deceptive or misleading practices by practitioners and to effectively  administer the regulatory system administered by the regulatory board. The  regulation is mandatory to implement Chapters 851 and 871 of the Acts of the  2008 General Assembly.
    Purpose: The new regulation establishes qualifications  and standards of practice and conduct for common interest community managers.  The new regulation is necessary to implement Chapters 851 and 871 of the Acts  of the 2008 General Assembly, which were the result of HB 516 and SB 301.   The goal of the regulation is to establish qualifications and standards of  practice and conduct for common interest community managers in accordance with  HB 516 and SB 301. The General Assembly determined that regulatory oversight of  common interest community managers is essential to protect the health, safety,  and welfare of the citizens of Virginia.  Minimum qualifications for  common interest community managers, annual assessment filing requirements,  provisional licensure, and the standards of conduct and practice are the  general items that will be addressed in the regulations.
    Substance: The regulation clarifies requirements  found in Chapter 23.3 (§ 54.1-2345 et seq.) of Title 54.1 of the Code of  Virginia. The regulation is new in its entirety; therefore, there are no  changes to previously existing sections. The regulation defines terms used  throughout the regulations; states the application procedures; provides  qualifications for licensure of common interest community managers, including  bond and insurance requirements, past conviction and financial information  submission requirements, and experiential and professional qualifications;  lists all fees, including initial application fees, renewal fees, and  reinstatement fees; includes annual assessment requirements; establishes  standards and requirements for renewal and/or reinstatement of license,  including requirement for reinstatement, status of license during reinstatement  periods, and the board's discretion regarding denial of licenses; outlines  grounds for disciplinary action, license maintenance requirements, client  account maintenance and management requirements, requirements for changing a  business entity, and notification of the board of adverse actions and  prohibited acts; establishes a code of conduct and internal accounting controls  in accordance with § 54.1-2346 E of the Code of Virginia; and provides  requirements to be approved as a training provider, program curriculum,  recordkeeping provisions, reporting, provisions for withdrawal of approval, and  examination provisions.
    Issues: The primary advantage to the public is that  common interest community managers will be regulated to ensure that the health,  safety, and welfare of the public, particularly those residing in common  interest communities, is protected.  The only foreseeable disadvantage is  that the increased costs from managers and associations will likely be passed  along to association members (i.e., homeowners, unit owners, etc.). The primary  advantage to the Commonwealth is that the regulation of common interest  community managers reflects the importance that Virginia places on ensuring  that those providing management services to associations and their members have  met specific minimum requirements for licensure and must maintain certain  standards of practice and conduct in order to provide those services.
    The Department of Planning and Budget's Economic Impact  Analysis: 
    Summary of the Proposed Amendments to Regulation. Pursuant to  § 54.1-2348, the Common Interest Community Board (Board) proposes to  promulgate regulations to govern the licensure of common interest community  managers. With this regulatory action, the Board proposes to set: 
    •  licensure requirements, 
    •  licensure fees, 
    •  renewal and reinstatement requirements,
    •  standards of conduct and 
    •  criteria for Board approved training programs and  testing.
    These proposed regulations will replace emergency regulations  that will expire November 12, 2009.
    Result of Analysis. There is insufficient information to decide  if benefits outweigh costs for these proposed regulations.
    Estimated Economic Impact. Until legislation mandated it in  2008, common interest community (CIC) managers were not required to be  licensed. The Board has already promulgated emergency regulations to license  managers and has, as directed by legislation, issued provisional licenses to  all eligible CIC managers. According to Chapter 851 of the 2008 Act of the  Assembly, "any person, partnership, corporation, or other entity offering  management services to a common interest community on or before December 31,  2008, who makes application for licensure prior to January 1, 2009" is  eligible to receive a provisional license which will expire on June 30, 2011.  Thereafter, these entities will be subject to the renewal ($100 application  fee) and/or reinstatement ($300 application fee) mandates in these proposed  regulations. Entities who do not meet the criteria for provisional licensure  will be licensed under the provisions for initial licensure ($100 application fee  + $25 recovery fund fee).
    In order to qualify for initial licensure as a CIC manager, a  firm (as defined in the proposed regulations) must:
    1. disclose all pertinent identifying information (names under  which the firm conducts business, mailing address, physical address, etc.),
    2. disclose any felony convictions or pleas of nolo contendere  as well as any misdemeanor convictions within the three years immediately  preceding application for licensure for the firm, its responsible person and  any principals of the firm,
    3. submit evidence of a blanket fidelity bond or employee  dishonesty insurance policy (in the amounts mandated under § 54.1-2346 (D)  of the Code of Virginia),
    4. adhere to the standards of conduct in these proposed  regulations,
    5. be in good standing with any Virginia or other state  regulatory entity by which the firm has ever been licensed, certified or  registered, 
    6. designate on individual who will be the "responsible  person" for the firm who will be responsible for the firm's compliance  with applicable laws and regulations and who will receive any correspondences  from the Board, and
    7. either hold active certification as an Accredited  Association Management Company (AAMC) through the Community Associations  Institute (CAI) or meet alternate Board approved criteria.
    In order to obtain AAMC certification, a firm must have 1) at  least three employees, 2) at least three years of experience providing  management services, 3) a senior manager with certification as a Professional  Community Association Manager (PCAM) and 4) have a staff of which at least 50%  of employees hold some sort of professional manager certification as a  Certified Manager of Community Associations (CMCA), a Association Management  Specialist (AMS) or a PCAM. In order to gain certification as a CMCA, an  individual has to complete approximately 16 hours of training (cost between  $345 and $4951 and pass a test ($300 fee) given through the National  Board of Certification for Community Association Managers (NBCCAM). Individuals  with CMCA certification can also gain AMS certification by taking an additional  training course (cost approximately $400) and pay an application fee of $250.  Individuals applying for AMS certification must have at least two years of  managerial experience. Individuals who have AMS certification can gain PCAM  certification by completing five additional training sessions costing roughly  $400 each (a total of approximately $2,000) and paying a $295 application fee.  Individuals applying for PCAM certification must have at least five years of  management experience. AMS and PCAM certified individuals must reapply for  certification every three years and PCAM certified individuals must pay an  annual maintenance fee of $175.
    The Board has an approved alternate path to licensure in these  proposed regulations that requires approximately the same training as do the  CAI certifications.  Firms may be licensed if there is at least one  supervisory employee or company officer with five years of experience in  providing management services and that employee has completed an approved  comprehensive training program which includes at least 80 contact hours of  instruction. Additionally, at least 50% of employees with principal  responsibility for management services must either:
    1. hold PCAM certification and certify that they have provided  managerial services in the 12 months immediately preceding application for  licensure,
    2. hold CMCA certification and certify that they have provided  managerial services for at least two years, twelve months of which was provided  in the year immediately preceding application for licensure,
    3. hold AMS certification and certify that they have provided  managerial services for at least two years, twelve months of which was provided  in the year immediately preceding application for licensure, or
    4. complete a Board approved introductory training course (16  hours), pass a Board approved certifying exam and have provided managerial  services for at least two years, twelve months of which was provided in the  year immediately preceding application for licensure.
    The Board has not yet approved any training programs so the  cost of training for individuals who choose this alternate route to licensure  is not known. If Board approved training proves to be more costly than CAI  training, it will likely not be greatly utilized. The fee for initial training  program approval is $100 and the fee for a training provider to add a program  is $50.
    In addition to all other fees, CIC managers must submit a  statutorily required annual assessment of not more than $1,000. The Department  of Professional and Occupational Regulation (DPOR) reports that the average  assessment charge thus far is about $95.
    CIC managers that are subject to these proposed regulations  will incur the fees listed above as well as opportunity costs for time spent  meeting new licensure requirements (time spent in training rather than working  or engaging in some other activity, time spent studying for and taking exams,  etc). In total, costs for licensure have the potential to be substantial and  will likely serve as a barrier to entry for potential new management firms.  These costs must be weighed against possible decreases in losses that common  interest communities might suffer on account of dishonest or incompetent management.  Any benefit from requiring licensure is likely at least partially duplicative  of, and mitigated by, the benefits of requiring fidelity bonds or insurance.  There is insufficient information to accurately gauge whether the benefits of  requiring licensure in this instance outweigh its costs.
    Businesses and Entities Affected. The DPOR reports that there  are currently approximately 200 licensed common interest community managers and  approximately 4,000 registered CIC associations. Most, if not all, of these  entities meet the definition of small businesses.
    Localities Particularly Affected. No locality will be  particularly affected by this proposed regulatory action.
    Projected Impact on Employment. The number of individuals  employed as CIC managers may decrease on account of these proposed regulations.  Employment in Board approved CIC training programs will likely increase. There  is insufficient information to gauge what the effect on total employment in the  Commonwealth will be.
    Effects on the Use and Value of Private Property. This  regulatory action will likely have no effect on the use or value of private  property in the Commonwealth.
    Small Businesses: Costs and Other Effects. Small businesses in  the Commonwealth will likely incur fees associated with licensure and training  as well as opportunity costs for time spent meeting the training requirements  of these proposed regulations.
    Small Businesses: Alternative Method that Minimizes Adverse  Impact. The statute that mandates licensure for CIC managers seems to allow the  Board an option to create a path to licensure that would only require passing a  (now non-existent) examination. If the Board is able to create an acceptable  exam that could serve as an alternate path to licensure, the costs for  regulated entities might be decreased.
    Real Estate Development Costs. This regulatory action will  likely have no effect on real estate development costs in the Commonwealth.
    Legal Mandate. The Department of Planning and Budget (DPB) has  analyzed the economic impact of this proposed regulation in accordance with  § 2.2-4007.04 of the Administrative Process Act and Executive Order Number  36 (06). Section 2.2-4007.04 requires that such economic impact analyses  include, but need not be limited to, the projected number of businesses or  other entities to whom the regulation would apply, the identity of any  localities and types of businesses or other entities particularly affected, the  projected number of persons and employment positions to be affected, the  projected costs to affected businesses or entities to implement or comply with  the regulation, and the impact on the use and value of private property.  Further, if the proposed regulation has adverse effect on small businesses,  § 2.2-4007.04 requires that such economic impact analyses include (i) an  identification and estimate of the number of small businesses subject to the  regulation; (ii) the projected reporting, recordkeeping, and other  administrative costs required for small businesses to comply with the  regulation, including the type of professional skills necessary for preparing  required reports and other documents; (iii) a statement of the probable effect  of the regulation on affected small businesses; and (iv) a description of any  less intrusive or less costly alternative methods of achieving the purpose of  the regulation. The analysis presented above represents DPB's best estimate of  these economic impacts.
    _________________________________
    1 All fees assume that  individuals do not have CAI membership. Fees are lower for members.
    Agency's Response to the Department of Planning and Budget's  Economic Impact Analysis. Concur with the approval.
    Summary:
    This is a new regulation that establishes the licensure  requirements for common interest community managers, as well as the standards  of practice and conduct for common interest community managers and requirements  for training programs.  The regulation will ultimately replace emergency  regulations that were implemented as a result of the enactment of Chapters 851  and 871 of the Acts of the 2008 General Assembly, which were the result of HB  516 and SB 301.  These Acts required regulations to be effective within  280 days of enactment, thus the implementation of emergency regulations on  November 13, 2008.
    CHAPTER 50 
  COMMON INTEREST COMMUNITY MANAGER REGULATIONS 
    Part I 
  General 
    18VAC48-50-10. Definitions.
    Section 54.1-2345 of the Code of Virginia provides  definitions of the following terms and phrases as used in this chapter:
    "Association"
    "Board"
    "Common interest community"
    "Common interest community manager"
    "Declaration"
    "Governing board"
    "Lot"
    "Management services"
    The following words, terms, and phrases when used in this  chapter shall have the following meaning unless the context clearly indicates  otherwise.
    "Address of record" means the mailing address  designated by the regulant to receive notices and correspondence from the  board. Notice mailed to the address of record by certified mail, return receipt  requested, shall be deemed valid notice.
    "Applicant" means a common interest community  manager that has submitted an application for licensure.
    "Application" means a completed,  board-prescribed form submitted with the appropriate fee and other required  documentation.
    "Contact hour" means 50 minutes of instruction.
    "Department" means the Virginia Department of  Professional and Occupational Regulation.
    "Firm" means a sole proprietorship, association,  partnership, corporation, limited liability company, limited liability  partnership, or any other form of business organization recognized under the  laws of the Commonwealth of Virginia and properly registered, as may be  required, with the Virginia State Corporation Commission.
    "Full-time employee" means an employee who  spends a minimum of 30 hours a week carrying out the work of the licensed  common interest community manager.
    "Gross receipts" means all revenue derived from  providing management services to common interest communities in the  Commonwealth of Virginia, excluding pass-through expenses or reimbursement of  expenditures by the regulant on behalf of an association.
    "Regulant" means a common interest community  manager as defined in § 54.1-2345 of the Code of Virginia who holds a  license issued by the board. 
    "Reinstatement" means the process and  requirements through which an expired license can be made valid without the  regulant having to apply as a new applicant.
    "Renewal" means the process and requirements for  periodically approving the continuance of a license for another period of time.
    "Responsible person" means the employee,  officer, manager, owner, or principal of the firm who shall be designated by  each firm to ensure compliance with Chapter 23.3 (§ 54.1-2345 et seq.) of  Title 54.1 of the Code of Virginia, and all regulations of the board, and to  receive communications and notices from the board that may affect the firm. In  the case of a sole proprietorship, the sole proprietor shall have the  responsibilities of the responsible person. 
    "Sole proprietor" means any individual, not a  corporation or other registered business entity, who is trading under his own  name, or under an assumed or fictitious name pursuant to the provisions of §§ 59.1-69  through 59.1-76 of the Code of Virginia.
    Part II 
  Entry 
    18VAC48-50-20. Application procedures.
    All applicants seeking licensure shall submit an  application with the appropriate fee specified in 18VAC48-50-60. Application  shall be made on forms provided by the department.
    By submitting the application to the department, the  applicant certifies that the applicant has read and understands the applicable  statutes and the board's regulations.
    The receipt of an application and the deposit of fees by  the board does not indicate approval by the board.
    The board may make further inquiries and investigations  with respect to the applicant's qualifications to confirm or amplify  information supplied. All applications shall be completed in accordance with  the instructions contained herein and on the application. Applications will not  be considered complete until all required documents are received by the board.
    A firm will be notified within 30 days of the board's  receipt of an initial application if the application is incomplete. Firms that  fail to complete the process within 12 months of receipt of the application in  the board's office must submit a new application and fee. 
    18VAC48-50-30. Qualifications for licensure.
    A. Firms that provide common interest community management  services shall submit an application on a form prescribed by the board and  shall meet the requirements set forth in § 54.1-2346 of the Code of Virginia,  as well as the additional qualifications of this section.
    B. Any firm offering management services as defined in § 54.1-2345 of the Code of Virginia shall hold a license as a common interest  community manager. All names under which the common interest community manager  conducts business shall be disclosed on the application. The name under which  the firm conducts business and holds itself out to the public (i.e., the trade  or fictitious name) shall also be disclosed on the application. Firms shall be  organized as business entities under the laws of the Commonwealth of Virginia  or otherwise authorized to transact business in Virginia. Firms shall register  any trade or fictitious names with the State Corporation Commission or the  clerk of court in the county or jurisdiction where the business is to be  conducted in accordance with §§ 59.1-69 through 59.1-76 of the Code of  Virginia before submitting an application to the board.
    C. The applicant shall disclose the firm's mailing address,  the firm's physical address, and the address of the office from which the firm  provides management services to Virginia common interest communities. A post  office box is only acceptable as a mailing address when a physical address is  also provided.
    D. In accordance with § 54.1-204 of the Code of Virginia,  each applicant shall disclose the following information about the firm, the  responsible person, and any of the principals of the firm:
    1. All felony convictions.
    2. All misdemeanor convictions, in any jurisdiction, within  three years of the date of application.
    3. Any plea of nolo contendere or finding of guilt  regardless of adjudication or deferred adjudication shall be considered a  conviction for the purposes of this section. The record of conviction certified  or authenticated in such form as to be admissible in evidence under the laws of  the jurisdiction where convicted shall be admissible as prima facie evidence of  such guilt. 
    E. The applicant shall submit evidence of a blanket  fidelity bond or employee dishonesty insurance policy in accordance with § 54.1-2346 D of the Code of Virginia. Proof of current bond or insurance policy  must be submitted in order to obtain or renew the license. The bond or  insurance policy must be in force no later than the effective date of the  license and shall remain in effect through the date of expiration of the  license. 
    F. The applicant shall be in compliance with the standards  of conduct and practice set forth in Part V (18VAC48-50-140 et. seq.) of this  chapter at the time of application, while the application is under review by  the board, and at all times when the license is in effect.
    G. The applicant, the responsible person, and any  principals of the firm shall be in good standing in Virginia and in every  jurisdiction and with every board or administrative body where licensed,  certified, or registered and the board, in its discretion, may deny licensure  to any applicant who has been subject to, or whose principals have been subject  to, or any firm in which the applicant's principals hold a 10% or greater  interest have been subject to, any form of adverse disciplinary action,  including but not limited to, reprimand, revocation, suspension or denial,  imposition of a monetary penalty, required to complete remedial education, or  any other corrective action, in any jurisdiction or by any board or  administrative body or surrendered a license, certificate, or registration in  connection with any disciplinary action in any jurisdiction prior to applying  for licensure in Virginia. 
    H. The applicant shall provide all relevant information  about the firm, the responsible person, and any of the principals of the firm  for the seven years prior to application on any outstanding judgments, past-due  tax assessments, defaults on bonds, or pending or past bankruptcies, and  specifically shall provide all relevant financial information related to  providing management services as defined in § 54.1-2345 of the Code of  Virginia. The applicant shall further disclose whether or not one or more of  the principals who individually or collectively own more than a 50% equity  interest in the firm are or were equity owners holding, individually or  collectively, a 10% or greater interest in any other entity licensed by any  agency of the Commonwealth of Virginia that was the subject of any adverse  disciplinary action, including revocation of a license, within the seven-year  period immediately preceding the date of application.
    I. Applicants for licensure shall hold an active  designation as an Accredited Association Management Company by the Community  Associations Institute.
    J. In lieu of the provisions of subsection I of this  section, an applicant may be licensed provided the applicant certifies to the  board that the applicant has (i) at least one supervisory employee or officer  with five years of experience in providing management services and who has  successfully completed a comprehensive training program as described in  18VAC48-50-250 B, as approved by the board, involved in all aspects of the  management services offered and provided by the firm and (ii) at least 50% of  persons who have principal responsibility for management services meet one of  the following:
    1. Hold an active designation as a Professional Community  Association Manager and certify having provided management services for a  period of 12 months immediately preceding application; 
    2. Hold an active designation as a Certified Manager of  Community Associations by the National Board of Certification for Community  Association Managers and certify having two years of experience in providing  management services. Of the required two years experience, a minimum of 12  months of experience must have been gained immediately preceding application; 
    3. Hold an active designation as an Association Management  Specialist and certify having two years of experience in providing management  services. Of the required two years experience, a minimum of 12 months of  experience must have been gained immediately preceding application; or
    4. Have completed an introductory training program, as set  forth in 18VAC48-50-250 A, and certifying examination approved by the board and  certify having two years experience in providing management services. Of the  required two years experience, a minimum of 12 months of experience must have  been gained immediately preceding application.
    K. The firm shall designate a responsible person.
    18VAC48-50-40. Application denial.
    The board may refuse initial licensure due to an applicant's  failure to comply with entry requirements or for any of the reasons for which  the board may discipline a regulant. The board, at its discretion, may deny  licensure to any applicant in accordance with § 54.1-204 of the Code of  Virginia. The denial is considered to be a case decision and is subject to  appeal under Chapter 40 (§ 2.2-4000 et seq.) of Title 2.2 of the Code of  Virginia.
    Part III 
  Fees 
    18VAC48-50-50. General fee requirements.
    All fees are nonrefundable and shall not be prorated. The  date on which the fee is received by the department or its agent will determine  whether the fee is on time. Checks or money orders shall be made payable to the  Treasurer of Virginia.
         
          18VAC48-50-60. Fee schedule.
           | Fee Type | Fee Amount |   | Recovery Fund Fee* (if applicable) | Total Amount Due (excluding annual assessment in    18VAC48-50-80) | When Due | 
       | Initial Common Interest Community Manager Application | $100 | + | 25 | $125 | With initial application filed on or after January 1,    2009 | 
       | Common Interest Community Manager Renewal | $100 |   |   | $100 | With renewal application | 
       | Common Interest Community Manager Reinstatement (includes    a $200 reinstatement fee in addition to the regular $100 renewal fee) | $300 |   |   | $300 | With renewal application | 
       | Training Program Provider Initial Application | $100 |   |   | $100 | With application | 
       | Training Program Provider Add Program | $50 |   |   | $50 | With application | 
  
    *In accordance with § 55-530.1 of the Code of  Virginia.
         
          18VAC48-50-70. Annual assessment.
    In addition to the fees listed in 18VAC48-50-60, each  common interest community manager must submit an annual assessment in  accordance with § 54.1-2349 A 1 of the Code of Virginia. The annual assessment  shall be submitted with the initial application and with each renewal  application. When the annual assessment due is less than $1,000, the common  interest community manager shall submit documentation of gross receipts for the  preceding calendar year with each annual assessment in order to verify the  annual assessment amount due. Documentation of gross receipts is not required  from common interest community managers that submit the maximum annual  assessment amount of $1,000. Acceptable documentation may include, but is not  limited to, audits, tax returns, or financial statements. 
    18VAC48-50-80. Provisional licenses.
    Provisional licenses will be subject to the annual  assessment for each year that the provisional license is in effect. When the  annual assessment due is less than $1,000, the common interest community  manager shall submit documentation of gross receipts for the preceding calendar  year with each annual assessment in order to verify the annual assessment  amount due. Documentation of gross receipts is not required from common  interest community managers that submit the maximum annual assessment amount of  $1,000. Acceptable documentation may include, but is not limited to, audits,  tax returns, or financial statements.
    Provisional licensees must submit annual proof of current  bond or insurance policy in accordance with 18VAC48-50-30 D, and are also  subject to the provisions of 18VAC48-50-150 D. Failure to submit the annual  assessment and proof of current bond or insurance policy within 30 days of the  request by the board shall result in the automatic suspension of the license. 
    Part IV 
  Renewal and Reinstatement 
    18VAC48-50-90. Renewal required.
    A license issued under this chapter shall expire one year  from the last day of the month in which it was issued. A fee shall be required  for renewal. In accordance with § 54.1-2346 F of the Code of Virginia,  provisional licenses shall expire on June 30, 2011, and shall not be renewed.
    18VAC48-50-100. Expiration and renewal.
    A. Prior to the expiration date shown on the license,  licenses shall be renewed upon completion of the renewal application, submittal  of proof of current bond or insurance policy as detailed in 18VAC48-50-30 D,  and payment of the fees specified in 18VAC48-50-60 and 18VAC48-50-70. The board  will mail a renewal notice to the regulant at the last known mailing address of  record. Failure to receive this notice shall not relieve the regulant of the  obligation to renew. If the regulant fails to receive the renewal notice, a  copy of the license may be submitted with the required fees as an application  for renewal. By submitting an application for renewal, the regulant is  certifying continued compliance with the Standards of Conduct and Practice in  Part V (18VAC48-50-140 et seq.) of this chapter.
    B. Applicants for renewal shall continue to meet all of  the qualifications for licensure set forth in 18VAC48-50-30.
    18VAC48-50-110. Reinstatement required.
    A. If the requirements for renewal of a license, including  receipt of the fees by the board and submittal of proof of current bond or  insurance policy as detailed in 18VAC48-50-30 D, are not completed within 30  days of the license expiration date, the regulant shall be required to  reinstate the license by meeting all renewal requirements and by paying the  reinstatement fee specified in 18VAC48-50-60.
    B. A license may be reinstated for up to six months  following the expiration date. After six months, the license may not be  reinstated under any circumstances and the regulant must meet all current entry  requirements and apply as a new applicant.
    C. Any regulated activity conducted subsequent to the  license expiration date may constitute unlicensed activity and be subject to  prosecution under Chapter 1 (§ 54.1-100 et seq.) of Title 54.1 of the Code of  Virginia. 
    18VAC48-50-120. Status of license during the period prior to  reinstatement.
    A regulant who applies for reinstatement of a license  shall be subject to all laws and regulations as if the regulant had been  continuously licensed. The regulant shall remain under and be subject to the  disciplinary authority of the board during this entire period.
    18VAC48-50-130. Board discretion to deny renewal or  reinstatement.
    The board may deny renewal or reinstatement of a license  for the same reasons as it may refuse initial licensure or discipline a current  regulant.
    The board may deny renewal or reinstatement of a license  if the regulant has been subject to a disciplinary proceeding and has not met  the terms of an agreement for licensure, has not satisfied all sanctions, or  has not fully paid any monetary penalties and costs imposed by the board.
    Part V 
  Standards of Conduct and Practice 
    18VAC48-50-140. Grounds for disciplinary action.
    The board may place a regulant on probation, impose a  monetary penalty in accordance with § 54.1-2351 H of the Code of Virginia, or  revoke, suspend or refuse to renew any license when the regulant has been found  to have violated or cooperated with others in violating any provisions of the  regulations of the board or Chapter 23.3 (§ 54.1-2345 et seq.) of Title 54.1 of  the Code of Virginia.
    18VAC48-50-150. Maintenance of license.
    A. No license issued by the board shall be assigned or  otherwise transferred. 
    B. A regulant shall report, in writing, all changes of  address to the board within 30 days of the change and shall return the license  to the board. In addition to the address of record, a physical address is  required for each license. If the regulant holds more than one license,  certificate, or registration, the regulant shall inform the board of all  licenses, certificates, and registrations affected by the address change. 
    C. Any change in any of the qualifications for licensure  found in 18VAC48-50-30 shall be reported to the board within 30 days of the  change.
    D. Notwithstanding the provisions of subsection C of this  section, a regulant shall report the cancellation, amendment, expiration, or  any other change of any bond or insurance policy submitted in accordance with  18VAC48-50-30 D within five days of the change.
    18VAC48-50-160. Maintenance and management of accounts.
    Regulants shall maintain all funds from associations in  accordance with § 54.1-2353 A of the Code of Virginia. Funds that belong to  others that are held as a result of the fiduciary relationship shall be labeled  as such to clearly distinguish funds that belong to others from those funds of  the common interest community manager. 
    18VAC48-50-170. Change of business entity requires a new  license.
    A. Licenses are issued to firms as defined in this chapter  and are not transferable. Whenever the legal business entity holding the  license is dissolved or altered to form a new business entity, the license  becomes void and shall be returned to the board within 30 days of the change.  Such changes include but are not limited to: 
    1. Cessation of the business or the voluntary termination  of a sole proprietorship or general partnership;
    2. Death of a sole proprietor;
    3. Formation, reformation, or dissolution of a general  partnership, limited partnership, corporation, limited liability company,  association, or any other business entity recognized under the laws of the  Commonwealth of Virginia; or
    4. The suspension or termination of the corporation's  existence by the State Corporation Commission.
    B. When a new firm is formed, the new firm shall apply for  a new license on a form provided by the board before engaging in any activity  regulated by Chapter 23.3 (§ 54.1-2345 et seq.) of Title 54.1 of the Code  of Virginia or the regulations of the board.
    18VAC48-50-180. Notice of adverse action.
    A. Regulants shall notify the board of the following  actions: 
    1. Any disciplinary action taken by another jurisdiction,  board, or administrative body of competent jurisdiction, including but not  limited to any reprimand, license revocation, suspension or denial, monetary  penalty, or requirement for remedial education or other corrective action. 
    2. Any voluntary surrendering of a license, certificate, or  registration done in connection with a disciplinary action in another  jurisdiction.
    3. Any conviction, finding of guilt, or plea of guilty,  regardless of adjudication or deferred adjudication, of any felony or of any  misdemeanor in any jurisdiction. Review of convictions shall be subject to the  requirements of § 54.1-204 of the Code of Virginia. Any plea of nolo contendere  shall be considered a conviction for the purpose of this section.
    B. The notice must be made to the board in writing within  30 days of the action. A copy of the order or other supporting documentation  must accompany the notice. The record of conviction, finding, or case decision  shall be considered prima facie evidence of a conviction or finding of guilt. 
    18VAC48-50-190. Prohibited acts.
    A. The following acts are prohibited and any violation may  result in disciplinary action by the board: 
    1. Violating, inducing another to violate, or cooperating  with others in violating any of the provisions of any of the regulations of the  board or Chapter 23.3 (§ 54.1-2345 et seq.) of Title 54.1 of the Code of  Virginia, Chapter 4.2 (§ 55-79.39 et seq.) of Title 55 of the Code of  Virginia, Chapter 24 (§ 55-424 et seq.) of Title 55 of the Code of  Virginia, Chapter 26 (§ 55-508 et seq.) of Title 55 of the Code of  Virginia, or Chapter 29 (§ 55-528 et seq.) of Title 55 of the Code of  Virginia, or engaging in any acts enumerated in §§ 54.1-102 and 54.1-111  of the Code of Virginia. 
    2. Allowing the common interest community manager license  to be used by another.
    3. Obtaining or attempting to obtain a license by false or  fraudulent representation, or maintaining, renewing, or reinstating a license  by false or fraudulent representation.
    4. A regulant having been convicted, found guilty, or  disciplined in any jurisdiction of any offense or violation enumerated in  18VAC48-50-180. 
    5. Failing to inform the board in writing within 30 days  that the regulant was convicted, found guilty, or disciplined in any  jurisdiction of any offense or violation enumerated in 18VAC48-50-180.
    6. Failing to report a change as required by 18VAC48-50-150  or 18VAC48-50-170.
    7. The intentional and unjustified failure to comply with  the terms of the contract, operating agreement, or governing documents.
    8. Engaging in dishonest or fraudulent conduct in providing  management services.
    9. Failing to satisfy any judgments or restitution orders  entered by a court or arbiter of competent jurisdiction.
    10. Incompetence in providing management services.
    11. Failing to handle association funds in accordance with  the provisions of § 54.1-2353 A of the Code of Virginia or 18VAC48-50-160.
    12. Failing to account in a timely manner for all money and  property received by the regulant in which the association has or may have an  interest. 
    13. Failing to disclose to the association material facts  related to the association's property or concerning management services of  which the regulant has actual knowledge. 
    14. Failing to provide complete records related to the  association's management services to the association within 30 days of any  written request by the association or within 30 days of the termination of the  contract unless otherwise agreed to in writing by both the association and the  common interest community manager.
    15. Failing upon written request of the association to  provide books and records such that the association can perform pursuant to  §§ 55-510 (Property Owners Association Act), 55-79.74:1 (Condominium Act),  and 55-474 (Virginia Real Estate Cooperative Act) of the Code of Virginia.
    16. Commingling the funds of any association by a  principal, his employees, or his associates with the principal's own funds or  those of his firm.
    17. Failing to act in providing management services in a  manner that safeguards the interests of the public.
    18. Failing to make use of a legible, written contract  clearly specifying the terms and conditions of the management services to be  performed by the common interest community manager. The contract shall include,  but not be limited to, the following:
    a. Beginning and ending dates of the contract; 
    b. Cancellation rights of the parties; 
    c. Record retention and distribution policy; 
    d. A general description of the records to be kept and the  bookkeeping system to be used; and 
    e. The common interest community manager's license number. 
    B. Prior to commencement of the terms of the contract or  acceptance of payments, the contract shall be signed by the regulant and the  client or the client's authorized agent. 
    18VAC48-50-200. Establishment of code of conduct.
    The firm shall establish and distribute to the firm's  employees, principals, and agents a written code of conduct to address business  practices including the appropriateness of giving and accepting gifts, bonuses,  or other remuneration to and from common interest communities or providers of  services to common interest communities. In accordance with clause (ii) of § 54.1-2346 E of the Code of Virginia, the code of conduct for officers,  directors, and employees shall also address disclosure of relationships with  other firms that provide services to common interest communities and that may  give rise to a conflict of interest.
    18VAC48-50-210. Establishment of internal accounting controls.
    The firm shall establish written internal accounting  controls to provide adequate checks and balances over the financial activities  and to manage the risk of fraud and illegal acts. The internal accounting  controls shall be in accordance with generally accepted accounting practices.
    18VAC48-50-220. Response to inquiry and provision of  records.
    A. A regulant must respond within 10 days to the board or  any of its agents regarding any complaint filed with the department.
    B. Unless otherwise specified by the board, a regulant of  the board shall produce to the board or any of its agents within 10 days of the  request any document, book, or record concerning any transaction in which the  regulant was involved, or for which the regulant is required to maintain  records for inspection and copying by the board or its agents. The board may  extend such time frame upon a showing of extenuating circumstances prohibiting  delivery within such 10-day period. 
    C. A regulant shall not provide a false, misleading, or  incomplete response to the board or any of its agents seeking information in  the investigation of a complaint filed with the board.
    D. With the exception of the requirements of subsections A  and B of this section, a regulant must respond to an inquiry by the board or  its agent within 21 days.
    Part VI 
  Training Programs and Examination 
    18VAC48-50-230. Training programs generally.
    All training programs must be approved by the board. Any  or all of the training programs can be met using distance or online education  technology. Training programs may be approved retroactively; however, no  regulant will receive credit for the training program until such approval is  granted by the board. 
    18VAC48-50-240. Approval of common interest community  manager training programs.
    Each provider of a training program shall submit an  application for program approval on a form provided by the board.  In addition  to the appropriate fee provided in 18VAC48-50-60, the application shall include  but is not limited to:
    1. The name of the provider;
    2. Provider contact person, address, and telephone number;
    3. Program contact hours;
    4. Schedule of training program, if established, including  dates, times, and locations;
    5. Instructor information, including name, license numbers,  if applicable, and a list of other trade-appropriate designations, as well as a  professional resume with a summary of acceptable teaching experience and  subject-matter knowledge and qualifications;
    6. A summary of qualifications and experience in providing  training for common interest communities;
    7. Training program and material fees; and
    8. Training program syllabus.
    18VAC48-50-250. Training program requirements.
    A. In order to qualify as an introductory training program  under 18VAC48-50-30 J 4, the introductory training program must include a  minimum of 16 contact hours and the syllabus shall encompass all of the subject  areas set forth in subsection C of this section. 
    B. In order to qualify as a comprehensive training program  under 18VAC48-50-30 J 1, the comprehensive training program must include a  minimum of 80 contact hours and the syllabus shall include at least 40 contact  hours encompassing all of the subject areas set forth in subsection C of this  section and may also include up to 40 contact hours in other subject areas  approved by the board. 
    C. The following subject areas as they relate to common  interest communities and associations shall be included in each training  program.
    1. Governance, legal matters, and communications;
    2. Financial matters, including budgets, reserves,  investments, and assessments;
    3. Contracting;
    4. Risk management and insurance; 
    5. Management ethics for common interest community  managers;
    6. Facilities maintenance; and
    7. Human resources.
    D. All training programs are required to have a final,  written examination. 
    18VAC48-50-260. Maintenance of records.
    All providers must establish and maintain a record for  each student. The record shall include the student's name and address, social  security number or control number issued by the Department of Motor Vehicles,  the training program name and hours attended, the training program syllabus or  outline, the name or names of the instructors, the date of successful  completion, and the board's approved training program code. Records shall be  available for inspection during normal business hours by authorized  representatives of the board. Providers must maintain these records for a  minimum of five years.
    18VAC48-50-270. Reporting of changes.
    Any change in the information provided in 18VAC48-50-240  must be reported to the board within 30 days of the change with the exception  of changes in the schedule of training program offerings, which must be  reported within 10 days of the change. Failure to report the changes as  required may result in the withdrawal of approval of a training program by the  board.
    18VAC48-50-280. Withdrawal of approval.
    The board may withdraw approval of any training program  for the following reasons:
    1. The training program being offered no longer meets the  standards established by the board.
    2. The provider, through an agent or otherwise, advertises  its services in a fraudulent or deceptive way.
    3. The provider, instructor, or designee of the provider  falsifies any information relating to the application for approval, training  program information, or student records or fails to produce records required by  18VAC48-50-260.
    4. A change in the information provided in 18VAC48-50-240,  except for subdivision 4 of 18VAC48-50-240. 
    18VAC48-50-290. Examinations.
    All examinations required for licensure shall be approved  by the board and provided by the board or a testing service acting on behalf of  the board, or another governmental agency or organization. 
    VA.R. Doc. No. R09-1641; Filed June 2, 2009, 2:10 p.m. 
TITLE 18. PROFESSIONAL AND OCCUPATIONAL LICENSING 
BOARD OF NURSING
Final Regulation
        REGISTRAR'S NOTICE: The  Board of Nursing is claiming an exemption from the Administrative Process Act  in accordance § 2.2-4006 A 4 a of the Code of Virginia, which excludes  regulations that are necessary to conform to changes in Virginia statutory law  where no agency discretion is involved. The Board of Nursing will receive,  consider and respond to petitions by any interested person at any time with  respect to reconsideration or revision.
         Title of Regulation: 18VAC90-20. Regulations  Governing the Practice of Nursing (amending 18VAC90-20-36). 
    Statutory Authority: § 54.1-2400 of the Code of  Virginia.
    Effective Date: July 22, 2009.
    Agency Contact: Jay P. Douglas, R.N., Executive  Director, Board of Nursing, 9960 Mayland Drive, Suite 300, Richmond, VA  23233-1463, telephone (804) 367-4515, FAX (804) 527-4455, or email  jay.douglas@dhp.virginia.gov.
    Summary:
    The amendments conform the regulation with Chapter 382 of  the 2009 Acts of Assembly, which amended § 54.1-3012.1 of the Code of Virginia  by specifying the criteria for collection of workforce data by the Board of  Nursing and the limitation of the release of such data. Chapter 382 requires  that the collection of information on nurses be consistent with provisions of § 54.1-2506.1, which sets out the authorization of the Department of Health  Professions to collect data on individuals licensed, certified, or registered  by a health regulatory board.
    Currently, information obtained through workforce data  collection cannot be released in any form or manner that could identify  individual nurses. Chapter 382 allows release of information that does identify  individuals, for the purpose of determining shortage designations, to certain  qualified personnel, if pertinent to research or a study. There must be a  written agreement that the identities will not be further divulged.
    18VAC90-20-36. Data collection of nursing workforce  information. 
    A. With such funds as are appropriated for the purpose of  data collection and consistent with the provisions of § 54.1-2506.1 of the  Code of Virginia, the board shall collect workforce information biennially  from a representative sample of registered nurses, licensed practical nurses,  and certified nurse aides and shall make such information available to the  public. Data collected shall be compiled, stored, and released only  in the aggregate and shall not provide information which would identify  individual responders in compliance with § 54.1-3012.1 of the Code of  Virginia. 
    B. The information to be collected on nurses shall include,  but not be limited to: (i) demographic data to include age, sex and ethnicity;  (ii) level of education; (iii) employment status; (iv) employment setting or  settings such as in a hospital, physician's office, or nursing home; (v)  geographic location of employment; (vi) type of nursing position or area of  specialty; and (vii) number of hours worked per week in each setting. In  addition, the board may determine other data to be collected as necessary. 
    VA.R. Doc. No. R09-1864; Filed June 3, 2009, 10:03 a.m. 
TITLE 22. SOCIAL SERVICES
DEPARTMENT OF REHABILITATIVE SERVICES
Final Regulation
    Title of Regulation: 22VAC30-40. Protection of  Participants in Human Research (amending 22VAC30-40-10 through  22VAC30-40-150; adding 22VAC30-40-160).
    Statutory Authority: § 51.5-5.1 of the Code of  Virginia.
    Effective Date: July 22, 2009.
    Agency Contact: Vanessa S. Rakestraw, Policy Analyst,  Department of Rehabilitative Services, 8004 Franklin Farms Drive, Richmond, VA  23229, telephone (804) 662-7612, FAX (804) 662-7696, TTY (800) 464-9950, or  email vanessa.rakestraw@drs.virginia.gov.
    Summary:
    These regulations provide a basis for the Department of  Rehabilitative Services (DRS) to oversee human subjects research involving the  Department of Rehabilitative Services, the Woodrow Wilson Rehabilitation  Center, sheltered workshops, and independent living centers. The amendments:  (i) make minor changes in language to ensure consistency with 45 CFR 46.101 et  seq.; (ii) change the definition of sheltered workshop so that only those  vocational rehabilitation service programs that have a vendor relationship with  the department and are not operated by a community services board are covered  by this regulation; (iii) provide that independent living centers and sheltered  workshops no longer have the option to establish their own human research  review committee or to affiliate with other centers or workshops to establish a  central human research committee but are required to affiliate with the DRS  human research review committee; (iv) change the procedures for obtaining the  informed written consent of prospective research subjects to ensure consistency  with the requirements of federal regulations; (v) change the composition of the  human research review committee that reviews research proposals to determine if  they meet the requirements of this regulation to ensure consistency with federal  requirements; (vi) add a new section that governs the inclusion of minors as  research subjects; and (vii) change procedures for expedited review and the  description of research that may receive expedited review to reflect existing  federal regulations.
    Summary of Public Comments and Agency's Response: No  public comments were received by the promulgating agency. 
    22VAC30-40-10. Definitions.
    The following words and terms when used in this chapter shall  have the following meanings unless the context clearly indicates otherwise:
    "Affiliated with the institution covered  entity" means employed by the institution covered entity  or a member of a household containing an employee of the institution covered  entity.
    "Agent" means any individual performing department-designated  activities or exercising department-delegated authority or responsibility.
    "Assent" means a child's affirmative agreement  to participate in research. Mere failure to object should not, absent  affirmative agreement, be construed as assent.
    "Commissioner" means the Commissioner of the  Department of Rehabilitative Services.
    "Covered entity" means the Department of  Rehabilitative Services, Woodrow Wilson Rehabilitation Center, sheltered  workshops, or independent living centers.
    "Department" means the Department of Rehabilitative  Services.
    "Guardian" means an individual who is authorized  under applicable state or local law to consent on behalf of a minor to general  medical care.
    "Human Research Review Committee" or  "HRRC" means the committee established in accordance with and for the  purposes expressed in this chapter.
    "HRRC approval" means the determination of the  HRRC that the research has been reviewed and may be conducted within the  constraints set forth by the HRRC and by other department, state and federal  requirements.
    "Human participant or human subject" means a  living individual about whom an investigator (whether professional or student)  conducting research obtains:
    (i) data 1. Data through intervention or  interaction with the individual; or 
    (ii) identifiable 2. Identifiable private  information. 
    "Human research" means any systematic  investigation which utilizes human participants who may be exposed to physical  or psychological injury as a consequence of participation and which departs  from the application of established and accepted therapeutic methods  appropriate to meet the participant's needs. 
    "Human subject research" means a systematic  investigation, experiment, study, evaluation, demonstration or survey designed  to develop or contribute to general knowledge (basic research) or specific  knowledge (applied research) in which a living individual about whom an  investigator (whether professional or student) conducting research obtains data  through intervention or interaction with the individual or obtains identifiable  private information.
    "Identifiable private information" means  information about behavior that occurs in a context in which an individual can  reasonably expect that no observation or recording is taking place, and  information that has been provided for specific purposes by an individual and  that the individual can reasonably expect will not be made public (for example,  a medical record, social security number). Private information must be  individually identifiable (i.e., the identity of the subject is or may readily  be ascertained by the investigator or associated with the information) to  constitute research involving human subjects.
    "Independent living center" means a  consumer-controlled, community-based, cross disability, nonresidential private  nonprofit agency that: 
    1. Is designed and operated within a local community by  individuals with disabilities; and 
    2. Provides an array of independent living services. 
    "Informed consent" means a process by which the  investigator fully explains the research activities, ensures that the  prospective subject has sufficient opportunity to ask questions, and has  sufficient time to make a decision whether or not to participate in the  research prior to signing the HRRC-approved written consent document. Informed  consent must be prospectively obtained without coercion, include all of the  basic elements of informed consent as specified in 22VAC30-40-100 B, be legally  effective, contain no exculpatory language, and as required, include the  additional elements of informed consent specified in 22VAC30-40-100 C.
    "Institution" means the department, any center  of independent living, sheltered workshop, the Woodrow Wilson Rehabilitation  Center, or any facility or program operated, funded, or licensed by the  department any public or private entity or agency (including federal,  state, and other agencies).
    "Interaction" includes means  communication or interpersonal contact between investigator and participant  subject. 
    "Intervention" includes means both  physical procedures by which data are gathered (for example, venipuncture) and  manipulations of the participant subject or participant's subject's  environment that are performed for research purposes.
    "Investigator" means the person, whether professional  or student, who conducts the research.
    "Legally authorized representative," as  defined in § 32.1-162.16 of the Code of Virginia, means the, in  the following specified order of priority:
    1. The parent or parents having custody of a  prospective participant, the subject who is a minor; 
    2. The agent appointed under an advance directive, as  defined in § 54.1-2982 of the Code of Virginia, executed by the prospective  subject, provided the advance directive authorizes the agent to make decisions  regarding the prospective subject's participation in human research;
    3. The legal guardian of a prospective participant,  subject;
    4. The spouse of the prospective subject, except where a  suit for divorce has been filed and the divorce decree is not yet final; 
    5. An adult child of the prospective subject; 
    6. A parent of the prospective subject when the subject is  an adult; 
    7. An adult brother or sister of the prospective subject;  or 
    any 8. Any person or judicial or other body  authorized by law or regulation to consent on behalf of a prospective participant  subject to such person's subject's participation in the  particular human research. 
    For the purposes of this definition, any person authorized by  law or regulation to consent on behalf of a prospective participant subject  to his such subject's participation in the particular human  research shall include an attorney-in-fact appointed under a durable power of  attorney, to the extent the power grants the authority to make such a decision.  The attorney-in-fact shall not be employed by the person, institution or agency  conducting the human research and shall not be authorized to consent to  nontherapeutic medical research. No official or employee of the institution  or agency conducting or authorizing the research shall be qualified to act as a  legally authorized representative.
    "Minimal risk" means that the risks of harm  anticipated in the proposed research are not greater, considering  probability and magnitude, of harm or discomfort anticipated in the  research are not greater in and of themselves than those ordinarily  encountered in daily life or during the performance of routine physical or  psychological examinations or tests. 
    "Minor," as defined in § 1-207 of the Code of  Virginia, means an individual who is less than 18 years of age. 
    "Nontherapeutic research" means human subject  research in which there is no reasonable expectation of direct benefit to the  physical or mental condition of the participant subject. 
    "Parent" means a minor's biological or adoptive  parent.
    "Permission" means the agreement of parent(s) or  a legally authorized representative to the participation of their minor or ward  in research.
    "Private information" includes means  information about the human participant's behavior that occurs when  in a context in which an individual can reasonably expect that no  observation or recording is taking place, and or information which  that has been provided for specific purposes by the human participant  which an individual and that the participant individual  can reasonably expect will not be made public (for example, a medical record).  Private information must be individually identifiable (i.e., the identity of  the human participant is or may readily be ascertained by the investigator or  associated with the information) in order for obtaining the information to  constitute research involving human participants.
    "Research" means a systematic investigation,  including research development, testing, and evaluation, designed to  develop or contribute to general generalizable knowledge (basic  research) or specific knowledge (applied research). Activities which  that meet this definition constitute research for purposes of this  chapter, whether or not they are supported or funded under a program which  that is considered research for other purposes. For example, some  "demonstration" and "service" programs may include research  activities.
    "Research investigator" means the person,  whether professional or student, who conducts the research. 
    "Sheltered workshop" means a facility-based  community rehabilitation a program that (i) provides directly  or facilitates the provision of one or more of the following vocational  rehabilitation services enumerated in 34 CFR 361.5(b)(9)(i) to  individuals with disabilities to enable them to maximize their opportunities  for employment, including career advancement:; (ii) has a vendor  relationship with the department; and (iii) is not operated by a community  services board. 
    1. Medical, psychiatric, psychological, social, and  vocational services that are provided under one management; 
    2. Testing, fitting, or training in the use of prosthetic  and orthotic devices; 
    3. Recreational therapy; 
    4. Physical and occupational therapy; 
    5. Speech, language, and hearing therapy; 
    6. Psychiatric, psychological, and social services,  including positive behavior management; 
    7. Assessment for determining eligibility and vocational  rehabilitation needs; 
    8. Rehabilitation technology; 
    9. Job development, placement, and retention services; 
    10. Evaluation or control of specific disabilities; 
    11. Orientation and mobility services for individuals who  are blind; 
    12. Extended employment; 
    13. Psycho-social rehabilitation services; 
    14. Supported employment services and extended services; 
    15. Services to family members when necessary to the  vocational rehabilitation of the individual; 
    16. Personal assistance services; or 
    17. Services similar to the services described in  subdivisions 1 through 16. 
    "Voluntary informed consent" means the knowing,  written consent of an individual, or the individual's legally authorized  representative, so situated as to be able to exercise free power of choice  without undue inducement or any element of force, fraud, deceit, duress or  other form of constraint or coercion. With regard to the conduct of human  research, the basic elements of information necessary to such consent shall  include in writing: 
    1. A statement that the study involves research, and a  reasonable and comprehensible explanation to the human participant of the  procedures that the researcher will follow and their purposes, including  identification of any procedures which are experimental; the expected duration  of the human participant's participation; and a statement describing the  extent, if any, to which confidentiality of records identifying the participant  will be maintained, and if any data from this study are published, the  individual will not be identified without his written permission; 
    2. A description of any attendant discomforts and risks to  the human participant which may reasonably be expected and a statement that  there may be other risks not yet identified; 
    3. A description of any benefits to the human participant  or to others which may reasonably be expected; 
    4. A disclosure of any appropriate alternative procedures  or therapies that might be advantageous for the human participant; 
    5. An offer to answer and answers to any inquiries by any  individual concerning the procedure; 
    6. A statement that participation is voluntary, refusal to  participate will involve no penalty or loss of benefits to which the human  participant is otherwise entitled, and the human participant may discontinue  participation at any time without penalty or loss of benefits to which he is  otherwise entitled; 
    7. An explanation of who to contact for answers to  pertinent questions about the research and human research participants' rights,  and who to contact in the event of a research related injury; 
    8. For research involving more than minimal risk, an  explanation as to whether any compensation or medical care is available if  injury occurs and, if so, what it consists of or where further information may  be obtained; and 
    9. An explanation of any costs or compensation which may  accrue to the person and, if applicable, the availability of third party  reimbursement for the proposed procedures or protocols. 
    22VAC30-40-30. Applicability.
    This chapter shall apply to the Department of Rehabilitative  Services, Woodrow Wilson Rehabilitation Center, any sheltered workshop  or workshops and independent living center centers, and  any facility operated, funded or licensed by the department which conducts or  which proposes to conduct or authorize research which uses human participants  known as covered entities.
    22VAC30-40-40. Policy General provisions for  conducting human subjects research.
    A. No human subjects research may be conducted by a  covered entity without the voluntary informed consent of the participant  subject or his the subject's legally authorized  representative. The required elements of informed consent are provided in  22VAC30-40-100. The consent of the participant human subject  or his the human subject's legally authorized representative to  participate in the research must be documented in writing and supported by the  signature of a witness not involved in the conduct of the research, except as  provided for in 22VAC30-40-100 F J. The research  investigator shall sign ensure that a knowledgeable member of the  research team signs and provide participants provides  human subjects of a research study project with a copy of the  written, voluntary informed consent statement document as  defined in 22VAC30-40-10 22VAC30-40-100 B. The investigator shall  make arrangements for those who need special assistance in understanding the  consequences of participating in the research. 
    B. Each human subjects research study project  shall be approved by a committee composed of representatives of varied  backgrounds who shall assure the competent, complete, and professional review  of human research activities the department's HRRC. An  institution may establish its own research review committee, it may work with  other institutions to establish a single committee, or it may use the  department's established committee. 
    C. Nontherapeutic research using institutionalized  participants is prohibited unless the research review committee HRRC  determines that such nontherapeutic research will not present greater than  minimal risk to the human participant subjects.
    D. The research investigator shall be required to  notify all human participants in research subjects of the risks  caused by the research which that are discovered after the  research has concluded. 
    E. 22VAC30-40-160 applies to all research involving minors  as subjects conducted or supported by the covered entity. In addition to other  responsibilities assigned to the HRRC under 22VAC30-40-160, the HRRC shall  review research covered by 22VAC30-40-160 and approve only research that  satisfies the conditions of all applicable sections of this chapter. Exemptions  in subdivisions 1 and 3 through 6 of 22VAC30-40-80 are applicable to  22VAC30-40-160. The exemption in subdivision 2 of 22VAC30-40-80 regarding  educational tests is also applicable to 22VAC30-40-160. However, the exemption  in subdivision 2 of 22VAC30-40-80 for research involving survey or interview  procedures or observations of public behavior does not apply to research  covered by 22VAC30-40-160, except for research involving observation of public  behavior when the investigator or investigators do not participate in the  activities being observed. 
    F. Cooperative research projects are those projects  covered by this chapter that involve a covered entity in conjunction with an  institution(s). In the conduct of cooperative research projects, the covered  entity and each institution are responsible for safeguarding the rights and  welfare of human subjects and for complying with this chapter. With the  approval of the commissioner, a covered entity participating in a cooperative  project may enter into a joint review arrangement, rely upon the review of  another qualified institutional review board (IRB), or make similar  arrangements for avoiding duplication of effort.
    G. In the event research is undertaken without the  intention of involving human subjects, but it is later proposed to involve  human subjects in the research, the research shall first be reviewed and  approved by the HRRC, as provided in this chapter, a certification submitted by  the covered entity to the commissioner, and final approval given to the  proposed change by the commissioner.
    H. With respect to any research project or any class of  research projects, the commissioner may impose additional conditions prior to  or at the time of approval when, in the judgment of the commissioner,  additional conditions are necessary for the protection of human subjects.
    I. In reviewing proposed research projects, the HRRC shall  consider the requirements of review stated in 22VAC30-40-70.
    22VAC30-40-50. Certification process. 
    A. Institutions seeking to conduct or sponsor human  research are required to submit statements to the research review committee  assuring that all human research activities will be reviewed and approved by a  research review committee. Institutions shall report annually No later  than 45 days after the end of each state fiscal year, Woodrow Wilson  Rehabilitation Center, sheltered workshops and independent living centers shall  send a written report to the commissioner giving assurance that a  committee exists and is functioning. These reports should include a list of  committee members, their qualifications for service on the committee, their  institutional affiliation and a copy of the minutes of committee meetings either  all human subjects research conducted during the fiscal year was reviewed and  approved by the department's HRRC prior to implementation of that research or  that no human subjects research was conducted during that state fiscal year.  
    B. Prior to the initiation of a human research project,  institutions At the time that the research is approved by the HRRC, the  HRRC chairperson shall also send to the commissioner a description  of the research project to be undertaken, which shall include a statement of  the criteria for inclusion of a participant prospective human  subjects in the research project, a description of what will be done to the  prospective human participants subjects, and a copy of  the informed consent statement the type of review performed by the HRRC.  
    C. The commissioner may inspect the records of the research  committee department's HRRC. 
    D. The chairman of the research committee shall report as  soon as possible to the head of the institution and to the commissioner any  violation of the research protocol which led the committee to either suspend or  terminate the research. The HRRC shall have authority to suspend or  terminate approval of research that is not being conducted in accordance with  the HRRC's requirements or that has been associated with unexpected serious  harm to subjects. Any suspension or termination of approval shall include a  statement of the reasons for the HRRC's action and shall be reported promptly  to the research investigator, the commissioner, the head(s) of other  appropriate covered entities, and in the case of cooperative research, the  institutional officials responsible for human subjects research.
    E. Research covered by this chapter that has been approved  by the HRRC may be subject to further appropriate review and approval or  disapproval by officials of the covered entities. However, those officials may  not approve the research if it has not been approved by the HRRC.
    22VAC30-40-60. Composition of research review committees  the HRRC.
    A. Each research committee The HRRC shall have  at least five members, appointed by the head of the institution or  department commissioner, with varying backgrounds to provide promote  complete and adequate review of activities research projects  commonly conducted by the institution covered entities. The committee  HRRC shall be sufficiently qualified through the research  experience, and expertise, and diversity of its members, and  the diversity of the members, including consideration of race, gender,  and cultural background, and sensitivity to such issues as community  attitudes, to promote respect for its advice and counsel in safeguarding  the rights and welfare of participants in human research subjects.  In addition to possessing the professional competence necessary to review  specific activities research projects, the committee must HRRC  shall be able to ascertain the acceptability of applications and  proposals proposed research in terms of institutional the  department's commitments and regulations, applicable law, standards of  professional conduct and practice, and community attitudes. If a committee  the HRRC regularly reviews research that has an impact on an  institutionalized or other involves a vulnerable category of participants  subjects, including residents of mental health or mental retardation  facilities, the committee shall have in its membership one or more individuals  who are primarily concerned with the welfare of these participants and who have  appropriate experience to serve in that capacity such as children,  pregnant women, or persons with mental disabilities, consideration shall be  given to the inclusion of one or more individuals who are knowledgeable about  and experienced in working with these subjects. Additional membership  requirements may be imposed on the HRRC by 34 CFR 350.4(c) and 356.3(c) for  research sponsored by the National Institute on Disability and Rehabilitation  Research. When minors with disabilities or persons with mental disabilities are  purposefully included as research subjects, the HRRC's membership must include  at least one person who is primarily concerned with the welfare of these  research subjects.
    B. No committee shall Every nondiscriminatory  effort will be made to ensure that the HRRC does not consist entirely of  men or entirely of women, or including the department's consideration  of qualified persons of both sexes, so long as no selection is made to the HRRC  on the basis of gender. The HRRC may not consist entirely of members of one  profession.
    C. Each committee The HRRC shall include at  least one of the following:
    1. One At least one member whose primary  concerns are in nonscientific areas (e.g., lawyers, ethicists, members of  the clergy);
    2. One At least one member who is not otherwise  affiliated with the institution any covered entity and who is not  part of the immediate family of a person who is affiliated with the institution  covered entity; and 
    3. One consumer; and 
    4. One 3. At least one member whose primary  concerns are in the scientific areas.
    D. No member of a committee The HRRC shall not  have a member participate in the committee's HRRC's initial  or continuing review of any project in which the member is directly involved  or for which he has administrative approval authority has a conflicting  interest, except to provide information requested by the committee HRRC.  The committee HRRC has responsibility for determining whether a  member has a conflict of conflicting interest with any study.  The committee HRRC member shall be replaced in the case of a  conflict of conflicting interest resulting in a decrease of the committee  HRRC below five persons members.
    E. A committee The HRRC may, at its discretion,  invite individuals with competence in special areas to assist in the review of  complex issues which require expertise beyond or in addition to that available  on the committee HRRC. These individuals may not vote with the  committee.
    F. A quorum of the committee HRRC shall consist  of a majority of its members including at least one member whose primary  concerns are in nonscientific areas. Except when exempt or expedited review  procedures are used, proposed research shall be reviewed at convened meetings  at which a majority of members is present, including at least one member whose  primary concerns are in nonscientific areas. In order for the research to be  approved, it shall receive the approval of a majority of those members present  at the meeting.
    G. The committee HRRC and the institution  department shall establish procedures and rules of operation necessary  to fulfill the requirements of these regulations.
    22VAC30-40-70. Elements of each committee's the  HRRC's review process.
    A. No human research shall be conducted or authorized by  the Department of Rehabilitative Services, any independent living center, any  sheltered workshop, or the Woodrow Wilson Rehabilitation Center unless the  committee has reviewed and approved the proposed human research project giving  consideration to: The HRRC shall review and have authority to approve,  require modifications in, or disapprove all research activities covered by this  chapter.
    1. The adequacy of the description of the potential  benefits and risks involved and the adequacy of the methodology of the  research; 
    2. The degree of the risk, and, if the research is  nontherapeutic, whether it presents greater than minimal risk; 
    3. Whether the rights and welfare of the participants are  adequately protected; 
    4. Whether the risks to the participants are outweighed by  the potential benefits to them; 
    5. Whether the voluntary informed consent is to be obtained  by methods that adequately and appropriately fulfill the requirements of these  regulations and whether the written consent form is adequate and appropriate in  both content and language for the particular research and for the particular  participants of the research; 
    6. Whether the research investigators proposing to  supervise or conduct the particular human research are appropriately competent  and qualified; 
    7. Whether criteria for selection of participants are  equitable, especially in research regarding the future development of mental or  physical illness; 
    8. Whether the research conforms with such other  requirements as the department may establish; and 
    9. Whether appropriate studies in nonhuman systems have  been conducted prior to the involvement of human participants. 
    B. The committee shall review, at least annually, approved  projects to ensure conformity with the approved proposal. The HRRC shall  require that information given to prospective subjects as part of the informed  consent process is in accordance with 22VAC30-40-100. The HRRC may require that  information, in addition to that specifically mentioned in 22VAC30-40-100, be  given to prospective subjects when, in the HRRC's judgment, the information  would meaningfully add to the protection of the rights and welfare of subjects.
    C. Research must be approved by the committee which has  jurisdiction over the participant. When cooperating institutions conduct some  or all of the research involving some or all of the participants, each  cooperating institution is responsible for safeguarding the rights and welfare  of human participants and for complying with this chapter, except that in complying  with this chapter institutions may enter into joint review, rely upon the  review of another qualified committee, or make similar arrangements aimed at  avoiding duplication of effort. The committee chairperson may make such  arrangements with the approval of a majority of the members present at a  meeting of the committee. The HRRC shall require documentation of  informed consent or may waive documentation in accordance with 22VAC30-40-100  J.
    D. The committee HRRC shall consider research  proposals within 45 days after submission of a complete application to  the committee's chairman HRRC's chairperson. In order for the  research to be approved, it shall receive the approval of a majority of those  members present at a meeting in which a quorum exists. A committee The  HRRC shall notify research investigators and the institution covered  entity in writing of its decision to approve or disapprove the proposed  research activity, or of modifications required to secure committee  HRRC approval. 
    E. The committee HRRC shall develop a  written complaint description of the procedure procedures  to be followed by a human participant subject who has a complaint  concern(s) about a research project in which he is participating or has  participated. 
    F. Any participant who has a complaint about a research  project in which he is participating or has participated shall be referred to  the chairperson of the committee HRRC who shall refer it to the committee  HRRC to determine if there has been a violation of the research  protocol as approved by the HRRC.
    G. The committee shall require periodic reports. The  frequency of such reports should reflect the nature and degree of risk of each  research project.
    H. If the HRRC decides to disapprove a research application,  it shall include in its written notification a statement of the reasons for its  decision and give the investigator an opportunity to respond in person or in  writing.
    I. The HRRC shall conduct continuing review of research  covered by this chapter at intervals appropriate to the degree of risk, but not  less than once per year, and shall have authority to observe or have a third  party observe the consent process and the research.
    J. In order to approve research covered by this chapter,  the HRRC shall determine that all of the following requirements are satisfied:
    1. Risks to subjects are minimized:
    a. By using procedures that are consistent with sound  research design and that do not unnecessarily expose subjects to risk; and
    b. Whenever appropriate, by using procedures already being  performed on the subjects for diagnostic or treatment purposes.
    2. Risks to subjects are reasonable in relation to  anticipated benefits, if any, to subjects and the importance of the knowledge  that may reasonably be expected to result. In evaluating risks and benefits,  the HRRC should consider only those risks and benefits that may result from the  research (as distinguished from risks and benefits of therapies subjects would  receive even if not participating in the research). The HRRC should not  consider possible long-range effects of applying knowledge gained in the  research (for example, the possible effects of the research on public policy)  as among those research risks that fall within the purview of its  responsibility.
    3. Selection of subjects is equitable. In making this  assessment the HRRC should take into account the purposes of the research and  the setting in which the research will be conducted and should be particularly  cognizant of the special problems of research involving vulnerable populations,  such as children, pregnant women, persons with mental disabilities, or  economically or educationally disadvantaged persons.
    4. Informed consent will be sought from each prospective  subject or the subject's legally authorized representative in accordance with  and to the extent required by 22VAC30-40-100.
    5. Informed consent will be appropriately documented in  accordance with and to the extent required by 22VAC30-40-100.
    6. When appropriate, the research plan makes adequate provision  for monitoring the data collected to ensure the safety of subjects.
    7. When appropriate, there are adequate provisions to  protect the privacy of subjects and to maintain the confidentiality of data.
    8. When some or all of the subjects are likely to be  vulnerable to coercion or undue influence, such as children, pregnant women,  persons with mental disabilities, or economically or educationally  disadvantaged persons, additional safeguards have been included in the project  to protect the rights and welfare of these subjects.
    22VAC30-40-80. Kinds of research exempt from committee review.
    Research activities in which the only involvement of human  participants will be in one or more of the following categories are exempt from  these regulations unless the research is covered by other sections of this  chapter. The HRRC shall determine whether the proposed research project  satisfies at least one exemption category in this section before the research  can be conducted:
    1. Research conducted in established or commonly accepted  educational settings, involving commonly used normal educational  practices, such as: 
    a. Research on regular and special education instructional  strategies; or 
    b. Research on the effectiveness of or the comparison among  instructional techniques, curriculum or classroom management methods. 
    2. Research involving solely the use and analysis of  the results of standardized psychological, educational, diagnostic, aptitude,  or achievement tests, if information taken from these sources is recorded in  such a manner that participants cannot be reasonably identified, directly or  through identifiers linked to the participants. of educational tests  (cognitive, diagnostic, aptitude, achievement), survey procedures, interview  procedures or observation of public behavior, unless:
    a. Information obtained is recorded in such a manner that  human subjects can be identified, directly or through identifiers linked to the  subjects; and 
    b. Any disclosure of the human subjects' responses outside  the research could reasonably place the subjects at risk of criminal or civil  liability or be damaging to the subjects' financial standing, employability, or  reputation.
    3. Research involving survey or interview procedures,  unless responses are recorded in such a manner that participants can be  identified, directly or through identifiers linked to the participants, and  either: Research involving the use of educational tests (cognitive,  diagnostic, aptitude, achievement), survey procedures, interview procedures, or  observation of public behavior that is not exempt under subdivision 2 of  22VAC30-40-80 if:
    a. The participant's responses, if they became known  outside the research, could reasonably place the participant at risk of  criminal or civil liability or be damaging to the participant's financial  standing, employability, or reputation The human subjects are elected or  appointed public officials or candidates for public office; or 
    b. The research deals with sensitive aspects of the  participant's own behavior, such as sexual behavior, drug or alcohol use,  illegal conduct, or family planning. Federal statute(s) require(s)  without exception that the confidentiality of the personally identifiable  information will be maintained throughout the research and thereafter.
    4. Research involving solely the observation (including  observation by participants) of public behavior, unless observations are  recorded in such a manner that participants can be identified, directly or  through identifiers linked to the participants, and either: 
    a. The observations recorded about the individual, if they  became known outside the research, could reasonably place the human participant  at risk of criminal or civil liability or be damaging to the participant's  financial standing, employability, or reputation; or 
    b. The research deals with sensitive aspects of the  participant's own behavior, such as illegal conduct, drug use, sexual behavior,  or use of alcohol. 
    5. 4. Research involving solely the  collection or study of existing data, documents, records, or pathological  specimens, or diagnostic specimens, if these sources are publicly  available, or if the information taken from these sources is  recorded by the investigator in such a manner that participants subjects  cannot be identified, directly or through identifiers linked to the participants  subjects. 
    5. Research and demonstration projects that are conducted  by or subject to the approval of the commissioner, and that are designed to  study, evaluate, or otherwise examine: 
    a. Public benefit or service programs; 
    b. Procedures for obtaining benefits or services under  those programs; 
    c. Possible changes in or alternatives to those programs or  procedures; or 
    d. Possible changes in methods or levels of payment for benefits  or services under those programs.
    6. Taste and food quality evaluation and consumer  acceptance studies: 
    a. If wholesome foods without additives are consumed; or 
    b. If a food is consumed that contains a food ingredient at  or below the level and for a use found to be safe, or agricultural chemical or  environmental contaminant at or below the level found to be safe, by the Food  and Drug Administration or approved by the Environmental Protection Agency or  the Food Safety and Inspection Service of the U.S. Department of Agriculture.
    22VAC30-40-90. Expedited review procedures for certain kinds of  research involving no more than minimal risk, and for minor changes in  approved research. 
    A. The committee may conduct an expedited review of a  human research project which involves no more than minimal risk to the  participants if (i) another institution's or agency's human research review  committee has reviewed and approved the project or (ii) the review involves  only minor changes in previously approved research and the changes occur during  the approved project period. The HRRC may use the expedited review  procedure for categories of research that are listed in 63 FR 60364-60367 where  either or both of the following apply:
    1. Some or all of the research appearing on the list and  found by the reviewer(s) to involve no more than minimal risk.
    2. Minor changes in previously approved research during the  period (of one year or less) for which approval is authorized.
    Under an expedited review procedure, the committee review  may be carried out by the HRRC chairperson and one or by one or  more experienced reviewers designated by the chairperson from among members of  the committee may carry out the review HRRC. In reviewing the  research, the reviewers may exercise all of the authorities of the committee  HRRC except that the reviewers may not disapprove the research. A  research activity proposal may be disapproved only after review in  accordance with the nonexpedited by a convened meeting of the HRRC in  which a quorum is present and in accordance with procedure set forth in  22VAC30-40-70.
    B. Each committee which uses When an expedited  review procedure is used, the HRRC shall adopt a method for keeping all  members advised of research proposals which have been approved under the  expedited review procedure. 
    C. Research activities involving no more than minimal risk  and in which the only involvement of human participants will be in one or more  of the categories referred to in 34 CFR 97.110. The commissioner may  restrict, suspend, terminate, or choose not to authorize the HRRC's use of the  expedited review procedure.
    22VAC30-40-100. Informed consent. 
    A. No human research may be conducted in the department,  any independent living center, any sheltered workshop, or the Woodrow Wilson  Rehabilitation Center or approved by the research committee in the absence of  voluntary informed, written consent. If the participant is competent at the  time the consent is required, then the consent must be subscribed to in writing  by the participant and witnessed. If the participant is not competent at the  time the consent is required, then the consent shall be subscribed to in  writing by the participant's legally authorized representative and witnessed  except as provided for in subsection F of this section. If the participant is a  minor otherwise capable of rendering voluntary informed consent, the consent  must be subscribed to in writing by both the minor and his legally authorized  representative and witnessed. A research Except as provided elsewhere in  this chapter, no investigator may involve a human being as a subject in  research covered by this chapter unless the investigator has obtained the  legally effective informed consent of the prospective subject or the  prospective subject's legally authorized representative in accordance with this  chapter. The investigator shall seek such consent only under circumstances  that provide the prospective human participant or the representative  prospective human participant's legally authorized representative sufficient  opportunity to consider whether or not to participate and that minimize the  possibility of coercion or undue influence. The information that is given to  the prospective human participant or the prospective human  participant's legally authorized representative shall be in language  understandable to the prospective human participant or the prospective  human participant's legally authorized representative. No informed  consent, whether oral or written, may include any exculpatory language through  which the subject or the legally authorized representative is made to waive or  appear to waive any of the subject's legal rights, or releases or appears to  release the investigator, the sponsor, the covered entity, or its agents from  liability for negligence.
    B. No individual shall participate in research unless this  requirement is met for each individual. The giving of consent by a legally  authorized representative shall be subject to the provisions of subsection C of  this section. No voluntary informed consent shall include any language through  which the participant waives or appears to waive any of his legal rights,  including any release of any individual, institution or agency or any agents  thereof from liability for negligence. Notwithstanding consent by a legally  authorized representative, no person shall be forced to participate in any  human research. Each human participant shall be given a copy of the signed  consent form required by 22VAC30-40-40 A, except as provided for in  22VAC30-40-100 F. In seeking informed consent, the following basic  elements shall be provided to each prospective subject or legally authorized  representative: 
    1. A statement that the project involves research, an  explanation of the purposes of the research and the expected duration of the  subject's participation, a description of the procedures to be followed, and  identification of any procedures that are experimental;
    2. A description of any reasonably foreseeable risks or  discomforts to the subject;
    3. A description of any benefits to the subject or to  others that may reasonably be expected from the research;
    4. A disclosure of appropriate alternative procedures or  courses of treatment, if any, that might be advantageous to the subject;
    5. A statement describing the extent, if any, to which  confidentiality of records identifying the subject will be maintained;
    6. For research involving more than minimal risk, an  explanation as to whether any compensation and an explanation as to whether any  medical treatments are available if injury occurs and, if so, what they consist  of, or where further information may be obtained;
    7. An explanation of who to contact for answers to  pertinent questions about the research and research subject's rights, and who  to contact in the event of a research-related injury to the subject; and
    8. A statement that participation is voluntary, refusal to  participate will involve no penalty or loss of benefits to which the subject is  otherwise entitled, and the subject may discontinue participation at any time  without penalty or loss of benefits to which the subject is otherwise entitled.
    C. No legally authorized representative may consent to  nontherapeutic research unless the committee determines that such  nontherapeutic research will present no more than a minor increase over minimal  risk to the participant. No nontherapeutic research shall be performed without  the consent of the human participant. When the HRRC determines that it  is appropriate, one or more of the following additional elements of informed  consent shall also be provided to each subject:
    1. A statement that the particular treatment or procedure  may involve risks to the subject (or to the embryo or fetus, if the subject is  or may become pregnant) that are currently unforeseeable;
    2. Anticipated circumstances under which the subject's  participation may be terminated by the investigator without regard to the  subject's consent;
    3. Any additional costs to the subject that may result from  participation in the research;
    4. The consequences of a subject's decision to withdraw  from the research and procedures for orderly termination of participation by  the subject;
    5. A statement that significant new findings developed  during the course of the research that may relate to the subject's willingness  to continue participation will be provided to the subject; and
    6. The approximate number of subjects involved in the  project.
    D. The committee HRRC may approve a consent  procedure which that does not include or which alters some or all  of the elements of informed consent set forth in 22VAC30-40-10. The  committee may this section, or waive the requirements requirement  to obtain some or all informed consent provided the committee HRRC  finds and documents that:
    1. The research involves no more than minimal risk to the  human participants; or demonstration project is to be conducted by or  subject to the approval of state or local government officials and is designed  to study, evaluate, or otherwise examine:
    a. Public benefit or service programs;
    b. Procedures for obtaining benefits or services under  those programs; 
    c. Possible changes in or alternatives to those programs or  procedures; or 
    d. Possible changes in methods or levels of payment for  benefits or services under those programs; and
    2. The waiver or alteration will not adversely affect the  rights and welfare of the human participants; 
    3. 2. The research could not practicably be  carried out without the waiver or alteration; and.
    4. Whenever appropriate, the human participants will be  provided with additional pertinent information after participation. 
    E. Except as provided in subsection F of this section, the  consent form may be either of the following: The HRRC may approve a  consent procedure that does not include or that alters some or all of the  elements of informed consent set forth in subsection B of this section, or  waive the requirements to obtain informed consent provided the HRRC finds and  documents that:
    1. A written consent document that embodies the elements of  informed consent required by 22VAC30-40-10. This form may be read to the  participant or the participant's legally authorized representative, but in any  event, the investigator shall give either the participant or the representative  adequate opportunity to read it before it is signed; or 
    2. A short form written consent document stating that the  elements of informed consent required by 22VAC30-40-10 have been presented  orally to the participant or the participant's legally authorized  representative. When this method is used, there shall be a witness to the oral  presentation. Also, the committee shall approve a written summary of what is to  be said to the participant or the representative. Only the short form itself is  to be signed by the participant or the representative. However, the witness  shall sign both the short form and a copy of the summary, and the person  actually obtaining consent shall sign a copy of the summary. A copy of the  summary shall be given to the human participant or the representative, in  addition to a copy of the short form.
    1. The research involves no more than minimal risk to the  subject;
    2. The waiver or alteration will not adversely affect the  rights and welfare of the subjects;
    3. The research could not practicably be carried out  without the waiver or alteration; and
    4. Whenever appropriate, the subjects will be provided with  additional pertinent information after participation.
    F. The committee may waive the requirement for the  research investigator to obtain a signed consent form for some or all  participants if it finds that the only record linking the participant and the  research would be the consent document and the principal risk would be  potential harm resulting from a breach of confidentiality and there is no  greater than a minimal risk of physical or mental harm to the human  participant. Each participant will be asked whether the participant wants  documentation linking the participant with the research, and the participant's  wishes will govern. In cases where the documentation requirement is waived, the  committee may require the investigator to provide participants with a written  statement regarding the research. The informed consent requirements in  this chapter are not intended to preempt any applicable federal, state, or  local laws that require additional information to be disclosed in order for  informed consent to be legally effective.
    G. Nothing in this chapter is intended to limit the  authority of a physician to provide emergency medical care, to the extent the  physician is permitted to do so under applicable federal or state law, or local  ordinance.
    H. Notwithstanding consent by a legally authorized  representative, no person shall be forced to participate in any human subjects  research. Each human subject shall be given a copy of the signed consent form  required by this section, except as provided for in subsection J of this  section.
    I. No legally authorized representative may consent to  nontherapeutic research unless the HRRC determines that such nontherapeutic  research will present no more than a minor increase over minimal risk to the  prospective subject. No nontherapeutic research shall be performed without the  consent of the human subject.
    J. Documentation of informed consent.
    1. Except as provided in subdivision 3 of this subsection,  informed consent shall be documented by the use of a written consent form  approved by the HRRC and signed by the subject or the subject's legally  authorized representative. A copy shall be given to the person signing the  form.
    2. Except as provided in subdivision 3 of this subsection,  the consent form may be either of the following:
    a. A written consent document that embodies the elements of  informed consent required in subsection B of this section. This form may be  read to the subject or the subject's legally authorized representative, but in  any event, the investigator shall give either the subject or the subject's  legally authorized representative adequate opportunity to read it before it is  signed; or
    b. A short form written consent document stating that the  elements of informed consent required in subsection B of this section have been  presented orally to the subject or the subject's legally authorized  representative. When this method is used, there shall be a witness to the oral  presentation. Also, the HRRC shall approve a written summary of what is to be  said to the subject or the representative. Only the short form itself is to be  signed by the subject or the representative. However, the witness shall sign  both the short form and a copy of the summary, and the person actually obtaining  consent shall sign a copy of the summary. A copy of the summary shall be given  to the subject or the legally authorized representative, in addition to a copy  of the short form.
    3. The HRRC may waive the requirement for the investigator  to obtain a signed consent form for some or all subjects if it finds either:
    a. That the only record linking the subject and the  research would be the consent document and the principal risk would be  potential harm resulting from a breach of confidentiality. Each subject will be  asked whether the subject wants documentation linking the subject with the  research, and the subject's wishes will govern; or
    b. That the research presents no more than minimal risk of  harm to subjects and involves no procedures for which written consent is  normally required outside of the research context. In cases in which the  documentation requirement is waived, the HRRC may require the investigator to  provide subjects with a written statement regarding the research.
    22VAC30-40-110. Committee HRRC records. 
    A. An institution, or when appropriate a committee, The  HRRC shall prepare and maintain adequate documentation of committee HRRC  activities, including the following: 
    1. Copies of all research proposals applications  reviewed, scientific evaluations, if any, that accompany the proposals applications,  approved sample consent documents, progress reports submitted by  investigators, and reports of injuries to participants subjects; 
    2. Minutes of committee HRRC meetings which  shall be in sufficient detail to show attendance at the meetings; actions taken  by the committee HRRC; the vote on these actions including the  number of members voting for, against, and abstaining; the basis for requiring  changes in or disapproving research; and a written summary of the discussion of  controverted issues and their resolution; 
    3. Records of continuing review activities;
    4. Copies of all correspondence between the committee HRRC  and the research investigators; 
    5. A list of all committee HRRC members identified  by name; earned degrees; representative capacity; indications of experience  such as board certifications, licenses, etc., sufficient to describe each  member's chief anticipated contributions to HRRC deliberations; and any  employment or other relationship between each member and the covered entity,  for example: full-time employee, part-time employee, member of governing panel  or board, or paid or unpaid consultant; 
    6. Written procedures for the committee Statements  of significant new findings provided to participants; and 
    7. Statements of significant new findings provided to  participants. Written procedures for the HRRC that shall include:
    a. Conducting its initial and continuing review of research  and for reporting its findings and actions to the investigator and the  department; 
    b. Determining which projects require review more often  than annually and which projects need verification from sources other than the  investigators that no material changes have occurred since previous HRRC  review;  
    c. Ensuring prompt reporting to the HRRC of proposed  changes in a research activity, and for ensuring that such changes in approved  research, during the period for which HRRC approval has already been given, may  not be initiated without HRRC review and approval except when necessary to  eliminate apparent immediate hazards to the subject; and 
    d. Ensuring prompt reporting to the HRRC and the  commissioner of (i) any unanticipated problems involving risks to subjects or  others or any serious or continuing noncompliance with this policy or the  requirements or determinations of the HRRC and (ii) any suspension or  termination of HRRC approval.
    B. The records required by this chapter shall be retained for  at least three years, and records relating to research which is conducted shall  be retained for at least three years after completion of the research. All  records shall be accessible for inspection and copying by authorized employees  or agents of the department or federal agency at reasonable times and in  a reasonable manner. 
    C. The HRRC shall ensure that an overview of approved  human subject research projects and the results of such projects are made  public on the department's website unless otherwise exempt from disclosure  under the Virginia Freedom of Information Act (§ 2.2-3700 et seq. of the  Code of Virginia).
    22VAC30-40-120. Mandatory reporting.
    Each research review committee The HRRC shall  submit to the Governor, the General Assembly, and the commissioner or his  designee at least annually a report on the human subjects research  projects reviewed and approved by the committee HRRC, including  any significant deviations from the proposals as approved.
    22VAC30-40-130. Role of the department and the  commissioner. 
    A. The commissioner shall establish and maintain  records of institutional federal assurances, annual reports, and  summary descriptions of research projects. 
    B. The commissioner shall review communications from committees  the HRRC reporting violations of research protocols which led to  suspension or termination of the research to ensure that appropriate steps have  been taken for the protection of the rights of human research participants  subjects. 
    C. The commissioner shall arrange for the printing and  dissemination of copies of these regulations. 
    22VAC30-40-140. Applicability of state policies.
    Nothing in this chapter shall be construed as limiting in any  way the rights of participants human subjects in research under  regulations promulgated in response to §§ 32.1-162.19 and 37.1-84.1 Chapter  5.1 (§ 32.1-162.16 et seq.) of Title 32.1 of the Code of Virginia.
    22VAC30-40-150. Applicability of federal policies.
    Human research at institutions which The conduct of  human subjects research that is subject to policies and regulations for the  protection of human participants subjects promulgated by any  agency of the federal government shall be exempt from requirements of  this chapter. Such institutions When the HRRC reviews or approves  federally funded or sponsored human research proposals, the HRRC shall  notify the commissioner at least annually of their its  compliance with the federal policies and regulations of  federal agencies for the protection of human research subjects.
    22VAC30-40-160. Additional protection for minors involved as  subjects in research.
    A. Research not involving greater than minimal risk. The  covered entity may conduct or fund research in which the HRRC finds that no  greater than minimal risk to minors is presented, only if the HRRC finds that  adequate provisions are made for soliciting the assent of the minors and the  permission of their parents or guardians, pursuant to subsection E of this  section. 
    B. Research involving greater than minimal risk but  presenting the prospect of direct benefit to the individual subjects. The  covered entity may conduct or fund research in which the HRRC finds that more  than minimal risk to minors is presented by an intervention or procedure that  holds out the prospect of direct benefit for the individual subject, or by a  monitoring procedure that is likely to contribute to the subject's well-being,  only if the HRRC finds that:
    1. The risk is justified by the anticipated benefit to the  subjects; 
    2. The relation of the anticipated benefit to the risk is  at least as favorable to the subjects as that presented by available  alternative approaches; and 
    3. Adequate provisions are made for soliciting the assent  of the minors and permission of their parents or guardians, pursuant to  subsection E of this section.
    C. Research involving greater than minimal risk and no  prospect of direct benefit to individual subjects, but likely to yield  generalizable knowledge about the subject's disorder or condition. The covered  entity may conduct or fund research in which the HRRC finds that more than  minimal risk to minors is presented by an intervention or procedure that does  not hold out the prospect of direct benefit for the individual subject, or by a  monitoring procedure that is not likely to contribute to the well-being of the  subject, only if the HRRC finds that:
    1. The risk represents a minor increase over minimal risk;
    2. The intervention or procedure presents experiences to  subjects that are reasonably commensurate with those inherent in their actual  or expected medical, dental, psychological, social, or educational situations;
    3. The intervention or procedure is likely to yield  generalizable knowledge about the subjects' disorder or condition that is of  vital importance for the understanding or amelioration of the subjects'  disorder or condition; and 
    4. Adequate provisions are made for soliciting assent of  the minors and permission of their parents or guardians, pursuant to subsection  E of this section.
    D. Research not otherwise approvable that presents an  opportunity to understand, prevent, or alleviate a serious problem affecting  the health or welfare of minors. The covered entity may conduct or fund  research that the HRRC does not believe meets the requirements pursuant to  subsection A, B, or C of this section only if:
    1. The HRRC finds that the research presents a reasonable  opportunity to further the understanding, prevention, or alleviation of a  serious problem affecting the health or welfare of minors; and
    2. The Secretary of the United States Department of  Education, after consultation with a panel of experts in pertinent disciplines  (for example: science, medicine, education, ethics, law) and following  opportunity for public review and comment, has determined either that:
    a. The research in fact satisfies the conditions pursuant  to subsection A, B, or C of this section, as applicable; or
    b. (i) The research presents a reasonable opportunity to  further the understanding, prevention, or alleviation of a serious problem  affecting the health or welfare of minors; (ii) the research will be conducted  in accordance with sound ethical principles; and (iii) adequate provisions are  made for soliciting the assent of minors and the permission of their parents or  guardians, pursuant to subsection E of this section.
    E. Requirements for permission by parents or guardians and  for assent by minors.
    1. In addition to the determinations required under other  applicable subsections of this section, the HRRC shall determine that adequate  provisions are made for soliciting the assent of the minors, if in the judgment  of the HRRC the minors are capable of providing assent. In determining whether  minors are capable of assenting, the HRRC shall take into account the ages,  maturity, and psychological state of the minors involved. This judgment may be  made for all minors to be involved in research under a particular protocol, or  for each minor, as the HRRC deems appropriate. If the HRRC determines that the  capability of some or all of the minors is so limited that they cannot  reasonably be consulted or that the intervention or procedure involved in the  research holds out a prospect of direct benefit that is important to the health  or well-being of the minors and is available only in the context of the  research, the assent of the minors is not a necessary condition for proceeding  with the research. Even if the HRRC determines that the subjects are capable of  assenting, the HRRC may still waive the assent requirement under circumstances  in which consent may be waived in accord with 22VAC30-40-100.
    2. In addition to the determinations required under other  applicable subsections of this section, the HRRC shall determine, in accordance  with and to the extent that consent is required by 22VAC30-40-100, that  adequate provisions are made for soliciting the permission of each minor's  parent(s) or guardian(s). If parental permission is to be obtained, the HRRC  may find that the permission of one parent is sufficient for research to be  conducted pursuant to subsection A or B of this section. If research is covered  pursuant to subsections C and D of this section and permission is to be obtained  from parents, both parents must give their permission unless one parent is  deceased, unknown, incompetent, or not reasonably available, or if only one  parent has legal responsibility for the care and custody of the minor. Only the  legal custodial parent can give informed consent.
    3. In addition to the provisions for waiver contained in  22VAC30-40-100, if the HRRC determines that a research protocol is designed for  conditions or for a subject population for which parental or guardian  permission is not a reasonable requirement to protect the subjects (for  example, neglected or abused minors), it may waive the consent requirements in  22VAC30-40-100 and subdivision 2 of this subsection, provided an appropriate  mechanism for protecting the minors who will participate as subjects in the  research is substituted, and provided further that the waiver is not  inconsistent with federal, state, or local law. The choice of an appropriate  mechanism depends upon the nature and purpose of the activities described in the  protocol, the risk and anticipated benefit to the research subjects, and their  age, maturity, status, and condition.
    4. Permission by parents or guardians must be documented in  accordance with and to the extent required by 22VAC30-40-100 J.
    5. If the HRRC determines that assent is required, it shall  also determine whether and how assent must be documented.
    F. Wards.
    1. Minors who are wards of the state or any other agency,  institution, or entity may be included in research approved under subsection C  or D of this section only if that research is:
    a. Related to their status as wards; or
    b. Conducted in schools, camps, hospitals, institutions, or  similar settings in which the majority of minors involved as subjects are not  wards.
    2. If research is approved under subdivision 1 of this  subsection, the HRRC shall require appointment of an advocate for each minor  who is a ward, in addition to any other individual acting on behalf of the  minor as guardian or in loco parentis. One individual may serve as advocate for  more than one minor. The advocate must be an individual who has the background  and experience to act in, and agrees to act in, the best interest of the minor  for the duration of the minor's participation in the research and who is not  associated in any way (except in the role as advocate or member of the HRRC)  with the research, the investigator or investigators, or the guardian  organization.
    VA.R. Doc. No. R07-294; Filed May 28, 2009, 11:18 a.m. 
TITLE 22. SOCIAL SERVICES
STATE BOARD OF SOCIAL SERVICES
Fast-Track Regulation
    Title of Regulation: 22VAC40-670. Degree Requirements  for Social Work/Social Work Supervision Classification Series (amending 22VAC40-670-10, 22VAC40-670-20).
    Statutory Authority: §§ 63.2-217 and 63.2-219 of the  Code of Virginia.
    Public Hearing Information: No public hearings are  scheduled. 
    Public Comments: Public comments may be submitted until  5 p.m. on July 22, 2009.
    Effective Date: August 6, 2009. 
    Agency Contact: Nancy Flanagan, Human Resource Manager,  Department of Social Services, Division of Human Resources Management, 7 North  8th Street, Richmond, VA 23219, telephone (804) 726-7033, FAX (804) 726-7020,  TTY (800) 828-1120, or email nancy.flanagan@dss.virginia.gov.
    Basis: Pursuant to §§ 63.2-217 and 63.2-219 of the Code  of Virginia, the State Board of Social Services has authority to promulgate  rules and regulations necessary for the operation of public assistance and  social services programs.
    Purpose: The amended regulation is needed to update the  classification series for social workers. The classification series has not  been changed since the early 1980s. Proposed changes to 22VAC40-675, Personnel  Policies for Local Departments of Social Services, include adding several  levels of social workers. This amendment adds the levels to this regulation and  places the baccalaureate requirement in each level.
    Rationale for Using Fast-Track Process: The  fast-track process is being used because there is a sense of urgency regarding  the effective date of the proposed changes. The local study has been approved  by the board and the effective date for implementation is June 1, 2009. This  regulatory action is expected to be noncontroversial because employees impacted  by the proposed changes were involved in their development. The study was  conducted by the Personnel Committee of the Virginia League of Social Services  Executives in cooperation with the Department of Social Services' Division of Human  Resource Management. Impacted employees have reviewed the recommended changes,  made recommendations, and the recommendations were incorporated into the  regulation. The Department of Social Services also sent the recommended changes  to all local directors for review and comment prior to submitting this  regulatory action.
    Substance: The proposed regulatory action revises the  terminology and titles to be used in the proposed update to the classification  and compensation plan/structure.  
    Issues: There are no disadvantages to the public or to  the Commonwealth. The advantages are that local departments of social services  will be using a job structure that accurately reflects the occupations of the  employees; promotes a reliable means for classifying jobs; updates terminology  and titles; and provides for better recruitment and retention of local  departments of social services staff.
    The Department of Planning and Budget's Economic Impact  Analysis:
    Summary of the Proposed Amendments to Regulation. The Board of  Social Services (Board) proposes to amend and consolidate social work job  categories in the regulations that govern degree requirements for social  workers.
    Result of Analysis. The benefits likely exceed the costs for  all proposed changes.
    Estimated Economic Impact. Current Board regulations contain  seven categories of social work employees: Senior Social Work Supervisor,  Social Work Supervisor, Principle Social Worker, Child Protective Services  Worker II, Senior Social Worker, Child Protective Services Worker I and Social  Worker.
    This classification system has been in place since the early  1980s.
    The Board proposes to amend these job classifications so that  Senior Social Work Supervisors will just be called Social Work Supervisors,  Social Work Supervisors will have the new title Social Worker IV, Principle  Social Workers will be called Social Worker III and a Child Protective Services  Worker II will be a Social Worker II. Individuals who now hold the titles of  Senior Social Worker, Child Protective Services Worker I and Social Worker  will, under this proposal, fall under the category of Social Worker I.
    The Department of Social Services reports that these changes in  classification are a housekeeping matter and will not affect social worker  salaries; no employees of local Departments of Social Services are likely to  incur salary reductions on account of these proposed changes. Affected entities  and other interested individuals may gain some small benefit from having job  titles corrected in these regulations. 
    Businesses and Entities Affected. These proposed regulations  will affect all 120 local Departments of Social Services. 
    Localities Particularly Affected. No locality will be  particularly affected by this proposed regulatory action.
    Projected Impact on Employment. This regulatory action will  likely have no impact on employment in the Commonwealth.
    Effects on the Use and Value of Private Property. This  regulatory action will likely have no effect on the use or value of private  property in the Commonwealth.
    Small Businesses: Costs and Other Effects. Small businesses in  the Commonwealth are unlikely to incur any costs on account of this regulatory  action.
    Small Businesses: Alternative Method that Minimizes Adverse  Impact. Small businesses in the Commonwealth are unlikely to incur any costs on  account of this regulatory action.
    Real Estate Development Costs. This regulatory action will  likely have no effect on real estate development costs in the Commonwealth.
    Legal Mandate. The Department of Planning and Budget (DPB) has  analyzed the economic impact of this proposed regulation in accordance with  § 2.2-4007.04 of the Administrative Process Act and Executive Order Number  36 (06). Section 2.2-4007.04 requires that such economic impact analyses  include, but need not be limited to, the projected number of businesses or  other entities to whom the regulation would apply, the identity of any  localities and types of businesses or other entities particularly affected, the  projected number of persons and employment positions to be affected, the  projected costs to affected businesses or entities to implement or comply with  the regulation, and the impact on the use and value of private property.  Further, if the proposed regulation has adverse effect on small businesses, § 2.2-4007.04  requires that such economic impact analyses include (i) an identification and  estimate of the number of small businesses subject to the regulation; (ii) the  projected reporting, recordkeeping, and other administrative costs required for  small businesses to comply with the regulation, including the type of  professional skills necessary for preparing required reports and other  documents; (iii) a statement of the probable effect of the regulation on  affected small businesses; and (iv) a description of any less intrusive or less  costly alternative methods of achieving the purpose of the regulation. The  analysis presented above represents DPB's best estimate of these economic  impacts.
    Agency's Response to the Department of Planning and Budget's  Economic Impact Analysis. The Department of Social Services concurs with  the economic impact analysis prepared by the Department of Planning and Budget.
    Summary: 
    The amendments update the occupational titles for social  workers and require that local departments of social services cannot employ any  person in any social work position that provides direct client services unless  that person holds at least a baccalaureate degree.
    CHAPTER 670 
  DEGREE REQUIREMENTS FOR SOCIAL WORK/SOCIAL WORK SUPERVISION CLASSIFICATION SERIES  WORK OCCUPATIONAL GROUP 
    22VAC40-670-10. Definitions.
    The following words and terms, when used in this  chapter, shall have the following meanings, unless the context  clearly indicates otherwise:
    "Human services field" means the field of social  work and related degrees, including counseling, gerontology, guidance and  counseling, family and child development, psychology, sociology, or other  related degrees determined by the Division of Human Resource Management based  on the similarity of the curriculum and course content. It is the applicant's  responsibility to provide information with the application, if the  applicant wishes the course content and curriculum to be so evaluated. 
    "Service Program/Service Program Supervision  series" means the following classifications "Social Work  Occupational Group" includes the following occupational titles:
    Senior Social Work Supervisor; 
    Social Work Supervisor Worker IV; 
    Principle Social Worker III; 
    Child Protective Services Social Worker II; and
    Senior Social Worker; I. 
    Child Protective Services Worker I; and 
    Social Worker. 
    For purposes of this chapter, Social Work Organizational  Group does not include Social Work Manager.
    22VAC40-670-20. Policy. 
    Section 63.1-26 63.2-219 of the Code of  Virginia requires the board to establish minimum entrance and performance  standards, .
    Effective September 1, 1990, in In order to be  evaluated for vacancies in the Service Program/Service Program Supervision  classification series Social Work Occupational Group, applicants  shall: 
    1. Possess a minimum of a baccalaureate degree in the Human  Services human services field; or 
    2. Possess a minimum of a baccalaureate degree in any field  accompanied by a minimum of two years appropriate and related experience in a Human  Services human services related area; or 
    3. To be considered for promotion, persons currently employed  in the Service Program/Service Program Supervision series Social Work  Occupational Group by a local agency prior to September 1, 1990, who do not  meet the requirements of subdivision 1 or 2 above of this section,  shall possess four years of appropriate and related experience in a human  services area and must have successfully completed all available  competency-based training related to the promotional area. 
    If an individual does not indicate possession of the  requirements in subdivision 1, 2, or 3 above of this section on  the application, he will not be qualified for the position. 
    Once the applicant has noted the possession of a  baccalaureate degree in the Human Services human services field  on the application or resume, the evaluation process will continue using  knowledge, skill, and ability criteria. 
    Individuals employed in the Service Program/Service  Program Supervision classification series Social Work Occupational Group  prior to September 1, 1990, who do not meet the requirements of subdivision 1,  2, or 3 above of this section, will be retained in their current classification  occupational title or any lesser classification occupational  title without having to meet the above requirements. This includes the same  classification occupational title in another local agency. These  individuals will be required to meet the requirements of subdivision 1, 2, or 3  above of this section for application to any higher classification  occupational title other than their current classification occupational  title. 
    VA.R. Doc. No. R09-1302; Filed June 3, 2009, 9:23 a.m. 
TITLE 22. SOCIAL SERVICES
STATE BOARD OF SOCIAL SERVICES
Fast-Track Regulation
    Title of Regulation: 22VAC40-675. Personnel Policies  for Local Departments of Social Services (amending 22VAC40-675-10, 22VAC40-675-60  through 22VAC40-675-100).
    Statutory Authority: §§ 63.2-217 and 63.2-219 of  the Code of Virginia.
    Public Hearing Information: No public hearings are  scheduled. 
    Public Comments: Public comments may be submitted until  5 p.m. on July 22, 2009.
    Effective Date: August 6, 2009. 
    Agency Contact: Nancy Flanagan, Human Resource Manager,  Department of Social Services, Division of Human Resources Management, 7 North  8th Street, Richmond, VA 23219, telephone (804) 726-7031, FAX (804) 726-7020,  TTY (800) 828-1120, or email nancy.flanagan@dss.virginia.gov.
    Basis: Pursuant to §§ 63.2-217 and 63.2-219 of the  Code of Virginia, the State Board of Social Services has authority to  promulgate rules and regulations necessary for the operation of public  assistance and social services programs.
    Purpose: The amended regulation is needed to make the  changes in the local compensation and classification plan.  Major changes  in the compensation and classification plan have not occurred since the early  1980s.  This regulatory action proposes changes based on the  recommendations from the approved local compensation and classification study.
    Rationale for Using Fast-Track Process: The  fast-track process is being used because there is a sense of urgency regarding  the effective date of the proposed changes. The local study has been approved  by the board and the proposed effective date for implementation was June 1,  2009. This regulatory action is expected to be noncontroversial because  employees impacted by the proposed changes were involved in their development.  The study was conducted by the Personnel Committee of the Virginia League of  Social Services Executives in cooperation with the Department of Social  Services' Division of Human Resource Management. Impacted employees have  reviewed the recommended changes, made recommendations, and the recommendations  were incorporated into the regulation. The Department of Social Services also  sent the recommended changes to all local directors for review and comment  prior to submitting this regulatory action.
    Substance: This action updates the classification  specifications and compensation pay structure to acceptable human resource  standards. Classification descriptions have been changed to include today's  technology and to allow for career progression. The compensation structure has  changed from a grade and step model to a broad band model. New applicable  terminology has been included throughout the changes. Occupational group  descriptions can include several levels or former classification descriptions.  Pay bands are wider (190%) and include several (former pay grades). The changes  allow for more flexibility at the local level and set a foundation for career  growth within the local departments of social services.
    Issues: There are no disadvantages to the public or to  the Commonwealth. The advantages are that local departments of social services  will be using a job structure that accurately reflects the occupations of the  employees; promotes a reliable means for classifying jobs; updates terminology  and titles; and provides for better recruitment and retention of local  departments of social services staff.
    The Department of Planning and Budget's Economic Impact  Analysis: 
    Summary of the Proposed Amendments to Regulation. The Board of  Social Services (Board) proposes to update definitions, other outdated language  and the title of a document that is incorporated by reference in their  regulations governing personnel policies for local Departments of Social  Services.
    Result of Analysis. The benefits likely exceed the costs for  all proposed changes.
    Estimated Economic Impact. Definitions in the Board's  regulations governing personnel policy, as well as other wording and code  citations, were last updated in the 1980s. The Board proposes to change  definitions and other language in these regulations to account for changes in  commonly used terminology as well as changes to other Department of Social  Services (DSS) regulations that are being promulgated concurrent to this  action.  As these changes are clarifying rather than substantive, no local  departments are likely to incur any expenses on account of this regulatory  action. To the extent that outdated language/citations may have confused the  staff of local departments, these proposed changes will provide the benefit of  clarity.
    Businesses and Entities Affected. These proposed regulations  will affect 86 local Departments of Social Services. 
    Localities Particularly Affected. No locality will be  particularly affected by this proposed regulatory action.
    Projected Impact on Employment. This regulatory action will  likely have no impact on employment in the Commonwealth.
    Effects on the Use and Value of Private Property. This  regulatory action will likely have no effect on the use or value of private  property in the Commonwealth.
    Small Businesses: Costs and Other Effects. Small businesses in  the Commonwealth are unlikely to incur any costs on account of this regulatory  action.
    Small Businesses: Alternative Method that Minimizes Adverse  Impact. Small businesses in the Commonwealth are unlikely to incur any costs on  account of this regulatory action.
    Real Estate Development Costs. This regulatory action will  likely have no effect on real estate development costs in the Commonwealth.
    Legal Mandate. The Department of Planning and Budget (DPB) has  analyzed the economic impact of this proposed regulation in accordance with  § 2.2-4007.04 of the Administrative Process Act and Executive Order Number  36 (06). Section 2.2-4007.04 requires that such economic impact analyses  include, but need not be limited to, the projected number of businesses or  other entities to whom the regulation would apply, the identity of any  localities and types of businesses or other entities particularly affected, the  projected number of persons and employment positions to be affected, the  projected costs to affected businesses or entities to implement or comply with  the regulation, and the impact on the use and value of private property.   Further, if the proposed regulation has adverse effect on small businesses,  § 2.2-4007.04 requires that such economic impact analyses include (i) an identification  and estimate of the number of small businesses subject to the regulation; (ii)  the projected reporting, recordkeeping, and other administrative costs required  for small businesses to comply with the regulation, including the type of  professional skills necessary for preparing required reports and other  documents; (iii) a statement of the probable effect of the regulation on  affected small businesses; and (iv) a description of any less intrusive or less  costly alternative methods of achieving the purpose of the regulation. The  analysis presented above represents DPB's best estimate of these economic  impacts.
    Agency's Response to the Department of Planning and Budget's  Economic Impact Analysis: The Department of Social Services concurs with  the economic impact analysis prepared by the Department of Planning and Budget.
    Summary:
    The regulatory action amends regulations that describe the  position descriptions and compensation structure used by local departments of  social services. This action allows for updates to the way local jobs are  described/compensated using up-to-date acceptable methods. The proposed changes  are being made as a result of the local compensation and classification study  completed in 2007.
    Part I 
  General Provisions
    22VAC40-675-10. Definitions.
    The following words and terms when used in this chapter shall  have the following meanings unless the context clearly indicates otherwise:
    "Administrative manual" means the Administrative  Human Resources Manual for Local Departments of Social Services Human  Resource Management, which outlines the personnel policies and procedures. 
    "Board" means the State Board of Social Services. 
    "Classification" means the systematic grouping of  positions based on shared characteristics. 
    "Class specification" means a detailed statement  that describes the characteristic elements of each classification and  identifies the duties and KSAs. 
    "Commissioner" means the Commissioner of the  Virginia Department of Social Services, his designee or authorized  representative. 
    "Department" means the State Department of Social  Services. 
    "Deviate" means to adopt all or portions of the  local jurisdiction personnel policies. 
    "Jurisdiction" or "local jurisdiction"  means the city, county, or town under which the local department is a  governmental unit. 
    "KSA" means a knowledge, skill, or ability needed  to perform a position. 
    "Local board" means the local board of social  services representing one or more counties or cities. 
    "Local compensation plan" is the locally developed pay  plan compensation schedule that lists classifications occupational  titles, salary grades, and pay steps of intervening increments bands/tiers  from the minimum to the maximum amounts established for each grade bands/tiers,  and includes other pay actions.
    "Local department" means the local department of  social services of any city or county of this Commonwealth. 
    "Local director" means the director or his  designated representative of the local department of the city or county. 
    "Merit system plan" means those regulations adopted  by the board in the development and operation of a system of personnel  administration meeting requirements of the federal Department of Health and  Human Services as relates to compliance with federal merit system standards set  forth in the Code of Federal Regulations (5 CFR Part 900). 
    "Occupational group description" means a  detailed statement that describes the characteristic elements of each  occupational level within the occupational group.
    "Salary range" means salary grades and pay steps  of intervening increments from the minimum to the maximum established for each  grade, which includes reimbursable and nonreimbursable steps the range  that identifies the minimum and maximum compensation rate authorized for a  specific pay band and a specific tier within the pay band.
    "State classification plan" means the department's  classification plan that consists of approved classifications occupational  titles and their corresponding class groups, salary grades,  classification codes, equal employment opportunity codes and effective dates.
    "State compensation plan" means the department's  pay plan, which provides local departments a basis to develop for  developing local compensation plans.
    Part II 
  State Classification and Compensation 
    22VAC40-675-60. State classification plan. 
    The state classification plan consists of a broad range of  approved classifications occupational titles and accompanying specifications  occupational group descriptions for use by the local departments to  develop their local compensation plans to administer the programs set forth in  Title 63.2 of the Code of Virginia. 
    22VAC40-675-70. Commissioner's responsibilities. 
    A. The commissioner shall establish the state classification  plan and shall submit the plan to the board for approval. 
    B. The commissioner shall maintain the state classification  plan to ensure that it has the appropriate numbers and types of classifications  occupational titles to meet the needs of local departments. 
    22VAC40-675-80. State compensation plan. 
    A. The board shall approve a state compensation plan to  ensure that it has the appropriate numbers and types of classifications occupational  titles to meet the needs of local departments. 
    B. The board shall review the state compensation plan as  needed. 
    C. Amendments to the state compensation plan shall be  presented to the board for approval. 
    D. The department shall advise local departments of all  changes to the state compensation plan and any mandates that require local  department action. 
    22VAC40-675-90. Local compensation plans.
    A. A local department, upon approval by the local board,  shall have flexibility in developing the local compensation plan to select  salary ranges within the approved state compensation plan that are suitable to  local situations. The range for each class occupational title  shall provide local minimum and maximum rates and intervening steps. The  local plan shall ensure that local minimum salary rates do not fall below the  state compensation plan minimum salary for that classification occupational  title.
    B. A local compensation plan shall include policies and  procedures for awarding salary increments, merit increases, special  compensation for child and adult protective service work, employee or position  status changes, and any other type of approved increases. Salary determinations  shall be rendered in a fair and consistent manner to ensure equal pay for equal  work.
    C. All requested position actions by local departments must  be reviewed and approved by the department prior to implementation.
    D. Midyear changes to the local compensation plan must be  submitted to the department for review and approval.
    E. Local compensation policies and practices shall comply  with federal and state laws including the federal Fair Labor Standards Act (29  USC §§ 201-219), the Administrative Manual and procedures provided by the  department.
    22VAC40-675-100. Other local compensation issues. 
    A. In localities where the governing body has elected to have  a director of social services serve as the local board, reimbursement for  governing body assigned expenses shall be in accordance with § 63.2-310 of the  Code of Virginia. 
    B. Provisions shall be made for overtime worked in accordance  with the Fair Labor Standards Act (29 USC §§ 201-219). The reimbursement shall  be up to the reimbursable maximum of the applicable position classification  occupational title. Local departments with approved deviating compensation  plans will also be reimbursed up to the maximum of the applicable position classification  occupational title. When the local deviating maximum exceeds the state  reimbursable maximum, local-only funds shall be used to compensate for  overtime. 
    C. Reimbursements shall be made for absences that result from  the closing of local departments' operations because of inclement weather  conditions or other authorized closing. 
    D. Bonuses for employees of local departments of social  services shall be consistent with § 15.2-1508 of the Code of Virginia and with  procedures provided by the department. 
    DOCUMENT INCORPORATED BY REFERENCE (22VAC40-675) 
    Administrative Human Resource Manual for Local  Departments of Social Services, Virginia Department of Social Services, revised  September 2000 July 1, 2009.
    VA.R. Doc. No. R09-1303; Filed June 3, 2009, 9:26 a.m.