DEPARTMENT OF ENVIRONMENTAL QUALITY
Proposed Enforcement Action for A and K Development
The Department of Environmental Quality (DEQ) is proposing an enforcement action for A and K Development for violations of State Water Control Law and regulations and the applicable permit at the Twin Lake Villas Phase 1 located in Orange, Virginia. The proposed order (SW2023-07-NRO-001) is available from the DEQ contact or at https://www.deq.virginia.gov/permits/public-notices/enforcement-actions. The DEQ contact will accept written comments from January 13, 2025, to February 12, 2025.
Contact Information: Holly Shupe, Regional Enforcement Specialist, Department of Environmental Quality, Northern Regional Office, 13901 Crown Court, Woodbridge, VA 22193, telephone (571) 866-6923, or email holly.shupe@deq.virginia.gov.
Proposed Enforcement Action for Town of Chase City
The Department of Environmental Quality (DEQ) is proposing an enforcement action for the Town of Chase City for violations of the State Water Control Law and regulations at 1328 High Street, Chase City, Virginia. The proposed order is available at the DEQ office listed or online at https://www.deq.virginia.gov/permits/public-notices/enforcement-actions. The DEQ contact will accept comments by email from January 13, 2025, through February 12, 2025.
Contact Information: Cara Witte, Enforcement Specialist, Department of Environmental Quality, 4949 Cox Road, Suite A, Glen Allen, VA 23060, telephone (804) 712-4192, or email cara.witte@deq.virginia.gov.
Proposed Enforcement Action for Dutoy Creek Wastewater Treatment Plant
The Department of Environmental Quality (DEQ) is proposing an enforcement action for Powhatan County for violations of the State Water Control Law and regulations at 2040 Anderson Highway, Powhatan, Virginia. The proposed order is available at the DEQ office listed or online at https://www.deq.virginia.gov/permits/public-notices/enforcement-actions. The DEQ contact will accept comments by email or postal mail from January 13, 2025, through February 12, 2025.
Contact Information: Cara Witte, Enforcement Specialist, Department of Environmental Quality, 4949 Cox Road, Suite A, Glen Allen, VA 23060, telephone (804) 712-4192, or email cara.witte@deq.virginia.gov.
Proposed Enforcement Action for Irene Carnes
The Department of Environmental Quality (DEQ) is proposing an enforcement action for Irene Carnes for alleged violation of the State Water Control Law and regulations at 4050 Jefferson Park Road (Parcel No. 015-49) in Powhatan County, Virginia. The proposed order is available at the DEQ office listed or online at https://www.deq.virginia.gov/permits/public-notices/enforcement-actions. The DEQ contact will accept comments by email or postal mail from January 13, 2025, through February 12, 2025.
Contact Information: Cara Witte, Enforcement Specialist, Department of Environmental Quality, 4949 Cox Road, Suite A, Glen Allen, VA 23060, telephone (804) 712-4192, or email cara.witte@deq.virginia.gov.
Proposed Enforcement Action for King George County Service Authority
The Department of Environmental Quality (DEQ) is proposing an enforcement action for King George County Service Authority for violations of State Water Control Law and regulations and the applicable permit at the Purkins Corner wastewater treatment plant and Oakland Park sewage treatment plant facilities located in King George, Virginia. The proposed order is available from the DEQ contact or at https://www.deq.virginia.gov/permits/public-notices/enforcement-actions. The DEQ contact will accept written comments from January 13, 2024, to February 12, 2024.
Contact Information: Katherine Mann, Regional Enforcement Specialist, Department of Environmental Quality, Northern Regional Office, 13901 Crown Court, Woodbridge, VA 22193, telephone (571) 866-6095, or email katherine.mann@deq.virginia.gov.
Proposed Enforcement Action for VA Express Holdings LLC
The Department of Environmental Quality (DEQ) is proposing an enforcement action for VA Express Holdings LLC for violations of the State Water Control Law and regulations in Powhatan County, Virginia. The proposed order is available from the DEQ contact listed or at https://www.deq.virginia.gov/permits/public-notices/enforcement-actions. The DEQ contact will accept comments by email or postal mail from January 13, 2025, through February 12, 2025.
Contact Information: Matt Richardson, Enforcement Specialist, Department of Environmental Quality, Piedmont Regional Office, 4949A Cox Road, Glen Allen, VA 23060, telephone (804) 659-2696, or email matthew.richardson@deq.virginia.gov.
DEPARTMENT OF MEDICAL ASSISTANCE SERVICES
Public Comment Opportunity for Community Psychiatric Support and Treatment
As part of the Right Help, Right Now Medicaid Behavioral Health Services Redesign, the Department of Medical Assistance Services (DMAS) is seeking public comment on a new behavioral health service, Community Psychiatric Support and Treatment (CPST). A draft service definition for CPST is available at https://www.dmas.virginia.gov/media/bq2i3rbd/community-psychiatric-support-and-treatment-draft-service-definition-for-public-comment-12-16-2024.pdf. Additional information on the Right Help, Right Now Medicaid Behavioral Health Services Redesign is available at https://www.dmas.virginia.gov/for-providers/benefits-services-for-providers/behavioral-health/medicaid-behavioral-health-services-redesign/.
Contact Information: Syreeta Stewart, Regulatory Coordinator, Department of Medical Assistance Services, 600 East Broad Street, Suite 1300, Richmond, VA 23219, telephone (804) 298-3863, FAX (804) 786-1680, TDD (800) 343-0634, or email syreeta.stewart@dmas.virginia.gov.
Public Notice of Intent to Amend State Plan - Reimbursement of Tribal Providers
The Virginia Department of Medical Assistance Services (DMAS) hereby affords the public notice of its intention to amend the Virginia State Plan for Medical Assistance to provide for changes to the Methods and Standards for Establishing Payment Rate; Other Types of Care (12VAC30-80).
This notice is intended to satisfy the requirements of 42 CFR § 447.205 and § 1902(a)(13) of the Social Security Act (42 USC § 1396a(a)(13)). A copy of this notice is available for public review from the DMAS contact listed.
DMAS is specifically soliciting input from stakeholders, providers, and beneficiaries, on the potential impact of the proposed changes discussed in this notice. Comments or inquiries may be submitted in writing by March 14, 2025, and such comments are available for review at https://townhall.virginia.gov/L/generalnotice.cfm.
Methods and Standards for Establishing Payment Rate; Other Types of Care (12VAC30-80)
The State Plan amendment (SPA) (i) clarifies that tribal clinics cannot be reimbursed at the facility rate, that is, the all-inclusive rate (AIR) for nonclinic services, including pharmacy, dental, transportation, and § 1915(c) waiver services, such as personal care; (ii) clarifies that Tribal Federally Qualified Health Centers (FQHCs) cannot be reimbursed at the AIR for pharmacy, transportation, or § 1915(c) waiver services and that dental services provided by Tribal FQHCs are reimbursed through the Alternative Payment Methodology (APM) established in the Medicaid State Plan at Attachment 4.19-B, pages 4.6 to 4.7; (iii) clarifies the definition of the per-visit rate for purposes of reimbursement at the AIR, specifying that it is a bundled, all-inclusive encounter rate and must not be unbundled and billed as separate encounter claims; and (iv) specifies that an Indian Health Service or tribal or urban Indian organization, including a Tribal 638 facility that operates a retail pharmacy, must enroll separately as a pharmacy provider and that payment for pharmacy services shall align with an existing pharmacy payment methodology and shall not be at the AIR. Drugs provided as part of an outpatient clinic visit are included in the all-inclusive rate for the encounter.
The SPA also makes a change needed to reflect new federal requirements for Medicaid reimbursement to tribal clinics, clarifying that these services include (i) professional services furnished at the clinic by or under the direction of a physician and (ii) services furnished outside the clinic by clinic personnel under the direction of a physician.
The expected decrease in annual aggregate fee-for-service expenditures is $7,817,289 in state general funds and $29,477,175 in federal fiscal year 2025. The expected decrease in annual aggregate fee-for-service expenditures is $10,912,457 in state general funds and $42,122,887 in federal funds in federal fiscal year 2026.
Contact Information: Emily McClellan, Regulatory Manager, Division of Policy and Research, Department of Medical Assistance Services, 600 East Broad Street, Suite 1300, Richmond, VA 23219, telephone (804) 371-4300, FAX (804) 786-1680, or email emily.mcclellan@dmas.virginia.gov.
VIRGINIA CODE COMMISSION
Notice to State Agencies
Contact Information: Mailing Address: Virginia Code Commission, General Assembly Building, 201 North Ninth Street, Fourth Floor, Richmond, VA 23219; Telephone: (804) 698-1810; Email: varegs@dls.virginia.gov.
Meeting Notices: Section 2.2-3707 C of the Code of Virginia requires state agencies to post meeting notices on their websites and on the Commonwealth Calendar at https://commonwealthcalendar.virginia.gov.
Cumulative Table of Virginia Administrative Code Sections Adopted, Amended, or Repealed: A table listing regulation sections that have been amended, added, or repealed in the Virginia Register of Regulations since the regulations were originally published or last supplemented in the print version of the Virginia Administrative Code is available at http://register.dls.virginia.gov/documents/cumultab.pdf.
Filing Material for Publication in the Virginia Register of Regulations: Agencies use the Regulation Information System (RIS) to file regulations and related items for publication in the Virginia Register of Regulations. The Registrar's office works closely with the Department of Planning and Budget (DPB) to coordinate the system with the Virginia Regulatory Town Hall. RIS and Town Hall complement and enhance one another by sharing pertinent regulatory information.