MedicaidAdministrativeMedium impact
Home and Community-Based Settings (HCBS) Rule Compliance Post December 31, 2025
Virginia Medicaid - DMAS·VA · Psychiatry·Specialty Services
Effective date
Feb 10, 2026
We identified it
Jun 16, 2026
Summary
Virginia Medicaid has transitioned from initial HCBS compliance reviews to ongoing monitoring for developmental disability providers. A new Home and Community Based Compliance Portal launches February 7, 2026, requiring mandatory participation in HCBS reviews for group homes, residential settings, employment and day services.
Action Required
By February 7, 2026: Developmental disability waiver providers must access the new Home and Community Based Compliance Portal through MES under the Care Management tile. Primary account holders must assign designees if needed and participate in mandatory HCBS reviews including documentation reviews, interviews, and setting tours. Attend DMAS training sessions in February 2026. Failure to participate may result in termination of Medicaid Provider Participation Agreement.