MedicaidCoverageHigh impact
Clarification on Intellectual and Developmental Disability Targeted Case Management and FAMIS
Virginia Medicaid - DMAS·VA · Psychiatry·Specialty Services
Effective date
Jan 30, 2026
We identified it
Jun 16, 2026
Summary
Virginia Medicaid clarifies that Intellectual and Developmental Disability targeted case management services (codes T2023 and T1017) are only covered for Medicaid members, not FAMIS benefit plan members. Claims for FAMIS members will be denied, and providers must verify eligibility before providing services.
Action Required
By January 30, 2026: Billing team must verify patient eligibility in DMAS Provider Services Solution (PRSS) portal before providing IDD case management services. Stop billing T2023 and T1017 for FAMIS members - only bill for Medicaid members. Update verification procedures to check benefit plan type. Claims for FAMIS members will be denied.