MedicaidAdministrativeHigh impact
Update to Chapter II of the Hospice and Nursing Facilities Provider Manual
Virginia Medicaid - DMAS·VA · Palliative Care·Medical Policy
Effective date
Dec 1, 2025
We identified it
Jun 16, 2026
Summary
Virginia Medicaid has implemented new risk screening requirements for hospice providers effective December 1, 2025, requiring high-risk screening for initial enrollment and ownership changes, and moderate-risk screening for revalidations. Providers must maintain current enrollment in the Provider Services Solution (PRSS) portal to avoid claim payment disruptions.
Action Required
Immediately: Hospice providers must verify enrollment status in the Virginia Medicaid Provider Services Solution (PRSS) portal and ensure all contact information and licenses are current. Complete required risk screening processes for any pending enrollments, revalidations, or ownership changes. Failure to maintain proper enrollment will result in MCOs and DMAS being prohibited from paying claims.