MedicaidAdministrativeMedium impact
Updates for DD Waiver Autism Advanced Competencies
Virginia Medicaid - DMAS·VA · Psychiatry, General Practice·Specialty Services
Effective date
Jul 20, 2026
We identified it
Jul 22, 2026
Summary
Virginia's HB469 clarifies that Positive Behavior Support Facilitators (PBSFs) may conduct training on Autism Advanced Competency Requirements for DD Waiver providers serving individuals with complex health needs and autism at SIS Tier Four. However, PBSFs cannot develop or approve training content. This clarification affects provider qualifications and training delivery within the Developmental Disability Waiver program.
Action Required
By July 20, 2026: Billing and compliance teams should review whether your practice employs or contracts with Positive Behavior Support Facilitators who deliver Autism Advanced Competency training. If yes, ensure PBSF trainers understand they may conduct training but cannot develop or approve training content—content approval must come from qualified professionals per DD Waiver Provider Manual Chapter 2. Verify that all provider enrollment information (license, location, contact details) is current in the PRSS (Provider Services Solution) portal to avoid claim payment disruption for DD Waiver and managed care claims. No claims-specific billing changes are required, but training documentation practices may need review to ensure compliance with PBSF scope limitations.