# 12 Va. Admin. Code § 30-122-40: 12VAC30-122-40. Waiver services; when not authorized

> Virginia · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_122_40

## Section

- **Citation:** 12 Va. Admin. Code § 30-122-40
- **Heading:** 12VAC30-122-40. Waiver services; when not authorized
- **Jurisdiction:** Virginia
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Virginia Administrative Code / Title 12 Health / Agency 30 Department of Medical Assistance Services / Chapter 122 / 12VAC30-122-40

## Text

A. The FIS, CL, and BI waiver services, collectively known as Developmental Disabilities (DD) Waivers, shall not be authorized or reimbursed by DMAS for an individual who resides outside of the physical boundaries of the Commonwealth.
B. Waiver services (with the exception of transition services) shall not be furnished to individuals who are inpatients of a hospital, nursing facility, ICF/IID, or inpatient rehabilitation facility. Individuals with DD who are inpatients of these facilities may receive support coordination services as described in 12VAC30-50-440 or 12VAC30-50-490 .
1. The support coordinator may recommend waiver services that would promote the individual's exiting from an institutional placement.
2. However, the FIS, CL, or BI waiver services shall not be provided until the individual has exited the institution and has been enrolled in the waiver.
C. DMAS shall not reimburse providers for the costs of room and board attributed to the member, education, services covered by other payers, or participation in social or recreational activities.

## Nearby sections

- [12 Va. Admin. Code § 30-122-10 12VAC30-122-10. Purpose; legal authority; covered services; aggregate cost effectiveness; required individual and provider enrollment; individual costs](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_122_10.md)
- [12 Va. Admin. Code § 30-122-20 12VAC30-122-20. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_122_20.md)
- [12 Va. Admin. Code § 30-122-30 12VAC30-122-30. Waiver populations; single waiver enrollment; waiver termination upon loss of eligibility](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_122_30.md)
- [12 Va. Admin. Code § 30-122-40 12VAC30-122-40. Waiver services; when not authorized](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_122_40.md)
- [12 Va. Admin. Code § 30-122-45 12VAC30-122-45. Waiver slot allocation process](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_122_45.md)
- [12 Va. Admin. Code § 30-122-50 12VAC30-122-50. Criteria for all individuals seeking Developmental Disability Waivers services](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_122_50.md)
- [12 Va. Admin. Code § 30-122-60 12VAC30-122-60. Financial eligibility standards for individuals](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_122_60.md)
- [12 Va. Admin. Code § 30-122-70 12VAC30-122-70. Assessment and enrollment; Virginia Individual Developmental Disabilities Eligibility Survey](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_122_70.md)
- [12 Va. Admin. Code § 30-122-80 12VAC30-122-80. Waiver approval process; authorizing and accessing services](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_122_80.md)
- [12 Va. Admin. Code § 30-122-90 12VAC30-122-90. Waiting list; criteria; slot assignment; emergency access; reserve slots](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_122_90.md)
- [12 Va. Admin. Code § 30-122-100 12VAC30-122-100. Modifications to or termination of services](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_122_100.md)
- [12 Va. Admin. Code § 30-122-110 12VAC30-122-110. Waiver provider enrollment](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_122_110.md)
- [12 Va. Admin. Code § 30-122-120 12VAC30-122-120. Provider requirements](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_122_120.md)
- [12 Va. Admin. Code § 30-122-125 12VAC30-122-125. Electronic visit verification](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_122_125.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_122_40. Check the current official text before relying on it. Not legal advice.