# 12 Va. Admin. Code § 30-50-50: 12VAC30-50-50. Services provided to the medically needy with limitations

> Virginia · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_50_50

## Section

- **Citation:** 12 Va. Admin. Code § 30-50-50
- **Heading:** 12VAC30-50-50. Services provided to the medically needy with limitations
- **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 50 / 12VAC30-50-50

## Text

Services as described in Part III ( 12VAC30-50-100 et seq.) of this chapter are provided to the medically needy with limitations.
1. Inpatient hospital services other than those provided in an institution for mental diseases.
2. Outpatient hospital services.
3. Other laboratory and x-ray services; nonemergency outpatient Magnetic Resonance Imaging (MRI), Computer Axial Tomography (CAT) scans, and Positron Emission Tomography (PET) scans require prior authorization.
4. Rural health clinic services and other ambulatory services furnished by a rural health clinic.
5. Federally qualified health center (FQHC) services and other ambulatory services that are covered under the plan and furnished by an FQHC in accordance with § 4231 of the State Medicaid Manual (HCFA, Pub. 45-4).
6. Family planning services and supplies for individuals of childbearing age.
7. Physicians' services whether furnished in the office, the patient's home, a hospital, a skilled nursing facility, or elsewhere.
8. Medical and surgical services furnished by a dentist (in accordance with § 1905(a)(5)(B) of the Act).
9. Medical care and any other type of remedial care recognized under state law, furnished by licensed practitioners within the scope of their practice as defined by state law, including:
a. Podiatrists' services;
b. Optometrists' services; and
c. Other practitioners' services.
10. Home health services' medical supplies, equipment, and appliances suitable for use in the home; intermittent or part-time nursing service provided by a home health agency or by a registered nurse when no home health agency exists in the area; home health aide services provided by a home health agency; physical therapy, occupational therapy, or speech pathology and audiology services provided by a home health agency or medical rehabilitation facility.
11. Clinic services.
12. Dental services.
13
ermittent or part-time nursing service provided by a home health agency or by a registered nurse when no home health agency exists in the area; home health aide services provided by a home health agency; physical therapy, occupational therapy, or speech pathology and audiology services provided by a home health agency or medical rehabilitation facility.
11. Clinic services.
12. Dental services.
13. Physical therapy, occupational therapy, and services for individuals with speech, hearing, and language disorders provided by or under supervision of a speech pathologist or audiologist.
14. Prescribed drugs, prosthetic devices, and eyeglasses prescribed by a physician skilled in diseases of the eye or by an optometrist.
15. Rehabilitative services.
16. Nurse-midwife services.
17. Case management services as defined in, and to the group specified in, 12VAC30-50-410 (in accordance with § 1905(a)(19) or § 1915(g) of the Act).
18. Extended services for pregnant women including pregnancy-related and post-partum services for 60 days after the pregnancy ends.
19. Certified pediatric or family nurse practitioners' services.
20. Any other medical care and any other type of remedial care recognized under state law, specified by the secretary, specifically transportation.

## Nearby sections

- [12 Va. Admin. Code § 30-50-10 12VAC30-50-10. Services provided to the categorically needy with limitations](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_50_10.md)
- [12 Va. Admin. Code § 30-50-20 12VAC30-50-20. Services provided to the categorically needy without limitation](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_50_20.md)
- [12 Va. Admin. Code § 30-50-30 12VAC30-50-30. Services not provided to the categorically needy](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_50_30.md)
- [12 Va. Admin. Code § 30-50-35 12VAC30-50-35. Requirements relating to payment for covered outpatient drugs for the categorically needy](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_50_35.md)
- [12 Va. Admin. Code § 30-50-40 12VAC30-50-40. Ambulatory services](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_50_40.md)
- [12 Va. Admin. Code § 30-50-50 12VAC30-50-50. Services provided to the medically needy with limitations](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_50_50.md)
- [12 Va. Admin. Code § 30-50-60 12VAC30-50-60. Services provided to all medically needy groups without limitations](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_50_60.md)
- [12 Va. Admin. Code § 30-50-70 12VAC30-50-70. Services or devices not provided to the medically needy](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_50_70.md)
- [12 Va. Admin. Code § 30-50-75 12VAC30-50-75. Requirements relating to payment for covered outpatient drugs for the medically needy](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_50_75.md)
- [12 Va. Admin. Code § 30-50-95 12VAC30-50-95. Reimbursement of services; in general](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_50_95.md)
- [12 Va. Admin. Code § 30-50-100 12VAC30-50-100. Inpatient hospital services provided at general acute care hospitals and freestanding psychiatric hospitals; enrolled providers](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_50_100.md)
- [12 Va. Admin. Code § 30-50-105 12VAC30-50-105. Inpatient hospital services provided at general acute care hospitals and freestanding psychiatric hospitals; nonenrolled providers (nonparticipating/out of state)](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_50_105.md)
- [12 Va. Admin. Code § 30-50-110 12VAC30-50-110. Outpatient hospital and rural health clinic services](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_50_110.md)
- [12 Va. Admin. Code § 30-50-120 12VAC30-50-120. Other laboratory and x-ray services](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_50_120.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_50_50. Check the current official text before relying on it. Not legal advice.
