{"data":{"id":"us-va/12vac30-120-630","jurisdiction":"us-va","citation":"12VAC30-120-630","heading":"Covered services","body":"A. The MCO shall, at a minimum, provide all medically necessary Medicaid covered services required under the state plan (12VAC30-50-10 through 12VAC30-50-310, 12VAC30-50-410 through 12VAC30-50-430, and 12VAC30-50-480 through 12VAC30-50-580); Elderly and Disabled with Consumer Direction waiver regulations (12VAC30-120-924 and 12VAC30-120-927); and community mental health services (12VAC30-50-130 and 12VAC30-50-226).\n\nB. The following services are not covered by the MCO and shall be provided through fee-for-service outside the CCC Plus MCO contract:\n\n1. Dental services (12VAC30-50-190);\n\n2. School health services (12VAC30-50-130);\n\n3. Preadmission screening (12VAC30-60-303); or\n\n4. Community waiver services for individuals with developmental disabilities (12VAC30-122).\n\nC. The Program of All-Inclusive Care for the Elderly, or PACE, is not available to CCC Plus members.","path":["Title 12. Health","Agency 30. Department of Medical Assistance Services","Chapter 120. Waivered Services","Part VII. Commonwealth Coordinated Care Plus Program"],"source_url":"https://law.lis.virginia.gov/admincode/title12/agency30/chapter120/section630/","current_through":"2026 Regular Session (effective July 1, 2026)","vintage":"","retrieved_at":"2026-09-14T04:51:08Z","sha256":"fe55fd4e6d93f93f1884e9e8407324d0c7135775a712973363b434eee938ac74","source_id":"us-va-vac","stale":false,"prev":"us-va/12vac30-120-625","next":"us-va/12vac30-120-635"},"notice":"GroundRules: Original legal text. Not legal advice."}