A. The Committee shall make recommendations to the Board regarding drugs or categories of drugs to be subject to prior authorization and prior authorization requirements for prescription drug coverage under the state plan, as well as any subsequent amendments to or revisions of such prior authorization requirements from time to time. The Board may accept or reject such recommendations in whole or in part, and may amend or add to such recommendations, except that the Board may not add to the recommendation of drugs and categories of drugs to be subject to prior authorization.
B. In formulating its recommendations to the Board, the Committee shall not be deemed to be formulating regulations for the purposes of the Administrative Process Act (§ 2.2-4000 et seq.). The Committee shall, however, conduct public hearings prior to making such recommendations to the Board. The Committee shall give thirty days' written notice by mail of the time and place of its hearings and meetings to any manufacturer whose product is being reviewed by the Committee and to those manufacturers who request the Committee in writing that they be informed of such hearings and meetings. Such persons shall be afforded a reasonable opportunity to be heard and present information. In addition, the Committee shall give thirty days' notice of such public hearings to the public by publishing its intention to conduct hearings and meetings in the Calendar of Events of the Virginia Register of Regulations and a newspaper of general circulation located in Richmond.
C. In acting on the recommendations of the Committee, the Board shall be required to conduct further proceedings under the Administrative Process Act.
1993, c. 537.
Structure Code of Virginia
Chapter 10 - Department of Medical Assistance Services
§ 32.1-323. Department of Medical Assistance Services
§ 32.1-323.1. Department to submit forecast of expenditures
§ 32.1-323.2. Elimination of waiting lists for certain waivers
§ 32.1-323.3. Dependents of foreign service members; waiting lists for certain waivers
§ 32.1-323.4. Department to facilitate transition of persons between certain waiver programs
§ 32.1-324. Board of Medical Assistance Services
§ 32.1-324.2. Director to facilitate communication
§ 32.1-324.3. Uninsured Medical Catastrophe Fund established
§ 32.1-325.01. Certain term life insurance considered resources
§ 32.1-325.1. Adverse initial determination of overpayment; appeals of agency determinations
§ 32.1-325.1:1. Definitions; recovery of overpayment for medical assistance services
§ 32.1-325.2. Department is payor of last resort
§ 32.1-325.4. Penalty for violation
§ 32.1-326. Director may make payments to or for eligible persons in state-owned medical facilities
§ 32.1-326.1. Department to operate program of estate recovery
§ 32.1-326.2. Pilot school/community health centers
§ 32.1-327. Claim against indigent's estate for payments made
§ 32.1-330. Long-term services and supports screening required
§ 32.1-330.01. Reports related to long-term services and supports
§ 32.1-330.1. Department to implement premium assistance program for HIV-positive individuals
§ 32.1-330.2. Medicaid managed care programs; program information documents; plain language required
§ 32.1-330.3. Operation of a PACE plan; oversight by Department of Medical Assistance Services
§ 32.1-330.4. Uniform assessment instrument for PACE plans
§ 32.1-330.5. Reports related to eligibility renewal
§ 32.1-331.01. Health Care Coverage Assessment Fund
§ 32.1-331.02. Health Care Provider Payment Rate Assessment Fund
§ 32.1-331.03. Process for payment directly to nursing facility or ICF/MR
§ 32.1-331.04. Personal care aides; orientation program
§ 32.1-331.05. Coordinated specialty care; work group
§ 32.1-331.13. Medicaid Prior Authorization Advisory Committee; membership
§ 32.1-331.14. Duties of the Committee
§ 32.1-331.15. Prior authorization of prescription drug products; coverage under state plan