{"formats":[{"name":"JSON","format":"json","url":"\/downloads\/2025\/code-json\/32.1-331.13.json"},{"name":"Plain Text","format":"text","url":"\/downloads\/2025\/code-text\/32.1-331.13.txt"},{"name":"XML","format":"xml","url":"\/downloads\/2025\/code-xml\/32.1-331.13.xml"},{"name":"HTML","format":"html","url":"\/downloads\/2025\/code-html\/32.1-331.13.html"}],"law_id":64553,"edition_id":1,"section_id":64553,"structure_id":16038,"section_number":"32.1-331.13","catch_line":"Medicaid Prior Authorization Advisory Committee; membership","history":"1993, c. 537; 1996, c. 515; 2012, cc. 476, 507.","full_text":"The Board shall amend the state plan and promulgate regulations to establish the Medicaid Prior Authorization Advisory Committee, composed of 11 members to be appointed by the Board. Five members shall be physicians, at least three of whom shall care for a significant number of Medicaid patients; four shall be pharmacists, two of whom shall be community pharmacists; one member shall be an individual receiving mental health services; and one member shall be a Medicaid recipient. A quorum for action of the Committee shall consist of six members. The members shall serve at the pleasure of the Board, and vacancies shall be filled in the same manner as the original appointment. The Board shall consider nominations made by The Medical Society of Virginia, the Old Dominion Medical Society, the Psychiatric Society of Virginia, the Virginia Pharmaceutical Association, the National Alliance on Mental Illness of Virginia and the Virginia Mental Health Consumers Association when making appointments to the Committee.\n\t\tThe Committee shall elect its own officers, establish its own procedural rules, and meet as needed or as called by the Board, the Director, or any two members of the Committee. The Department shall provide appropriate staffing to the Committee.","order_by":null,"text":{"0":{"id":234928,"text":"The Board shall amend the state plan and promulgate regulations to establish the Medicaid Prior Authorization Advisory Committee, composed of 11 members to be appointed by the Board. Five members shall be physicians, at least three of whom shall care for a significant number of Medicaid patients; four shall be pharmacists, two of whom shall be community pharmacists; one member shall be an individual receiving mental health services; and one member shall be a Medicaid recipient. A quorum for action of the Committee shall consist of six members. The members shall serve at the pleasure of the Board, and vacancies shall be filled in the same manner as the original appointment. The Board shall consider nominations made by The Medical Society of Virginia, the Old Dominion Medical Society, the Psychiatric Society of Virginia, the Virginia Pharmaceutical Association, the National Alliance on Mental Illness of Virginia and the Virginia Mental Health Consumers Association when making appointments to the Committee.\n\t\tThe Committee shall elect its own officers, establish its own procedural rules, and meet as needed or as called by the Board, the Director, or any two members of the Committee. The Department shall provide appropriate staffing to the Committee.","type":"section","prefixes":[""],"prefix":"","entire_prefix":"","prefix_anchor":"","level":1}},"ancestry":[{"id":16038,"edition_id":1,"name":"Medicaid Prior Authorization Advisory Committee","identifier":"4","label":"article","depth":3,"order_by":1,"parent_id":13275,"metadata":{},"date_created":"2026-06-26 04:04:29","date_modified":"2026-06-26 04:04:29","permalink":{"id":201541,"object_type":"structure","relational_id":16038,"identifier":"4","token":"32.1\/10\/4","url":"\/32.1\/10\/4\/","edition_id":1,"permalink":0,"preferred":1}},{"id":13275,"edition_id":1,"name":"Department of Medical Assistance Services","identifier":"10","label":"chapter","depth":2,"order_by":1,"parent_id":12727,"metadata":{},"date_created":"2026-06-26 03:44:33","date_modified":"2026-06-26 03:44:33","permalink":{"id":201353,"object_type":"structure","relational_id":13275,"identifier":"10","token":"32.1\/10","url":"\/32.1\/10\/","edition_id":1,"permalink":0,"preferred":1}},{"id":12727,"edition_id":1,"name":"Health","identifier":"32.1","label":"title","depth":1,"order_by":1,"parent_id":null,"metadata":{},"date_created":"2026-06-26 03:43:50","date_modified":"2026-06-26 03:43:50","permalink":{"id":201099,"object_type":"structure","relational_id":12727,"identifier":"32.1","token":"32.1","url":"\/32.1\/","edition_id":1,"permalink":0,"preferred":1}}],"structure_contents":[{"id":70519,"structure_id":16038,"section_number":"32.1-331.12","catch_line":"Definitions","url":"\/32.1-331.12\/","token":"32.1\/10\/4\/32.1-331.12","metadata":false},{"id":64553,"structure_id":16038,"section_number":"32.1-331.13","catch_line":"Medicaid Prior Authorization Advisory Committee; membership","url":"\/32.1-331.13\/","token":"32.1\/10\/4\/32.1-331.13","metadata":false},{"id":84478,"structure_id":16038,"section_number":"32.1-331.14","catch_line":"Duties of the Committee","url":"\/32.1-331.14\/","token":"32.1\/10\/4\/32.1-331.14","metadata":false},{"id":80759,"structure_id":16038,"section_number":"32.1-331.15","catch_line":"Prior authorization of prescription drug products; coverage under state plan","url":"\/32.1-331.15\/","token":"32.1\/10\/4\/32.1-331.15","metadata":false},{"id":74971,"structure_id":16038,"section_number":"32.1-331.16","catch_line":"Immunity","url":"\/32.1-331.16\/","token":"32.1\/10\/4\/32.1-331.16","metadata":false},{"id":62900,"structure_id":16038,"section_number":"32.1-331.17","catch_line":"Annual report to Joint Commission","url":"\/32.1-331.17\/","token":"32.1\/10\/4\/32.1-331.17","metadata":false}],"previous_section":{"id":70519,"structure_id":16038,"section_number":"32.1-331.12","catch_line":"Definitions","url":"\/32.1-331.12\/","token":"32.1\/10\/4\/32.1-331.12","metadata":false},"next_section":{"id":84478,"structure_id":16038,"section_number":"32.1-331.14","catch_line":"Duties of the Committee","url":"\/32.1-331.14\/","token":"32.1\/10\/4\/32.1-331.14","metadata":false},"metadata":false,"official_url":"https:\/\/law.lis.virginia.gov\/vacode\/32.1-331.13\/","history_text":"

This law was first created in 1993. The record of its establishment is cataloged in chapter 537 of that year\u2019s edition of \u201cActs of Assembly,\u201d the annual state publication listing all changes made to the Code of Virginia in that year. Unfortunately, the 1993 \u201cActs\u201d aren\u2019t available online. It has been modified 2 times. Those modifications are cataloged by \u201cThe Acts of Assembly,\u201d a state publication, by year and chapter. Those modifications that can be read on the General Assembly\u2019s website will be linked accordingly. Those modifications are as follows: in 1996, chapter 515<\/a>; in 2012, chapters 476<\/a> and 507<\/a>.<\/p>","references":false,"refers_to":false,"permalink":{"id":201547,"object_type":"law","relational_id":64553,"identifier":"32.1-331.13","token":"32.1\/10\/4\/32.1-331.13","url":"\/32.1-331.13\/","edition_id":1,"permalink":0,"preferred":1},"url":"\/32.1-331.13\/","token":"32.1\/10\/4\/32.1-331.13","dublin_core":{"Title":"Medicaid Prior Authorization Advisory Committee; membership","Type":"Text","Format":"text\/html","Identifier":"\u00a7 32.1-331.13","Relation":"Code of Virginia"},"html":"\n\t\t\t\t\t\t

The Board<\/span> shall amend<\/span> the state plan and promulgate regulations to establish the Medicaid Prior Authorization Advisory Committee<\/span>, composed of 11 members to be appointed by the Board<\/span>. Five members shall be physicians, at least three of whom shall care for a significant number of Medicaid patients; four shall be pharmacists, two of whom shall be community pharmacists; one member shall be an individual receiving mental health services; and one member shall be a Medicaid recipient. A quorum for action of the Committee<\/span> shall consist of six members. The members shall serve at the pleasure of the Board<\/span>, and vacancies shall be filled in the same manner as the original appointment. The Board<\/span> shall consider nominations made by The Medical Society of Virginia, the Old Dominion Medical Society, the Psychiatric Society of Virginia, the Virginia Pharmaceutical Association, the National Alliance on Mental Illness of Virginia and the Virginia Mental Health Consumers Association when making appointments to the Committee<\/span>.\n\t\tThe Committee<\/span> shall elect its own officers, establish its own procedural rules, and meet as needed or as called by the Board<\/span>, the Director<\/span>, or any two members of the Committee<\/span>. The Department<\/span> shall provide appropriate staffing to the Committee<\/span>.<\/p><\/section>","plain_text":" CODE OF VIRGINIA\n\nMEDICAID PRIOR AUTHORIZATION ADVISORY COMMITTEE; MEMBERSHIP (\u00a7 32.1-331.13)\n\nThe Board shall amend the state plan and promulgate regulations to establish the\nMedicaid Prior Authorization Advisory Committee, composed of 11 members to be\nappointed by the Board. Five members shall be physicians, at least three of whom\nshall care for a significant number of Medicaid patients; four shall be\npharmacists, two of whom shall be community pharmacists; one member shall be an\nindividual receiving mental health services; and one member shall be a Medicaid\nrecipient. A quorum for action of the Committee shall consist of six members.\nThe members shall serve at the pleasure of the Board, and vacancies shall be\nfilled in the same manner as the original appointment. The Board shall consider\nnominations made by The Medical Society of Virginia, the Old Dominion Medical\nSociety, the Psychiatric Society of Virginia, the Virginia Pharmaceutical\nAssociation, the National Alliance on Mental Illness of Virginia and the\nVirginia Mental Health Consumers Association when making appointments to the\nCommittee.\n\t\tThe Committee shall elect its own officers, establish its own procedural\nrules, and meet as needed or as called by the Board, the Director, or any two\nmembers of the Committee. The Department shall provide appropriate staffing to\nthe Committee.\n\nHISTORY: 1993, c. 537; 1996, c. 515; 2012, cc. 476, 507.","edition":{"id":1,"name":"2025","slug":"2025","date_created":"2026-06-21 22:39:22","date_modified":"2026-06-21 22:39:22","current":1,"order_by":1,"last_import":null}}