{"formats":[{"name":"JSON","format":"json","url":"\/downloads\/2025\/code-json\/54.1-2910.3_1.json"},{"name":"Plain Text","format":"text","url":"\/downloads\/2025\/code-text\/54.1-2910.3_1.txt"},{"name":"XML","format":"xml","url":"\/downloads\/2025\/code-xml\/54.1-2910.3_1.xml"},{"name":"HTML","format":"html","url":"\/downloads\/2025\/code-html\/54.1-2910.3_1.html"}],"law_id":83500,"edition_id":1,"section_id":83500,"structure_id":13730,"section_number":"54.1-2910.3:1","catch_line":"Medicaid recipients; treatment involving prescription of opioids; payment","history":"2019, cc. 223, 444; 2022, c. 214.","full_text":"A\n\nNo provider licensed pursuant to this chapter, regardless of whether the provider participates in the state plan for medical assistance, shall request or require a patient who is a recipient of medical assistance services pursuant to the state plan for medical assistance and who is a recipient of health care services involving (i) the prescription of an opioid for the management of pain or (ii) the prescription of buprenorphine-containing products, methadone, or other opioid replacements approved for the treatment of opioid addiction by the U.S. Food and Drug Administration for medication-assisted treatment of opioid addiction to pay costs associated with the provision of such service out-of-pocket. The prohibition on payment of costs shall not apply to a recipient’s cost-sharing amounts required by the state plan for medical assistance.B\n\nEvery provider who does not accept payment from the Department of Medical Assistance Services for health care services who intends to provide health care services described in subsection A to a patient who is a recipient of medical assistance services pursuant to the state plan for medical assistance shall, prior to providing such health care services, provide written notice to such patient that (i) the Commonwealth’s program of medical assistance services covers the health care services described in subsection A and the Department of Medical Assistance Services will pay for such health care services if such health care services are determined to meet the Department of Medical Assistance Service’s medical necessity criteria and (ii) the provider does not participate in the Commonwealth’s program of medical assistance and will not accept payment from the Department of Medical Assistance Services for such health care services. Such notice and the patient’s acknowledgment of such notice shall be documented in the patient’s medical record and does not exempt the provider from the requirements of subsection A.","order_by":null,"text":{"0":{"id":299216,"text":"No provider licensed pursuant to this chapter, regardless of whether the provider participates in the state plan for medical assistance, shall request or require a patient who is a recipient of medical assistance services pursuant to the state plan for medical assistance and who is a recipient of health care services involving (i) the prescription of an opioid for the management of pain or (ii) the prescription of buprenorphine-containing products, methadone, or other opioid replacements approved for the treatment of opioid addiction by the U.S. Food and Drug Administration for medication-assisted treatment of opioid addiction to pay costs associated with the provision of such service out-of-pocket. The prohibition on payment of costs shall not apply to a recipient’s cost-sharing amounts required by the state plan for medical assistance.","type":"section","prefixes":["A"],"prefix":"A","entire_prefix":"A","prefix_anchor":"A","level":1,"next_prefix":"B"},"1":{"id":299217,"text":"Every provider who does not accept payment from the Department of Medical Assistance Services for health care services who intends to provide health care services described in subsection A to a patient who is a recipient of medical assistance services pursuant to the state plan for medical assistance shall, prior to providing such health care services, provide written notice to such patient that (i) the Commonwealth’s program of medical assistance services covers the health care services described in subsection A and the Department of Medical Assistance Services will pay for such health care services if such health care services are determined to meet the Department of Medical Assistance Service’s medical necessity criteria and (ii) the provider does not participate in the Commonwealth’s program of medical assistance and will not accept payment from the Department of Medical Assistance Services for such health care services. Such notice and the patient’s acknowledgment of such notice shall be documented in the patient’s medical record and does not exempt the provider from the requirements of subsection A.","type":"section","prefixes":["B"],"prefix":"B","entire_prefix":"B","prefix_anchor":"B","level":1,"prior_prefix":"A"}},"ancestry":[{"id":13730,"edition_id":1,"name":"General Provisions","identifier":"1","label":"article","depth":4,"order_by":1,"parent_id":12759,"metadata":{},"date_created":"2026-06-26 03:45:43","date_modified":"2026-06-26 03:45:43","permalink":{"id":241935,"object_type":"structure","relational_id":13730,"identifier":"1","token":"54.1\/III\/29\/1","url":"\/54.1\/III\/29\/1\/","edition_id":1,"permalink":0,"preferred":1}},{"id":12759,"edition_id":1,"name":"Medicine and Other Healing Arts","identifier":"29","label":"chapter","depth":3,"order_by":1,"parent_id":12758,"metadata":{},"date_created":"2026-06-26 03:43:51","date_modified":"2026-06-26 03:43:51","permalink":{"id":241933,"object_type":"structure","relational_id":12759,"identifier":"29","token":"54.1\/III\/29","url":"\/54.1\/III\/29\/","edition_id":1,"permalink":0,"preferred":1}},{"id":12758,"edition_id":1,"name":"Professions and Occupations Regulated by Boards Within the Department of Health Professions","identifier":"III","label":"subtitle","depth":2,"order_by":1,"parent_id":12754,"metadata":{},"date_created":"2026-06-26 03:43:51","date_modified":"2026-06-26 03:43:51","permalink":{"id":241105,"object_type":"structure","relational_id":12758,"identifier":"III","token":"54.1\/III","url":"\/54.1\/III\/","edition_id":1,"permalink":0,"preferred":1}},{"id":12754,"edition_id":1,"name":"Professions and Occupations","identifier":"54.1","label":"title","depth":1,"order_by":1,"parent_id":null,"metadata":{},"date_created":"2026-06-26 03:43:51","date_modified":"2026-06-26 03:43:51","permalink":{"id":239313,"object_type":"structure","relational_id":12754,"identifier":"54.1","token":"54.1","url":"\/54.1\/","edition_id":1,"permalink":0,"preferred":1}}],"structure_contents":[{"id":63078,"structure_id":13730,"section_number":"54.1-2900","catch_line":"Definitions","url":"\/54.1-2900\/","token":"54.1\/III\/29\/1\/54.1-2900","metadata":false},{"id":83528,"structure_id":13730,"section_number":"54.1-2901","catch_line":"Exceptions and exemptions generally","url":"\/54.1-2901\/","token":"54.1\/III\/29\/1\/54.1-2901","metadata":false},{"id":59538,"structure_id":13730,"section_number":"54.1-2902","catch_line":"Unlawful to practice without license","url":"\/54.1-2902\/","token":"54.1\/III\/29\/1\/54.1-2902","metadata":false},{"id":64698,"structure_id":13730,"section_number":"54.1-2903","catch_line":"What constitutes practice; advertising in connection with medical practice","url":"\/54.1-2903\/","token":"54.1\/III\/29\/1\/54.1-2903","metadata":false},{"id":79048,"structure_id":13730,"section_number":"54.1-2904","catch_line":"Biennial renewal of licenses; copies; fee; lapsed licenses; reinstatement; penalties","url":"\/54.1-2904\/","token":"54.1\/III\/29\/1\/54.1-2904","metadata":false},{"id":62466,"structure_id":13730,"section_number":"54.1-2905","catch_line":"Repealed","url":"\/54.1-2905\/","token":"54.1\/III\/29\/1\/54.1-2905","metadata":false},{"id":80090,"structure_id":13730,"section_number":"54.1-2906","catch_line":"Repealed","url":"\/54.1-2906\/","token":"54.1\/III\/29\/1\/54.1-2906","metadata":false},{"id":77034,"structure_id":13730,"section_number":"54.1-2908","catch_line":"Reports of disciplinary action against health professionals; immunity from liability; civil penalty","url":"\/54.1-2908\/","token":"54.1\/III\/29\/1\/54.1-2908","metadata":false},{"id":86961,"structure_id":13730,"section_number":"54.1-2909","catch_line":"Further reporting requirements; civil penalty; disciplinary action","url":"\/54.1-2909\/","token":"54.1\/III\/29\/1\/54.1-2909","metadata":false},{"id":58482,"structure_id":13730,"section_number":"54.1-2910","catch_line":"Repealed","url":"\/54.1-2910\/","token":"54.1\/III\/29\/1\/54.1-2910","metadata":false},{"id":56508,"structure_id":13730,"section_number":"54.1-2910.01","catch_line":"Practitioner information provided to patients","url":"\/54.1-2910.01\/","token":"54.1\/III\/29\/1\/54.1-2910.01","metadata":false},{"id":65429,"structure_id":13730,"section_number":"54.1-2910.1","catch_line":"Certain data required","url":"\/54.1-2910.1\/","token":"54.1\/III\/29\/1\/54.1-2910.1","metadata":false},{"id":79576,"structure_id":13730,"section_number":"54.1-2910.2","catch_line":"Posting of disciplinary information","url":"\/54.1-2910.2\/","token":"54.1\/III\/29\/1\/54.1-2910.2","metadata":false},{"id":71219,"structure_id":13730,"section_number":"54.1-2910.3","catch_line":"No requirement to participate in third-party reimbursement programs","url":"\/54.1-2910.3\/","token":"54.1\/III\/29\/1\/54.1-2910.3","metadata":false},{"id":83500,"structure_id":13730,"section_number":"54.1-2910.3:1","catch_line":"Medicaid recipients; treatment involving prescription of opioids; payment","url":"\/54.1-2910.3_1\/","token":"54.1\/III\/29\/1\/54.1-2910.3_1","metadata":false},{"id":60811,"structure_id":13730,"section_number":"54.1-2910.4","catch_line":"Health record retention","url":"\/54.1-2910.4\/","token":"54.1\/III\/29\/1\/54.1-2910.4","metadata":false},{"id":54729,"structure_id":13730,"section_number":"54.1-2910.5","catch_line":"Pediatric sexual assault patient services; requirements","url":"\/54.1-2910.5\/","token":"54.1\/III\/29\/1\/54.1-2910.5","metadata":false}],"previous_section":{"id":71219,"structure_id":13730,"section_number":"54.1-2910.3","catch_line":"No requirement to participate in third-party reimbursement programs","url":"\/54.1-2910.3\/","token":"54.1\/III\/29\/1\/54.1-2910.3","metadata":false},"next_section":{"id":60811,"structure_id":13730,"section_number":"54.1-2910.4","catch_line":"Health record retention","url":"\/54.1-2910.4\/","token":"54.1\/III\/29\/1\/54.1-2910.4","metadata":false},"metadata":false,"official_url":"https:\/\/law.lis.virginia.gov\/vacode\/54.1-2910.3:1\/","history_text":"

This law was first created in 2019. The record of its establishment is cataloged in chapters 223<\/a> and 444<\/a> 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. It has been modified 1 time. 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. That modification is as follows: in 2022, chapter 214<\/a>.<\/p>","references":false,"refers_to":false,"permalink":{"id":241993,"object_type":"law","relational_id":83500,"identifier":"54.1-2910.3:1","token":"54.1\/III\/29\/1\/54.1-2910.3_1","url":"\/54.1-2910.3_1\/","edition_id":1,"permalink":0,"preferred":1},"url":"\/54.1-2910.3_1\/","token":"54.1\/III\/29\/1\/54.1-2910.3_1","dublin_core":{"Title":"Medicaid recipients; treatment involving prescription of opioids; payment","Type":"Text","Format":"text\/html","Identifier":"\u00a7 54.1-2910.3:1","Relation":"Code of Virginia"},"html":"\n\t\t\t\t\t\t

A.<\/span> No provider licensed pursuant to this chapter, regardless of whether the provider participates in the state plan for medical assistance, shall request or require a patient who is a recipient of medical assistance services pursuant to the state plan for medical assistance and who is a recipient of health care services involving (i) the prescription of an opioid for the management of pain or (ii) the prescription of buprenorphine-containing products, methadone, or other opioid replacements approved for the treatment of opioid addiction by the U.S. Food and Drug Administration for medication-assisted treatment of opioid addiction to pay costs associated with the provision of such service out-of-pocket. The prohibition on payment of costs shall not apply to a recipient’s cost-sharing amounts required by the state plan for medical assistance. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

B.<\/span> Every provider who does not accept payment from the Department of Medical Assistance Services for health care services who intends to provide health care services described in subsection A to a patient who is a recipient of medical assistance services pursuant to the state plan for medical assistance shall, prior to providing such health care services, provide written notice to such patient that (i) the Commonwealth’s program of medical assistance services covers the health care services described in subsection A and the Department of Medical Assistance Services will pay for such health care services if such health care services are determined to meet the Department of Medical Assistance Service’s medical necessity criteria and (ii) the provider does not participate in the Commonwealth’s program of medical assistance and will not accept payment from the Department of Medical Assistance Services for such health care services. Such notice and the patient’s acknowledgment of such notice shall be documented in the patient’s medical record and does not exempt the provider from the requirements of subsection A. <\/i><\/a><\/p><\/section>","plain_text":" CODE OF VIRGINIA\n\nMEDICAID RECIPIENTS; TREATMENT INVOLVING PRESCRIPTION OF OPIOIDS; PAYMENT (\u00a7\n54.1-2910.3:1)\n\nA. No provider licensed pursuant to this chapter, regardless of whether the\nprovider participates in the state plan for medical assistance, shall request or\nrequire a patient who is a recipient of medical assistance services pursuant to\nthe state plan for medical assistance and who is a recipient of health care\nservices involving (i) the prescription of an opioid for the management of pain\nor (ii) the prescription of buprenorphine-containing products, methadone, or\nother opioid replacements approved for the treatment of opioid addiction by the\nU.S. Food and Drug Administration for medication-assisted treatment of opioid\naddiction to pay costs associated with the provision of such service\nout-of-pocket. The prohibition on payment of costs shall not apply to a\nrecipient’s cost-sharing amounts required by the state plan for medical\nassistance.\n\nB. Every provider who does not accept payment from the Department of Medical\nAssistance Services for health care services who intends to provide health care\nservices described in subsection A to a patient who is a recipient of medical\nassistance services pursuant to the state plan for medical assistance shall,\nprior to providing such health care services, provide written notice to such\npatient that (i) the Commonwealth’s program of medical assistance services\ncovers the health care services described in subsection A and the Department of\nMedical Assistance Services will pay for such health care services if such\nhealth care services are determined to meet the Department of Medical Assistance\nService’s medical necessity criteria and (ii) the provider does not\nparticipate in the Commonwealth’s program of medical assistance and will\nnot accept payment from the Department of Medical Assistance Services for such\nhealth care services. Such notice and the patient’s acknowledgment of such\nnotice shall be documented in the patient’s medical record and does not\nexempt the provider from the requirements of subsection A.\n\nHISTORY: 2019, cc. 223, 444; 2022, c. 214.","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}}