The accuracy and completeness of provider specialization information will be added as a T-MSIS priority issue in the spring of 2020. The ability to identify provider specialization in T-MSIS is vital for investigating a number of different research questions.

The Centers for Medicare & Medicaid Services (CMS) is granting an initial approval to the state of Virginia for multiple Section 1135 flexibilities.  This approval letter replaces CMS’ March 23, 2020 approval letter.  Your communication to CMS on April 14, 2020 and updated on April 23, 2020 detai1ed a number of federal requirements that also pose issues or challenges for the health care delivery system in Virginia and requested a waiver or modification of these requirements.