Section 10. Services provided to the categorically needy with limitations

Section 20. Services provided to the categorically needy without limitation

Section 30. Services not provided to the categorically needy

Section 35. Requirements relating to payment for covered outpatient drugs for the categorically needy

Section 40. Ambulatory services

Section 50. Services provided to the medically needy with limitations

Section 60. Services provided to all medically needy groups without limitations

Section 70. Services or devices not provided to the medically needy

Section 75. Requirements relating to payment for covered outpatient drugs for the medically needy

Section 80. [Reserved]

Section 95. Reimbursement of services; in general

Section 100. Inpatient hospital services provided at general acute care hospitals and freestanding psychiatric hospitals; enrolled providers

Section 105. Inpatient hospital services provided at general acute care hospitals and freestanding psychiatric hospitals; nonenrolled providers ...

Section 110. Outpatient hospital and rural health clinic services

Section 120. Other laboratory and x-ray services

Section 130. Skilled nursing facility services, EPSDT, school health services and family planning

Section 131. Services provided by certified Early Intervention practitioners under EPSDT

Section 140. Physician's services whether furnished in the office, the patient's home, a hospital, a skilled nursing facility, or elsewhere

Section 150. Medical care by other licensed practitioners within the scope of their practice as defined by state law

Section 160. Home health services

Section 165. Durable medical equipment (DME) and supplies suitable for use in the home

Section 170. Private duty nursing services

Section 180. Clinic services

Section 190. Dental services

Section 200. Physical therapy, occupational therapy, and services for individuals with speech, hearing, and language disorders

Section 210. Prescribed drugs, dentures, and prosthetic devices; and eyeglasses prescribed by a physician skilled in diseases of the eye or by an optometrist

Section 220. Other diagnostic, screening, preventive, and rehabilitative services, i.e., other than those provided elsewhere in this plan

Section 225. Rehabilitative services; intensive physical rehabilitation, and CORF services

Section 226. Community mental health services

Section 227. Lead contamination

Section 228. Community substance abuse treatment services

Section 229. [Reserved]

Section 229.1. [Repealed]

Section 230. Services for individuals age 65 or older in institutions for mental diseases

Section 240. Intermediate care services and intermediate care services for institutions for mental disease and mental retardation

Section 250. Inpatient psychiatric facility services for individuals under 21 years of age

Section 260. Nurse-midwife services

Section 270. Hospice services (in accordance with § 1905 (o) of the Act)

Section 280. Case management services for high-risk pregnant women and children up to age 1, as defined in 12VAC30-50-410, in accordance with § 1915 (g)(1) of ...

Section 290. Extended services to pregnant women

Section 300. Any other medical care and any other type of remedial care recognized under state law, specified by the Secretary of Health and Human Services

Section 310. Emergency services for aliens

Section 320. Program of All-Inclusive Care for the Elderly (PACE)

Section 321. Eligibility for PACE enrollees

Section 325. Rates and payments

Section 328. PACE enrollment and disenrollment

Section 330. PACE definitions

Section 335. General PACE plan requirements

Section 340. Criteria for PACE enrollment

Section 345. PACE enrollee rights

Section 350. PACE enrollee responsibilities

Section 355. PACE plan contract requirements and standards

Section 360. PACE sanctions

Section 410. Case management services for high risk pregnant women and children

Section 415. Case management for individuals receiving early intervention (Part C) services

Section 420. Case management services for seriously mentally ill adults and emotionally disturbed children

Section 430. Case management services for youth at risk of serious emotional disturbance

Section 440. Case management services for individuals with mental retardation

Section 450. Case management services for individuals with mental retardation and related conditions who are participants in the Home and Community-Based Care ...

Section 460. [Repealed]

Section 470. Case management for recipients of auxiliary grants

Section 480. Case management for foster care children

Section 490. Case management for individuals with developmental disabilities, including autism

Section 491. Case management services for individuals who have an Axis 1 substance-related disorder

Section 510. Requirements and limits applicable to specific services: expanded prenatal care services

Section 520. Drugs or drug categories which are not covered

Section 530. Methods of providing transportation

Section 540. Kidney transplantation (KT)

Section 550. Corneal transplantation

Section 560. Liver, heart, lung, allogeneic and autologous bone marrow transplantation

Section 570. High dose chemotherapy and bone marrow/stem cell transplantation (coverage for persons over 21 years of age)

Section 580. Other medically necessary transplantation procedures that are determined to not be experimental or investigational (coverage for persons younger ...

Appendix 9998. FORMS (12VAC30-50)

Appendix 9999. DOCUMENTS INCORPORATED BY REFERENCE (12VAC30-50)