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Virginia Administrative Code (Last Updated: January 10, 2017) |
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Title 12. Health |
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Agency 30. Department of Medical Assistance Services |
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Chapter 50. Amount, Duration, and Scope of Medical and Remedial Care Services |
Section 325. Rates and payments
Latest version.
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A. The Commonwealth assures that the capitated rates will be equal to or less than the cost to the agency of providing those same fee-for-service State Plan approved services on a fee-for-service basis, to an equivalent nonenrolled population group based upon the following methodology rates are set at a percent of fee-for-service costs. Rates are set at a percentage of fee-for-service costs.
B. The State Medicaid Agency assures that the rates were set in a reasonable and predictable manner.
C. The Commonwealth will submit all capitated rates to the Centers for Medicare and Medicaid Services (CMS) regional office for prior approval.
Historical Notes
Derived from Volume 23, Issue 16, eff. July 1, 2007.