Virginia Administrative Code (Last Updated: January 10, 2017) |
Title 12. Health |
Agency 30. Department of Medical Assistance Services |
Chapter 10. State Plan under Title XIX of the Social Security Act Medical Assistanceprogram; General Provisions |
Chapter 10. State Plan under Title XIX of the Social Security Act Medical Assistanceprogram; General Provisions
Section 10. Designation and authority |
Section 20. Organization for administration |
Section 30. Statewide operation |
Section 40. State Medical Care Advisory Committee |
Section 50. Pediatric immunization program |
Section 60. Application; determination of eligibility and furnishing Medicaid |
Section 70. Coverage and conditions of eligibility |
Section 80. Residence |
Section 90. Blindness |
Section 100. Disability |
Section 110. Financial eligibility |
Section 120. Medicaid furnished out of state |
Section 130. Requirements for advance directives |
Section 140. Amount, duration, and scope of services: Categorically needy |
Section 150. Amount, duration, and scope of services: Medically needy |
Section 160. Amount, duration, and scope of services: Other required special groups |
Section 170. Amount, duration, and scope of services: Limited coverage for certain aliens |
Section 180. Amount, duration, and scope of services: Homeless individuals |
Section 190. Amount, duration, and scope of services: Presumptively eligible pregnant women |
Section 200. Amount, duration, and scope of services: EPSDT services |
Section 210. Amount, duration, and scope of services: Comparability of services |
Section 220. Amount, duration, and scope of services: home health services |
Section 230. Amount, duration, and scope of services: Assurance of transportation |
Section 240. Amount, duration, and scope of services: Payment for nursing facility services |
Section 250. Amount, duration, and scope of services: Methods and standards to assure quality of services |
Section 260. Amount, duration, and scope of services: Family planning services |
Section 270. Amount, duration, and scope of services: Optometric services |
Section 280. Amount, duration, and scope of services: Organ transplant procedures |
Section 290. Amount, duration, and scope of services: Participation by Indian Health Service facilities |
Section 300. Amount, duration, and scope of services: Respiratory care services for ventilator-dependent individuals |
Section 310. Coordination of Medicaid with Medicare and other insurance: Premiums |
Section 320. Coordination of Medicaid with Medicare and other insurance: Deductibles/coinsurance |
Section 325. Premiums, deductibles, coinsurance and other cost sharing obligations |
Section 330. Medicaid for individuals age 65 or over in institutions for mental diseases |
Section 340. Special requirements applicable to sterilization procedures |
Section 350. Families receiving extended Medicaid benefits |
Section 360. [Reserved] |
Section 400. Methods of administration |
Section 410. Hearings for applicants and recipients |
Section 420. Safeguarding information on applicants and recipients |
Section 430. Medicaid quality control |
Section 435. Medicaid prohibition on payments to institutions or entities located outside of the United States |
Section 440. Medicaid Agency Fraud Detection and Investigation Program |
Section 441. Medicaid agency fraud detection and investigation program |
Section 445. Recovery audit contractors |
Section 450. Reports |
Section 460. Maintenance of records |
Section 470. Availability of agency program manuals |
Section 480. Reporting provider payments to Internal Revenue Service |
Section 490. Free choice of providers |
Section 500. Relations with standard-setting and survey agencies |
Section 510. Consultation to medical facilities |
Section 520. Required provider agreement |
Section 530. Utilization and quality control |
Section 540. Inspection of care in intermediate care facilities for the mentally retarded, facilities providing inpatient psychiatric services for individuals ... |
Section 550. Relations with state health and vocational rehabilitation agencies and Title V grantees |
Section 560. Liens and recoveries |
Section 570. Recipient cost sharing and similar charges |
Section 580. Payment for services |
Section 590. Direct payments to certain recipients for physicians' or dentists' services |
Section 600. Prohibition against reassignment of provider claims |
Section 610. Third party liability |
Section 620. Use of contracts |
Section 630. [Repealed] |
Section 631. Standards for payment for nursing facility and intermediate care facility for the mentally retarded services |
Section 640. Program for licensing administrators of nursing homes |
Section 650. Drug Utilization Review Program |
Section 660. Disclosure of survey information and provider or contractor evaluation |
Section 670. Appeals process |
Section 680. Conflict of interest provisions |
Section 690. Exclusion of providers and suspension of practitioners and other individuals |
Section 700. Disclosure of information by providers and fiscal agents |
Section 710. Income and eligibility verification system |
Section 720. Medicaid eligibility cards for homeless individuals |
Section 730. Systematic alien verification for entitlements |
Section 740. [Repealed] |
Section 750. [Repealed] |
Section 751. Enforcement of compliance for nursing facilities |
Section 760. Pharmacy services rebate agreement terms |
Section 770. Required coordination between the Medicaid and WIC Programs |
Section 780. Nurse aide training and competency evaluation for nursing facilities |
Section 790. Preadmission screening and annual resident review in nursing facilities |
Section 800. Survey and certification process |
Section 810. Resident assessment for nursing facilities |
Section 815. Cooperation with Medicaid Integrity Program efforts |
Section 820. Employee education about false claims recoveries |
Section 850. Standards of personnel administration |
Section 860. [Reserved] |
Section 870. Training programs; subprofessional and volunteer programs |
Section 880. [Reserved] |
Section 900. Fiscal policies and administration |
Section 910. Cost allocation |
Section 920. State financial participation |
Section 930. Hospital credit balance reporting |
Section 940. [Reserved] |
Section 960. Plan amendments |
Section 970. Nondiscrimination |
Section 980. [Repealed] |
Section 990. State Governor's review |
Section 1000. General provider appeals |