Virginia Administrative Code (Last Updated: January 10, 2017) |
Title 12. Health |
Agency 30. Department of Medical Assistance Services |
Chapter 20. Administration of Medical Assistance Services |
Section 10. Attorney General's certification |
Section 20. [Repealed] |
Section 60. Definition of Medicaid state plan health maintenance organizations (HMOs) |
Section 70. [Repealed] |
Section 80. Coordination of Title XIX with Part a and Part B of Title XVIII |
Section 90. Confidentiality and disclosure of information concerning Medicaid applicants and recipients |
Section 100. Standards governing general and special hospitals and convalescent and nursing homes |
Section 110. Nursing facility resident drug utilization review |
Section 120. Cooperative arrangements with the state vocational rehabilitation agency and with Title V programs and grantees |
Section 130. Lien recoveries |
Section 140. [Repealed] |
Section 141. Estate recoveries |
Section 150. Copayments and deductibles for categorically needy and QMBs for services other than under 42 CFR 447.53 |
Section 160. Copayments and deductibles for medically needy and QMBs for services other than under 42 CFR 447.53 |
Section 170. Basis of payment for reserving beds during a recipient's absence from an inpatient facility |
Section 180. Definition of a claim by service |
Section 190. Requirements for third party liability; identifying liable resources |
Section 200. Requirements for third party liability; payment of claims |
Section 205. Health Insurance Premium Payment (HIPP) for Kids |
Section 210. State method on cost effectiveness of employer-based group health plans |
Section 215. Sanctions for psychiatric hospitals |
Section 220. Income and eligibility verification system procedures; requests to other state agencies |
Section 230. Method for issuance of medicaid eligibility cards to homeless individuals |
Section 240. Requirements for advance directives under state plans for medical assistance |
Section 249. [Repealed] |
Section 251. Termination of provider agreement |
Section 252. Temporary management |
Section 253. Denial of payment for new admissions |
Section 254. Civil money penalty |
Section 255. State monitoring |
Section 256. Transfer of residents; transfer of residents with closure of facility |
Section 257. Required plan of correction |
Section 258. Appeals |
Section 259. Repeated substandard quality of care |
Section 260. Definition of specialized services |
Section 270. Categorical determinations |
Section 272. Survey and certification education program |
Section 274. Process for the investigation of allegations of resident neglect and abuse and misappropriation of resident property |
Section 275. Procedures for scheduling and conduct of standards surveys |
Section 277. Programs to measure and reduce inconsistency |
Section 278. Process for investigations of complaints and monitoring |
Section 280. Methods of administration; civil rights |
Section 290. [Reserved] |
Section 500. Definitions |
Section 520. Provider appeals: general provisions |
Section 540. Informal appeals |
Section 560. Formal appeals |
Appendix 9998. FORMS (12VAC30-20) |