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 [Repealed]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 [Repealed]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 [Repealed]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 [Repealed]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)