Section 10. Effect of participation in Health Insurance for the Aged program

Section 20. Standards applied to non-participants in Title XVIII programs

Section 30. Limitations of Medical Assistance Program payment; Medicare reimbursement principles

Section 40. Payment of reasonable costs based on other methods

Section 50. Hospital reimbursement system

Section 60. Establishment of reasonable and adequate payment rates; cost reporting

Section 70. Revaluation of assets

Section 80. Refund of overpayments

Section 90. Reimbursement of certified hospitals exempt from Medicare Prospective Payment system

Section 100. Reimbursement of return on equity capital to proprietary providers

Section 110. Group ceiling for state-owned university teaching hospitals

Section 120. [Repealed]

Section 130. Payment adjustment fund

Section 140. [Repealed]

Section 150. Methods and standards for establishing payment rates - inpatient hospital care: Dispute resolution for state-operated providers

Section 160. [Reserved]

Section 200. [Repealed]

Section 201. Application of payment methodologies

Section 210. [Repealed]

Section 220. [Repealed]

Section 221. General

Section 230. [Repealed]

Section 231. Operating payment for DRG cases

Section 240. [Repealed]

Section 241. Operating payment for per diem cases

Section 250. [Repealed]

Section 251. Operating payment for transfer cases

Section 260. [Repealed]

Section 261. Outlier operating payment

Section 270. [Repealed]

Section 271. Payment for capital costs

Section 280. [Repealed]

Section 281. Payment for direct medical education costs of nursing schools, paramedical programs, and graduate medical education for interns and residents

Section 290. [Repealed]

Section 291. Payment for indirect medical education costs

Section 300. [Repealed]

Section 301. Payment to disproportionate share hospitals

Section 310. [Repealed]

Section 311. Hospital specific operating rate per case

Section 320. [Repealed]

Section 321. Hospital specific operating rate per day

Section 330. [Repealed]

Section 331. Statewide operating rate per case

Section 340. [Repealed]

Section 341. Statewide operating rate per day

Section 350. [Repealed]

Section 351. Updating rates for inflation

Section 360. [Repealed]

Section 361. Base year standardized operating costs per case

Section 370. [Repealed]

Section 371. Base year standardized operating costs per day

Section 380. [Repealed]

Section 381. DRG relative weights and hospital case-mix indices

Section 390. [Repealed]

Section 391. Recalibration and rebasing policy

Section 400. Determination of per diem rates

Section 410. State university teaching hospitals

Section 420. Reimbursement of noncost-reporting general acute care hospital providers

Section 425. Certified public expenditures for nonstate government-owned hospitals for inpatient services

Section 426. [Repealed]

Section 428. Supplemental payments for private hosptial partners of Type One hospitals

Section 430. Medicare upper limit

Section 435. Lump sum payment

Section 440. [Repealed]

Section 441. Public comment process

Section 450. Cost reporting requirements

Section 460. Hospital settlement

Section 470. Underpayments

Section 480. Refund of overpayments

Section 490. Medicaid Hospital Payment Policy Advisory Council

Section 500. Outlier methodology illustration

Appendix 9998. FORMS (12VAC30-70)

Appendix 9999. DOCUMENTS INCORPORATED BY REFERENCE (12VAC30-70)