Chapter 80. Methods and Standards for Establishing Payment Rates; Other Types of Care  


Section 10. General
Section 20. Services that are reimbursed on a cost basis
Section 21. Inpatient psychiatric services in residential treatment facilities (under EPSDT)
Section 25. Reimbursement for federally qualified health centers (FQHCs) and rural health clinics (RHCs)
Section 30. Fee-for-service providers
Section 32. Reimbursement for substance abuse services
Section 35. Fee for service: ambulatory surgery centers
Section 36. Fee-for-service providers: outpatient hospitals.
Section 40. Fee-for-service providers: pharmacy
Section 50. Third party liability
Section 60. Reimbursement audit
Section 70. Fee-for-service providers: Transportation
Section 75. Local Education Agency (LEA) providers
Section 80. Fee-for-service: Medicare coinsurance and deductibles
Section 90. Fee-for-service: Eyeglasses
Section 95. Fee-for-service: hearing aids (under EPSDT)
Section 96. Fee-for-service: Early Intervention (under EPSDT)
Section 100. Fee-for-service: Expanded Prenatal Care
Section 110. Fee-for-service: case management
Section 111. Treatment foster care (TFC) case management
Section 115. Fee-for-service: Early Discharge Follow-up Visit for Mothers and Newborns
Section 120. Reimbursement for all other nonenrolled institutional and noninstitutional providers
Section 130. Refund of overpayments
Section 140. [Repealed]
Section 150. Dispute resolution for state-operated providers
Section 160. [Repealed]
Section 170. Payment of Medicare Part a and Part B Deductible/Coinsurance
Section 180. Establishment of rate per visit for home health services
Section 190. State agency fee schedule for RBRVS
Section 200. Prospective reimbursement for rehabilitation agencies or comprehensive outpatient rehabilitation facilities
Section 300. Medicare equivalent of average commercial rate
Appendix 9998. FORMS (12VAC30-80)
Appendix 9999. DOCUMENTS INCORPORATED BY REFERENCE (12VAC30-80)