Virginia Administrative Code (Last Updated: January 10, 2017) |
Title 12. Health |
Agency 30. Department of Medical Assistance Services |
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 [Repealed] |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 [Repealed] |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) |