Virginia Administrative Code (Last Updated: January 10, 2017) |
Title 12. Health |
Agency 30. Department of Medical Assistance Services |
Chapter 90. Methods and Standards for Establishing Payment Rates for Long-Term Care |
Section 10. Methods and standards for establishing payment rates for long-term care |
Section 11. Public comment process |
Section 19. Supplemental payments for government-owned nursing facilities |
Section 20. [Repealed] |
Section 29. Transition to new capital payment methodology |
Section 30. Plant cost |
Section 31. New nursing facilities and bed additions |
Section 32. Major capital expenditures |
Section 33. Financing |
Section 34. Purchases of nursing facilities (NF) |
Section 35. General applicability |
Section 36. Nursing facility capital payment methodology |
Section 37. Calculation of FRV per diem rate for capital; calculation of FRV rental amount; change of ownership |
Section 38. Schedule of assets reporting |
Section 39. Purchases of nursing facilities (NF) |
Section 40. Operating cost |
Section 41. Nursing facility reimbursement formula |
Section 42. [Repealed] |
Section 44. Nursing facility price-based payment methodology |
Section 45. [Reserved] |
Section 50. Allowable costs |
Section 51. Purchases/related organizations |
Section 52. Administrator/owner compensation |
Section 53. Depreciation |
Section 54. Rent/Leases |
Section 55. Provider payments |
Section 56. Legal fees/accounting |
Section 57. Documentation |
Section 58. Fraud and abuse |
Section 59. [Reserved] |
Section 60. Interim rate |
Section 65. Final rate and effective for dates of services beginning July 1, 2001, through June 30, 2014 |
Section 70. Cost report submission |
Section 75. Reporting form; accounting method; cost report extensions; fiscal year changes |
Section 80. Time frames |
Section 90. Retrospective rates |
Section 100. [Reserved] |
Section 110. Record retention |
Section 120. Audit overview; scope of audit |
Section 121. Field audit requirements |
Section 122. Provider notification |
Section 123. Field audit exit conference |
Section 124. Audit delay |
Section 125. Field audit time frames |
Section 126. [Reserved] |
Section 130. [Repealed] |
Section 136. Elements of capital payment methodology not subject to appeal |
Section 137. [Reserved] |
Section 140. Individual expense limitation |
Section 150. Cost report preparation instructions |
Section 160. Stock acquisition; merger of unrelated and related parties |
Section 165. Stock acquisition; merger of unrelated and related parties |
Section 170. NATCEPs costs |
Section 180. Criminal records checks |
Section 190. Use of MMR-240 |
Section 200. Commingled investment income |
Section 210. Provider notification |
Section 220. Start-up costs |
Section 221. Time frames |
Section 222. Organizational costs |
Section 223. [Reserved] |
Section 230. Access to records |
Section 240. Home office operating costs |
Section 250. Lump sum payment |
Section 251. Offset |
Section 252. Payment schedule |
Section 253. Extension request documentation |
Section 254. Interest charge on extended repayment |
Section 255. [Reserved] |
Section 257. Credit balance reporting |
Section 258. [Reserved] |
Section 260. [Repealed] |
Section 264. Specialized care services |
Section 266. Traumatic Brain Injury (TBI) payment |
Section 267. Private room differential |
Section 270. Uniform Expense Classification |
Section 271. Direct patient care operating |
Section 272. Indirect patient care operating costs |
Section 273. Plant costs |
Section 274. Nonallowable expenses |
Section 275. Nurse Aide Training and Competency Evaluation Programs (NATCEPs) costs |
Section 276. Criminal records background checks |
Section 280. Leasing of facilities |
Section 290. Cost reimbursement limitations |
Section 300. [Repealed] |
Section 305. Resource Utilization Groups (RUGs) |
Section 306. Case-mix index (CMI) |
Section 307. Applicability of case-mix indices (CMI) |
Section 310. Normalized Case Mix Index (NCMI) |
Section 320. National RUG-III categories and weights |
Section 330. Traumatic brain injury diagnoses |
Appendix 9998. FORMS (12VAC30-90) |
Appendix 9999. DOCUMENTS INCORPORATED BY REFERENCE (12VAC30-90) |