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Virginia Administrative Code
Title 12. Health
Title 12. Health
Agency 30. Department of Medical Assistance Services
11/21/2024

Chapter 20.
Administration of Medical Assistance Services
Read Chapter

  • Part I.
    Miscellaneous Provisions
    Read all
    • 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    [Repealed]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    [Repealed]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
  • Part III.
    Recipient Cost Sharing
    Read all
    • 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
  • Part IV.
    Third Party Liability
    Read all
    • 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 for Kids
    Section 210
    State method on cost effectiveness of qualified employer-sponsored insurance plans
  • Part V.
    Sanctions, Advance Directives
    Read all
    • 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    [Repealed]
  • Part VIII.
    Nursing Facilities Survey/Certification
    Read all
    • 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
FORMS
FORMS (12VAC30-20)

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