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Table of Contents » Title 12. Health » Agency 30. Department of Medical Assistance Services » Chapter 80. Methods and Standards for Establishing Payment Rate; Other Types of Care » 12VAC30-80-80. Fee-for-service: Medicare coinsurance and deductibles.

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Virginia Administrative Code
Title 12. Health
Agency 30. Department of Medical Assistance Services
Chapter 80. Methods and Standards for Establishing Payment Rate; Other Types of Care

11/21/2024

12VAC30-80-80. Fee-for-service: Medicare coinsurance and deductibles.

Payments for Medicare coinsurance and deductibles for noninstitutional services shall not exceed the allowed charges determined by Medicare in accordance with 42 CFR 447.304(b) less the portion paid by Medicare, other third party payors, and recipient copayment requirements of this Plan. See 12VAC30-80-170.

Statutory Authority

§ 32.1-325 of the Code of Virginia.

Historical Notes

Derived from VR460-02-4.1920 § 8, eff. July 1, 1993; amended, Virginia Register Volume 11, Issue 17, eff. July 1, 1995; Volume 11, Issue 18, eff. July 1, 1995; Volume 12, Issue 5, eff. December 27, 1995.

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