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Virginia Administrative Code
Title 12. Health
Agency 30. Department of Medical Assistance Services
Chapter 10. State Plan under Title XIX of the Social Security Act Medical Assistance Program; General Provisions
3/4/2026

12VAC30-10-500. Relations with standard-setting and survey agencies.

A. The State agency utilized by the Secretary to determine qualification of institutions and suppliers of services to participate in Medicare is responsible for establishing and maintaining health standards for private or public institutions (exclusive of Christian Science sanatoria) that provide services to Medicaid recipients. This agency is the Department of Health.

B. The State authorities responsible for establishing and maintaining standards, other than those relating to health, for public or private institutions that provide services to Medicaid recipients are: Department of Behavioral Health and Developmental Services, State Corporation Commission, Office of State Fire Marshall.

C. 12VAC30-20-100 describes the standards specified in subsections A and B of this section that are kept on file and made available to the Health Care Financing Administration on request.

D. The Virginia Department of Health (agency), which is the agency responsible for licensing health institutions, determines if institutions and agencies meet the requirements for participation in the Medicaid program. The requirements in 42 CFR 431.610(e), (f), and (g) are met.

Statutory Authority

Social Security Act Title XIX; 42 CFR 430 to end; all other applicable statutory and regulatory sections.

Historical Notes

Subsections A, B, and C derived from VR460-01-42, eff. March 29, 1974; subsection D derived from VR460-01-43, eff. March 29, 1974; amended, Virginia Register Volume 42, Issue 11, eff. February 11, 2026.

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