Administrative Code

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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

12VAC30-10-670. Appeals process.

A. The Medicaid agency has established appeals procedures for NFs as specified in 42 CFR 431.153 and 431.154.

B. The state provides an appeals system that meets the requirements of Subpart E of 42 CFR Part 431, 42 CFR 483.15, Subpart E of 42 CFR Part 483, and 12VAC30-110-10 through 12VAC30-110-370 for residents who wish to appeal a notice of intent to transfer or discharge from a NF and for individuals adversely affected by the preadmission screening or annual resident review requirements of Subpart C of 42 CFR Part 483.

Statutory Authority

§ 32.1-325 of the Code of Virginia; 42 USC § 1396 et seq.

Historical Notes

Derived from VR460-01-76, eff. June 1, 1993; amended, Virginia Register Volume 34, Issue 1, eff. October 19, 2017.

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