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Virginia Administrative Code
Title 12. Health
Agency 30. Department of Medical Assistance Services
Chapter 100. State Programs
12/31/2024

12VAC30-100-120. Inpatient hospital reimbursement rate.

The inpatient hospital reimbursement rate shall be consistent with the Medicaid inpatient rate methodology. However, no disproportionate share or medical education adjustment for SLH inpatient hospital reimbursement shall be provided. For the two-year DRG phase-in period beginning July 1, 1996, the daily inpatient hospital reimbursement rate shall be the same as that per diem rate established and in effect on July 1 of each year by DMAS for the specific hospital established by § 32.1-346 B 2 of the Code of Virginia. Inpatient hospital reimbursement rates for SLH services shall not be subject to readjustment through the year-end cost reporting process.

The department shall delay implementation of the Diagnosis Related Groups reimbursement methodology for inpatient hospital services provided under this program until July 1, 1999. Until that time, the daily inpatient hospital reimbursement rate shall be the same as the per diem rate established by the department and in effect on June 30, 1998.

Statutory Authority

§ 32.1-325 of the Code of Virginia and Item 338 C of Chapter 464 of the 1998 Acts of Assembly.

Historical Notes

Derived from VR460-05-1000.0000 § 3.3, eff. May 1, 1994; amended Virginia Register Volume 12, Issue 18, eff. July 1, 1996; Volume 14, Issue 18, eff. July 1, 1998.

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