Administrative Code

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Virginia Administrative Code
Title 12. Health
Agency 30. Department of Medical Assistance Services
1/27/2020

Chapter 121. Commonwealth Coordinated Care ProgramRead Chapter

Section 10
Commonwealth Coordinated Care program authority
Section 20
Definitions
Section 30
Selected localities
Section 40
Eligible enrollees
Section 45
Individuals excluded from enrollment
Section 50
Enrollment process
Section 60
[Reserved]
Section 70
Covered services
Section 73
Level of care determinations
Section 75
Plans of care
Section 78
Interdisciplinary care team
Section 80
Requirements for care coordination
Section 83
Carved out services
Section 85
Flexible benefits
Section 90
Capitation payment rates
Section 100
[Reserved]
Section 110
Cost sharing requirements
Section 120
[Reserved]
Section 130
Access standards
Section 140
Medicare-Medicaid plans having low performance
Section 145
Sanctions for noncompliance
Section 150
Continuity of care
Section 160
[Reserved]
Section 170
Model of care
Section 180
[Reserved]
Section 190
State fair hearing process
Section 195
Appeal timeframes
Section 200
Prehearing decisions
Section 210
Hearing process and final decision
Section 220
Division appeal records
Section 230
Provider appeals
Section 240
[Reserved]
Section 250
Marketing and enrollee communication standards for participating plans
FORMS
FORMS (12VAC30-121)
DIBR
DOCUMENTS INCORPORATED BY REFERENCE (12VAC30-121)

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