Administrative Code

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Virginia Administrative Code
Title 12. Health
Agency 30. Department of Medical Assistance Services
Chapter 150. Uninsured Medical Catastrophe Fund

12VAC30-150-80. Payments.

A. Payments shall be made only to providers that have contracted with DMAS in accordance with 12VAC30-150-70. No payments shall be made directly to eligible individuals or applicants.

B. Payments are based on a global fee as provided for in 12VAC30-150-70. Payments may be made to more than one provider if it is determined that one global payment cannot be made due to a provider's limitation to disburse funds to other medical providers. An individual provider's payments shall be based upon that provider's component of the global fee. DMAS may establish a schedule of payments in the contract consistent with phases of the treatment plan. Payments will be made to contracting providers upon the completion of the treatment or phases of the treatment as specified in the contract.

C. Any committed funds not paid out by the fund within one year from the date of the contract will revert back to the UMCF and will be made available for other applicants. If a recipient dies during the contract period, the UMCF is responsible for payment of that portion of the treatment plan that has been completed. The remainder of the committed funds revert back to the UMCF to be available for other applicants.

Statutory Authority

§§ 32.1-324 and 32.1-325 of the Code of Virginia.

Historical Notes

Derived from Virginia Register Volume 18, Issue 17, eff. June 6, 2002; amended, Virginia Register Volume 22, Issue 25, eff. November 6, 2006.

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