Administrative Code

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Virginia Administrative Code
Title 12. Health
Agency 30. Department of Medical Assistance Services
9/27/2020

Chapter 20. Administration of Medical Assistance ServicesRead Chapter

Section 10
Attorney General's certification
Section 20
[Repealed]
Section 60
Definition of Medicaid state plan health maintenance organizations (HMOs)
Section 70
[Repealed]
Section 80
Coordination of Title XIX with Part a and Part B of Title XVIII
Section 90
Confidentiality and disclosure of information concerning Medicaid applicants and recipients
Section 100
Standards governing general and special hospitals and convalescent and nursing homes
Section 110
Nursing facility resident drug utilization review
Section 120
Cooperative arrangements with the state vocational rehabilitation agency and with Title V programs and grantees
Section 130
Lien recoveries
Section 140
[Repealed]
Section 141
Estate recoveries
Section 150
Copayments and deductibles for categorically needy and QMBs for services other than under 42 CFR 447.53
Section 160
Copayments and deductibles for medically needy and QMBs for services other than under 42 CFR 447.53
Section 170
Basis of payment for reserving beds during a recipient's absence from an inpatient facility
Section 180
Definition of a claim by service
Section 190
Requirements for third party liability; identifying liable resources
Section 200
Requirements for third party liability; payment of claims
Section 205
Health Insurance Premium Payment (HIPP) for Kids
Section 210
State method on cost effectiveness of employer-based group health plans
Section 215
Sanctions for psychiatric hospitals
Section 220
Income and eligibility verification system procedures; requests to other state agencies
Section 230
Method for issuance of medicaid eligibility cards to homeless individuals
Section 240
Requirements for advance directives under state plans for medical assistance
Section 249
[Repealed]
Section 251
Termination of provider agreement
Section 252
Temporary management
Section 253
Denial of payment for new admissions
Section 254
Civil money penalty
Section 255
State monitoring
Section 256
Transfer of residents; transfer of residents with closure of facility
Section 257
Required plan of correction
Section 258
Appeals
Section 259
Repeated substandard quality of care
Section 260
Definition of specialized services
Section 270
Categorical determinations
Section 272
Survey and certification education program
Section 274
Process for the investigation of allegations of resident neglect and abuse and misappropriation of resident property
Section 275
Procedures for scheduling and conduct of standards surveys
Section 277
Programs to measure and reduce inconsistency
Section 278
Process for investigations of complaints and monitoring
Section 280
Methods of administration; civil rights
Section 290
[Reserved]
Section 500
Definitions
Section 510
[Reserved]
Section 520
Provider appeals: general provisions
Section 530
[Reserved]
Section 540
Informal appeals
Section 550
[Reserved]
Section 560
Formal appeals
Section 570
Reconsideration of final agency decision
FORMS
FORMS (12VAC30-20)

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