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Table of Contents » Title 12. Health » Agency 30. Department of Medical Assistance Services » Chapter 90. Methods and Standards for Establishing Payment Rates for Long-Term Care » Part II. Nursing Home Payment System
Subpart I
General » Article 11. Audits » 12VAC30-90-136. Elements of capital payment methodology not subject to appeal.

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Virginia Administrative Code
Title 12. Health
Agency 30. Department of Medical Assistance Services
Chapter 90. Methods and Standards for Establishing Payment Rates for Long-Term Care

11/21/2024

12VAC30-90-136. Elements of capital payment methodology not subject to appeal.

Subpart III
Appeals

Elements of the capital payment methodology that shall not be subject to appeal shall be:

1. The definitions provided in Article 3 (12VAC30-90-35 et seq.) of Subpart II of this chapter, and the application of those definitions to the FRV rate calculation.

2. The transition policy described in 12VAC30-90-29.

3. The formula for determining the FRV per diem rate described in Article 3 of Subpart II of this chapter.

4. The calculation of the FRV rental amount described in Article 3 of Subpart II of this chapter.

5. The exclusion of certain beds from the transition policy as provided in Article 3 of Subpart II of this chapter.

Statutory Authority

§ 32.1-325 of the Code of Virginia and Item 319 (II) of Chapter 1073 of the 2000 Acts of Assembly.

Historical Notes

Derived from Virginia Register Volume 17, Issue 18, eff. July 1, 2001.

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