Virginia Regulatory Town Hall
Department of Medical Assistance Services
Board of Medical Assistance Services
Methods and Standards for Establishing Payment Rate; Other Types of Care [12 VAC 30 ‑ 80]
2016 Non-Instituional Provider Reimbursement
Action 4875
[Withdrawn 8/8/2017]
General Information
Action Summary 1.) The first set of changes will: a. Eliminate existing regulations at 12 VAC 30-80-30(A)(1) related to limitations for emergency physician services; b. Amend existing regulations at 12 VAC 30-80-30(A)(17)(b) to include information regarding how supplemental payments are calculated for Children’s Hospital of the King’s Daughters effective July 1, 2015; c. Add a new section with language at 12 VAC 30-50-30(A)(18.1)regarding supplemental payments for services provided by physicians at freestanding children’s hospitals serving children in Planning District 8 (Children’s National Health System); d. Add a new section with language at 12 VAC 30-80-30(A)(21) implementing supplemental payments to state- owned or operated clinics. 2.) The second change adds additional language at 12 VAC 30-80-36(B)(4)(a) regarding the inflation adjustment to base year outpatient hospital costs. 3.) In addition, DMAS is making minor technical changes to incorporate into regulations language that CMS has approved in State Plan amendments.
Chapters Affected Only affects this chapter.
Executive Branch Review This action will go through the normal Executive Branch Review process.
RIS Project Yes  [005136]
New Periodic Review This action will not be used to conduct a new periodic review.
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Contact Information
Name / Title: Emily McClellan   / Regulatory Supervisor
Address: 600 E. Broad Street
Suite 1300
Richmond, VA 23219
Email Address:
Phone: (804)371-4300    FAX: (804)786-1680    TDD: ()-

This person is the primary contact for this chapter.