Agencies | Governor
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]
This action is exempt from the executive branch review process.
2019 Provider Reimbursement Changes
General Information
Action Summary This action contains several changes: 1) increase in reimbursement for critical access hospitals; 2) includes supplemental payments for graduate medical education; 3) increase in practitioner rates for adult primary care and emergency department services; 4) increase practitioner rates for psychiatric services; 5) increase in telehealth originating site facility fee; 6) modify rates for hospice services; 7) increase the rates for personal care in EPSDT.
Chapters Affected
  VAC Chapter Name Action Type
Primary 12 VAC 30-80 Methods and Standards for Establishing Payment Rate; Other Types of Care Amend Existing Regulation
Other chapters
  12 VAC 30 - 70 Methods and Standards for Establishing Payment Rates; in-Patient Hospital Care Amend Existing Regulation
Exempt from APA Yes, this action is exempt from Article 2 of the Administrative Process Act.
Exempt Citation: 2.2-4006 A 4 a.
RIS Project Yes  [006109]
Associated Mandates 2019 Reimbursement Changes
New Periodic Review This action will not be used to conduct a new periodic review.
Stages associated with this regulatory action.
Stage ID Stage Type Status
8729 Final Stage complete. This regulation became effective on 01/08/2020.
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.