COMMONWEALTH OF VIRGINIA
DEPARTMENT OF MEDICAL ASSISTANCE SERVICES
NOTICE OF INTENT TO AMEND
(Pursuant to §1902(a)(13) of the Act (U.S.C. 1396a(a)(13))
THE VIRGINIA STATE PLAN FOR MEDICAL ASSISTANCE
The Virginia Department of Medical Assistance Services (DMAS) hereby affords the public notice of its intention to amend the Virginia State Plan for Medical Assistance to provide for changes to the Amount, Duration, and Scope of Medical and Remedial Care Services (12 VAC 30-50); Methods and Standards for Establishing Payment Rates—Inpatient Hospital Services (12 VAC 30-70); Methods and Standards for Establishing Payment Rates—Other Types of Care (12 VAC 30-80); and Methods and Standards for Establishing Payment Rates—Long Term Care (12 VAC 30-90). The Department published a notice on the Town Hall on June 11 for publication in the Virginia Register June 30 regarding a number of changes in reimbursement methodology effective July 1, 2014, pursuant to Item 301 of the 2014 Appropriation Act. Based on the final budget approved on June 21, 2014, the Department is amending the June 11th notice to eliminate two of the actions described in the published notice. Citations are to state regulations that correspond to the State Plan. Estimated impact on providers in FY15 compared to the impact in the earlier notice is included.
Reimbursement Changes Affecting Other Providers (12 VAC 30-80) Rescinded
Update No. 1: An effective date change shall not be made in the fee schedule corresponding to a change in the billing unit for mental health support services from a block of time to 15-minute increments (12VAC30-50-226).
Update No. 2: 12 VAC 30-80-30 shall not be amended to:
Increase supplemental payments for freestanding children’s hospitals with more than 50 percent Medicaid inpatient utilization.
This notice is intended to satisfy the requirements of 42 C.F.R. § 447.205 and of § 1902(a)(13) of the Social Security Act, 42 U.S.C. § 1396a(a)(13). A copy of this notice is available for public review from William Lessard, Provider Reimbursement Division, DMAS, 600 Broad Street, Suite 1300, Richmond, VA 23219, and this notice is available for public review on the Regulatory Town Hall (www.townhall.com). Comments or inquiries may be submitted, in writing, within 30 days of this notice publication to Mr. Lessard and such comments are available for review at the same address.