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Virginia Regulatory Town Hall
Health and Human Resources
Department of Medical Assistance Services
Board of Medical Assistance Services
Mandate 1027

Mandate Information
Mandate Title:
2019 Reimbursement Changes
Purpose of legislation
This action contains several changes: 1) increase in reimbursement for critical access hospitals - 303.ZZZ; 2) includes supplemental payments for graduate medical education - 303.EEE; 3) increase in practitioner rates for adult primary care and emergency department services - 303.CCCC; 4) increase practitioner rates for psychiatric services - 303.DDDD; 5) increase in telehealth originating site facility fee - 303.XXX; 6) modify rates for hospice services - 303.WWW; 7) increase the rates for personal care in EPSDT - 303.NNN.
Legislation mandating a change
Budget item mandating a change Item 303 (2019)
VAC chapters to be amended
12 vac 30 - 70 : Methods and Standards for Establishing Payment Rates; in-Patient Hospital Care
12 vac 30 - 80 : Methods and Standards for Establishing Payment Rate; Other Types of Care
Associated Regulatory Actions
Action 5366: 2019 Provider Reimbursement Changes
Latest Stage: no stages yet
Deadline for the regulation to become effective 2/1/2019
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