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]
Average Commercial Rate for Physicians Affiliated with Type One Hospitals
Action 5623
[Withdrawn 9/29/2023]
General Information
Action Summary DMAS is required to recalculate the average commercial rate (ACR) every three years. The last ACR was dated April 1, 2017, and CMS required DMAS to submit a new ACR calculation effective April 1, 2020. DMAS submitted a state plan amendment (SPA) to CMS to make this change; the SPA was approved on July 31, 2020, with an effective date of April 1, 2020. This regulatory package will copy the SPA changes into the Virginia Administrative Code.
Chapters Affected Only affects this chapter.
Executive Branch Review This action will go through the normal Executive Branch Review process.
RIS Project Yes  [006533]
Associated Mandates Average Commercial Rate for Physicians Affiliated with Type One Hospital
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.