Emergency Text
16VAC30-50-150. Rule 14. Definition of community.
For the purpose of § 65.2-605 of the Code of Virginia, the
word "community" shall mean one or more planning districts as set
forth below. groups of three-digit Virginia zip codes as follows:
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Whenever an employee receives treatment outside of the
Commonwealth, the commission will determine the appropriate community in the
state or territory where the treatment is rendered upon application of either the
employee, employer (or its representative), or medical provider.
When the commission deems appropriate, it may consider
additional data to determine the prevailing community rate.
COMMUNITY |
THREE-DIGIT ZIP CODES |
1 Northern |
201, 220, 221, 222, 223 |
2 Northwest |
224, 225, 226, 227, 228, 229, 244 |
3 Central |
230, 231, 232, 238, 239 |
4 Eastern |
233, 234, 235, 236, 237 |
5 Southwest |
240, 241, 242, 243, 244, 245, 246 |
Pursuant to subsection G of § 65.2-605.1 of the Code of the Virginia, the community applicable to services rendered by a health care provider outside of the Commonwealth of Virginia shall be deemed to be that associated with the principal place of business of the employer if located in the Commonwealth of Virginia, or if no such location exists, then that associated with the location where the commission hearing regarding a dispute involving those services is conducted.
The commission may consider additional data to determine the prevailing community rate when appropriate.