Statutes, codes, and regulations
Virginia Administrative Code
Title 12 - HEALTHAgency 30 - DEPARTMENT OF MEDICAL ASSISTANCE SERVICESChapter 70 - METHODS AND STANDARDS FOR ESTABLISHING PAYMENT RATES - INPATIENT HOSPITAL SERVICESPart V - Inpatient Hospital Payment System
Article 3 - Other Provisions for Payment of Inpatient Hospital Services
Section 12VAC30-70-430 - Medicare upper limit

12 Va. Admin. Code § 30-70-430

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Current through Register Vol. 41, No. 2, September 9, 2024
Section 12VAC30-70-430 - Medicare upper limit

For participating and nonparticipating facilities, the state agency will pay no more in the aggregate for inpatient hospital services than the amount it is estimated would be paid for the services under the Medicare principles of reimbursement, as set forth in 42 CFR 447.253(b)(2) or the lesser of reasonable cost or customary charges in 42 CFR 447.250.

12 Va. Admin. Code § 30-70-430

Derived from Virginia Register Volume 13, Issue 18, eff. July 1, 1997.

Statutory Authority

§ 32.1-325 of the Code of Virginia and Item 322 J of Chapter 912 of the 1996 Virginia Acts of Assembly.