12 Va. Admin. Code § 30-50-325 - Rates and payments

Current through Register Vol. 38, No. 9, December 20, 2021

A. The Commonwealth assures that the capitated rates will be equal to or less than the cost to the agency of providing those same fee-for-service State Plan approved services on a fee-for-service basis, to an equivalent nonenrolled population group based upon the following methodology rates are set at a percent of fee-for-service costs. Rates are set at a percentage of fee-for-service costs.
B. The State Medicaid Agency assures that the rates were set in a reasonable and predictable manner.
C. The Commonwealth will submit all capitated rates to the Centers for Medicare and Medicaid Services (CMS) regional office for prior approval.


12 Va. Admin. Code § 30-50-325
Derived from Virginia Register Volume 23, Issue 16, eff. July 1, 2007.

Statutory Authority

§§ 32.1-324 and 32.1-325 of the Code of Virginia.

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