12 Va. Admin. Code § 30-150-80 - Payments
A. Payments shall
be made only to providers that have contracted with DMAS in accordance with
12VAC30-150-70. No payments shall
be made directly to eligible individuals or applicants.
B. Payments are based on a global fee as
provided for in
12VAC30-150-70. Payments may be
made to more than one provider if it is determined that one global payment
cannot be made due to a provider's limitation to disburse funds to other
medical providers. An individual provider's payments shall be based upon that
provider's component of the global fee. DMAS may establish a schedule of
payments in the contract consistent with phases of the treatment plan. Payments
will be made to contracting providers upon the completion of the treatment or
phases of the treatment as specified in the contract.
C. Any committed funds not paid out by the
fund within one year from the date of the contract will revert back to the UMCF
and will be made available for other applicants. If a recipient dies during the
contract period, the UMCF is responsible for payment of that portion of the
treatment plan that has been completed. The remainder of the committed funds
revert back to the UMCF to be available for other applicants.
Notes
Statutory Authority
§§ 32.1-324 and 32.1-325 of the Code of Virginia.
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