Agencies | Governor
Virginia Regulatory Town Hall
Agency
Department of Medical Assistance Services
Board
Board of Medical Assistance Services
chapter
Methods and Standards for Establishing Payment Rates; in-Patient Hospital Care [12 VAC 30 ‑ 70]
Action:
All Patient-Refined DRG Payment Methodology
 
General Information
Action Summary This regulation replaces the All Patient Diagnosis-Related Group (AP-DRG) classification system with the All Patient Refined Diagnosis-Related Group (APR-DRG) system for inpatient hospital operating reimbursement. Effective October 1, 2014, the new grouper described in the regulatory action shall replace the existing DRG classification system. This action shall also update reimbursement for non cost-reporting hospitals.
Chapters Affected Only affects this chapter.
Exempt from APA No, this action is subject to the Administrative Process Act and the standard executive branch review process.
RIS Project Yes  [004280]
Associated Mandates Implement APR-DRG Reimbursement Methodology
Note This action is not intended to satisfy the requirement that an entire regulation be reviewed every 4 years.
 
Stages
Stages associated with this regulatory action.
Stage ID Stage Type Status
7161 Fast-Track Stage complete. This regulation became effective on 2/25/2016.
 
Contact Information
Name / Title: Emily McClellan  / Regulatory Supervisor
Address: Policy Division, DMAS
600 E. Broad Street, Suite 1300
Richmond, VA 23219
Email Address: Emily.McClellan@DMAS.Virginia.gov
Phone: (804)371-4300    FAX: (804)786-1680    TDD: ()-

This person is the primary contact for this chapter.