Virginia Regulatory Town Hall
secretary
Health and Human Resources
Agency
Department of Medical Assistance Services
Board
Board of Medical Assistance Services
Mandate 6

Mandate Information
Mandate Title:
Reduce Outpatient Hospital Reimbursement Rates
Purpose of legislation
325 KKK requires DMAS to reduce reimbursement rates for outpatient hospitals from 95% to 80% of allowable costs.
Legislation mandating a change
Budget item mandating a change Item 325 (2003)
VAC chapters to be amended
12 vac 30 - 80 : Methods and Standards for Establishing Payment Rate; Other Types of Care
Associated Regulatory Actions
Action 1288: Limit Outpatient Hosp Reimbursement to 80% of Allowable Cost; Establish Prospective Reimbursement for Rehab Agencies
Latest Stage: Final
Deadline for the regulation to become effective 7/1/2003
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