Virginia Regulatory Town Hall
Department of Medical Assistance Services
Board of Medical Assistance Services
Methods and Standards for Establishing Payment Rate; Other Types of Care [12 VAC 30 ‑ 80]
Enhanced Ambulatory Patient Group Out Patient Hospital Reimbursement Methodology
Action 4039
General Information
Action Summary This action is to implement a prospective payment methodology for outpatient hospital services and to maintain reimbursement of drug rebates for outpatient hosptial services.
Chapters Affected Only affects this chapter.
Executive Branch Review This action will go through the normal Executive Branch Review process.
RIS Project Yes  [003799]
Associated Mandates Update EAPG rates for outpatient hospital services.
New Periodic Review This action will not be used to conduct a new periodic review.
Stages associated with this regulatory action.
Stage ID Stage Type Status
6686 Emergency/NOIRA Stage complete. Emergency regulation superseded by final permanent regulation.
6866 Proposed Stage complete. Comment period ended 02/27/2015.
7175 Final Stage complete. This regulation became effective on 08/10/2016.
Contact Information
Name / Title: Emily McClellan   / Regulatory Supervisor
Address: 600 E. Broad Street
Suite 1300
Richmond, VA 23219
Email Address:
Phone: (804)371-4300    FAX: (804)786-1680    TDD: ()-

This person is the primary contact for this chapter.