Virginia Regulatory Town Hall
Department of Medical Assistance Services
Board of Medical Assistance Services
Amount, Duration, and Scope of Medical and Remedial Care and Services [12 VAC 30 ‑ 50]
Program of All-Inclusive Care for the Elderly
Action 5985
General Information
Action Summary This action updates the Medicaid capitation rate methodology to align with DMAS’ current PACE rate setting practices. DMAS has transitioned from fee-for-service data to managed care encounter data for development of the amount that would otherwise have been paid under the state plan for a comparable population. Rates are set at a percentage discount off of the amount that would otherwise been paid for the comparable population.
Chapters Affected Only affects this chapter.
Executive Branch Review This action will go through the normal Executive Branch Review process.
RIS Project Yes  [7183]
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
9669 Fast-Track Secretary of Health and Human Resources review in progress.
Contact Information
Name / Title: Meredith Lee  / Policy, Regulations, and Manuals Supervisor
Address: Division of Policy and Research
600 E. Broad Street, Suite 1300
Richmond, VA 23219
Email Address:
Phone: (804)371-0552    FAX: (804)786-1680    TDD: (800)343-0634