LEGAL NOTICE

COMMONWEALTH OF VIRGINIA

DEPARTMENT OF MEDICAL ASSISTANCE SERVICES

NOTICE OF INTENT TO AMEND

(Pursuant to §1902(a)(13) of the Act (U.S.C. 1396a(a)(13))

THE VIRGINIA STATE PLAN FOR MEDICAL ASSISTANCE

The Virginia Department of Medical Assistance Services (DMAS) hereby affords the public notice of its intention to amend the Virginia State Plan for Medical Assistance to provide for changes to the Methods and Standards for Establishing Payment Rates—Other Types of Care (12 VAC 30-80).  Chapter 80 is being amended to increase rates for Medicaid primary care services furnished by eligible physicians in calendar years 2013 and 2014 as directed by the Affordable Care Act.  Qualifying physicians are Medicaid participating physicians who attest to being primary care physicians. DMAS intends to make supplemental payments to qualifying physicians equal to the Medicare rates specified in federal regulations.  DMAS estimates the rate increase will expend $35.3 million in federal funds in state fiscal year 2013 and $73.3 million in federal funds in state fiscal year 2014.

 This notice is intended to satisfy the requirements of 42 C.F.R. 
§ 447.205 and of § 1902(a)(13) of the Social Security Act, 42 U.S.C. § 1396a(a)(13).  A copy of this notice is available for public review from William Lessard, Provider Reimbursement Division, DMAS, 600 Broad Street, Suite 1300, Richmond, VA  23219, and this notice is available for public review on the Regulatory Town Hall (www.townhall.com).  Comments or inquiries may be submitted, in writing, within 30 days of this notice publication to Mr. Lessard and such comments are available for review at the same address.