Notice is hereby given that the Department of Medical Assistance Services (DMAS), contingent upon a signed 2006 Appropriations Act, intends to:  1. Set the inpatient hospital adjustment factor for private hospitals at a rate set by the 2006 Appropriations Act; 2. Adjust certain factors regarding direct and indirect care reimbursement ceilings for nursing facilities, as directed by the 2006 Appropriations Act; and 3. Adjust the limits for nursing facility administrator salaries, medical director salaries limits and management fees, as directed by the 2006 Appropriations Act.  These changes are being made pursuant to the Department’s authority under Title XIX of the Social Security Act. 

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, Acting Director, 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.