Virginia Administrative Code
Title 12 - HEALTH
Agency 30 - DEPARTMENT OF MEDICAL ASSISTANCE SERVICES
Chapter 70 - METHODS AND STANDARDS FOR ESTABLISHING PAYMENT RATES - INPATIENT HOSPITAL SERVICES
Part V - Inpatient Hospital Payment System
Article 2 - Prospective (DRG-Based) Payment Methodology
- Section 12VAC30-70-221 - General
- Section 12VAC30-70-230
- Section 12VAC30-70-231 - Operating payment for DRG cases
- Section 12VAC30-70-240
- Section 12VAC30-70-241 - Operating payment for per diem cases
- Section 12VAC30-70-250
- Section 12VAC30-70-251 - Operating payment for transfer cases
- Section 12VAC30-70-260
- Section 12VAC30-70-261 - Outlier operating payment
- Section 12VAC30-70-270
- Section 12VAC30-70-271 - Payment for capital costs
- Section 12VAC30-70-280
- Section 12VAC30-70-281 - Payment for direct medical education costs of nursing schools, paramedical programs, and graduate medical education for interns and residents
- Section 12VAC30-70-290
- Section 12VAC30-70-291 - Payment for indirect medical education costs
- Section 12VAC30-70-300
- Section 12VAC30-70-301 - Payment to disproportionate share hospitals
- Section 12VAC30-70-310
- Section 12VAC30-70-311 - Hospital specific operating rate per case
- Section 12VAC30-70-320
- Section 12VAC30-70-321 - Hospital specific operating rate per day
- Section 12VAC30-70-330
- Section 12VAC30-70-331 - Statewide operating rate per case
- Section 12VAC30-70-340
- Section 12VAC30-70-341 - Statewide operating rate per day
- Section 12VAC30-70-350
- Section 12VAC30-70-351 - Updating rates for inflation
- Section 12VAC30-70-360
- Section 12VAC30-70-361 - Base year standardized operating costs per case
- Section 12VAC30-70-370
- Section 12VAC30-70-371 - Base year standardized operating costs per day
- Section 12VAC30-70-380
- Section 12VAC30-70-381 - DRG relative weights and hospital case-mix indices
- Section 12VAC30-70-390
- Section 12VAC30-70-391 - Recalibration and rebasing policy
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