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Virginia Department of Medical Assistance Services

Rate Setting

Inpatient Hospital Rates (DRG, Psych, Rehab)

  • Hospital Rates

    • Outpatient Facility Rates (Hospital, Rehab)

  • Outpatient Rates

    • Outpatient Rehab Agencies

    Background on Rehab Reimbursement Changes
  • Outpatient Rehab Agency Reimbursement and Ceilings (pdf)
  • Administrator/Owner Compensation Limits (pdf)

    • Physician

  • CPT Codes 10000 - 99999

  • Psychiatric Services

  • Anesthesia Reimbursement for Physicians

    • Dental

  • HCPC Codes D0000 - D9999

    • Lab & X-Ray

  • Lab CPT Codes 80000 - 89999
  • X-Ray CPT Codes 70000 - 79999

    • DME

  • DME Codes defined in Provider Manual
  • Rates in Procedure Fee File

    • Other Fee-For-Service (FFS)

  • Other FFS (HCPC or CPT Based Services)

    • Medicaid Reimbursement in Education

  • Medical and Administrative Reimbursment

    • Nursing Facilities

  • Nursing Facility Limits for Administrators, Medical Directors, and Management Fees

    •

    Nursing Facility Cost Ceilings and Cost Escalators

  • After June 2006
  • Prior to June 2006
  • RS Means Construction Cost Limits & FRV Values

    • Home and Community Based Care (HCBC) Waiver Services

  • Waiver Rates

    • Home Health

  • Rates
  • Revenue Code Fee Files

    • Hospice

  • Rates

    • Managed Care

  • Medallion II Rate Book 2010

  • FAMIS Rate Book 2010

  • PACE Rate Book 2010

  • Medallion II Rate Book 2009

  • Medallion II Rate Book 2008

  • Medallion II Rate Book 2007

  • FAMIS Rate Book 2009

  • FAMIS Rate Book 2008

  • FAMIS MOMS Rate Book 2009

  • FAMIS MOMS Rate Book 2008

  • PACE Rate Book 2009

  • PACE Rate Book 2008

    • Provider Reimbursement Studies

  • Mental Health Rate Study

  • Nursing Facility Pay for Performance Report