Rates and Rate Setting

Rates and Rate Setting Information for Medicaid Reimbursement

Procedure Fee Files & CPT Codes

Procedure Fee Audit Trail information and CPT, HCPC, Dental Procedure, and Revenue Codes.

Graduate Medical Education

DMAS has partnered with Virginia Health Workforce Development Authority (VHWDA) to oversee the Graduate Medical Education (GME) program.

Hospital Rates

Current and historical hospital rate information

Lump Sum Reimbursement

Current and historical Lump Sum Reimbursement information

Managed Care Capitation

Managed Care Capitation information for Cardinal Care, CCCPlus, Medallion, Pace and FAMIS

Nursing Facilities

Reporting, Wage Survey, and Reimbursement rate information

Outpatient EAPG

Enhanced Ambulatory Patient Group information

CPT & HCPC Procedure Codes

Professional/Physician, Dental & DME

Institutional

Hospitals

Ambulatory Surgical Centers

Rehab Agencies

Behavioral Health

PRTF/ARTS

Home Health

Hospice

Pharmacy

Transportation

School Services