GroundRules
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- 12VAC30-10-631 · Standards for payment for nursing facility and intermediate care facility for individuals with intellectual disabilities services
- 12VAC30-10-640 · Program for licensing administrators of nursing homes
- 12VAC30-10-650 · Drug Utilization Review Program
- 12VAC30-10-660 · Disclosure of survey information and provider or contractor evaluation
- 12VAC30-10-670 · Appeals process
- 12VAC30-10-680 · Conflict of interest provisions
- 12VAC30-10-690 · Exclusion of providers and suspension of practitioners and other individuals
- 12VAC30-10-700 · Disclosure of information by providers and fiscal agents
- 12VAC30-10-710 · Income and eligibility verification system
- 12VAC30-10-720 · Medicaid eligibility cards for homeless individuals
- 12VAC30-10-730 · Systematic alien verification for entitlements
- 12VAC30-10-751 · Enforcement of compliance for nursing facilities
- 12VAC30-10-760 · Pharmacy services rebate agreement terms
- 12VAC30-10-770 · Required coordination between the Medicaid and WIC Programs
- 12VAC30-10-780 · Nurse aide training and competency evaluation for nursing facilities
- 12VAC30-10-790 · Preadmission screening and annual resident review in nursing facilities
- 12VAC30-10-800 · Survey and certification process
- 12VAC30-10-810 · Resident assessment for nursing facilities
- 12VAC30-10-815 · Cooperation with Medicaid Integrity Program efforts
- 12VAC30-10-820 · Employee education about false claims recoveries
- 12VAC30-10-850 · Standards of personnel administration
- 12VAC30-10-860 · [Reserved]
- 12VAC30-10-870 · Training programs; subprofessional and volunteer programs
- 12VAC30-10-880 · [Reserved]
- 12VAC30-10-900 · Fiscal policies and administration
- 12VAC30-10-910 · Cost allocation
- 12VAC30-10-920 · State financial participation
- 12VAC30-10-930 · Hospital credit balance reporting
- 12VAC30-10-940 · [Reserved]
- 12VAC30-10-960 · Plan amendments
- 12VAC30-10-970 · Nondiscrimination
- 12VAC30-10-990 · State Governor's review
- 12VAC30-10-1000 · General provider appeals
- 12VAC30-20-10 · Attorney General's certification
- 12VAC30-20-60 · Definition of Medicaid state plan health maintenance organizations (HMOs)
- 12VAC30-20-80 · Coordination of Title XIX with Part A and Part B of Title XVIII
- 12VAC30-20-90 · Confidentiality and disclosure of information concerning Medicaid applicants and recipients
- 12VAC30-20-100 · Standards governing general and special hospitals and convalescent and nursing homes
- 12VAC30-20-110 · Nursing facility resident drug utilization review
- 12VAC30-20-120 · Cooperative arrangements with the state vocational rehabilitation agency and with Title V programs and grantees
- 12VAC30-20-130 · Lien recoveries
- 12VAC30-20-141 · Estate recoveries
- 12VAC30-20-150 · Copayments and deductibles for categorically needy and QMBs for services other than under 42 CFR 447.53
- 12VAC30-20-160 · Copayments and deductibles for medically needy and QMBs for services other than under 42 CFR 447.53
- 12VAC30-20-170 · Basis of payment for reserving beds during a recipient's absence from an inpatient facility
- 12VAC30-20-180 · Definition of a claim by service
- 12VAC30-20-190 · Requirements for third party liability; identifying liable resources
- 12VAC30-20-200 · Requirements for third party liability; payment of claims
- 12VAC30-20-205 · Health Insurance Premium Payment for Kids
- 12VAC30-20-210 · State method on cost effectiveness of qualified employer-sponsored insurance plans
- 12VAC30-20-215 · Sanctions for psychiatric hospitals
- 12VAC30-20-220 · Income and eligibility verification system procedures; requests to other state agencies
- 12VAC30-20-230 · Method for issuance of medicaid eligibility cards to homeless individuals
- 12VAC30-20-240 · Requirements for advance directives under state plans for medical assistance
- 12VAC30-20-251 · Termination of provider agreement
- 12VAC30-20-252 · Temporary management
- 12VAC30-20-253 · Denial of payment for new admissions
- 12VAC30-20-254 · Civil money penalty
- 12VAC30-20-255 · State monitoring
- 12VAC30-20-256 · Transfer of residents; transfer of residents with closure of facility
- 12VAC30-20-257 · Required plan of correction
- 12VAC30-20-258 · Appeals
- 12VAC30-20-259 · Repeated substandard quality of care
- 12VAC30-20-260 · Definition of specialized services
- 12VAC30-20-270 · Categorical determinations
- 12VAC30-20-272 · Survey and certification education program
- 12VAC30-20-274 · Process for the investigation of allegations of resident neglect and abuse and misappropriation of resident property
- 12VAC30-20-275 · Procedures for scheduling and conduct of standards surveys
- 12VAC30-20-277 · Programs to measure and reduce inconsistency
- 12VAC30-20-278 · Process for investigations of complaints and monitoring
- 12VAC30-20-280 · Methods of administration; civil rights
- 12VAC30-20-290 · [Reserved]
- 12VAC30-20-500 · Definitions
- 12VAC30-20-510 · [Reserved]
- 12VAC30-20-520 · Provider appeals: general provisions
- 12VAC30-20-530 · [Reserved]
- 12VAC30-20-540 · Informal appeals
- 12VAC30-20-550 · Settlement agreements
- 12VAC30-20-560 · Formal appeals
- 12VAC30-20-570 · Reconsideration of final agency decision
- 12VAC30-30-5 · Definitions
- 12VAC30-30-10 · Mandatory coverage: categorically needy and other required special groups
- 12VAC30-30-20 · Optional groups other than the medically needy
- 12VAC30-30-30 · Optional coverage of the medically needy
- 12VAC30-30-40 · Reasonable classifications of individuals younger than age of 21, 20, 19, or 18 years
- 12VAC30-30-50 · More restrictive categorical eligibility criteria
- 12VAC30-30-60 · Requirements relating to determining eligibility for Medicare Prescription Drug Low-Income Subsidy
- 12VAC30-30-70 · Hospital presumptive eligibility
- 12VAC30-40-10 · General conditions of eligibility
- 12VAC30-40-20 · Post-eligibility treatment of institutionalized individuals
- 12VAC30-40-30 · Maintenance needs of non-institutionalized spouse
- 12VAC30-40-40 · Children
- 12VAC30-40-50 · Medical expenses
- 12VAC30-40-60 · Maintenance of residence
- 12VAC30-40-70 · SSI benefits
- 12VAC30-40-80 · Maintenance standards
- 12VAC30-40-90 · Income and resource levels and methods
- 12VAC30-40-100 · Methods of determining income
- 12VAC30-40-105 · Financial eligibility
- 12VAC30-40-110 · Medicaid qualifying trusts