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Virginia regulations · Through 2026 Regular Session (effective July 1, 2026)

12VAC30-50-95: Reimbursement of services; in general

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Where this section sits in the code
  1. Title 12. Health
  2. Agency 30. Department of Medical Assistance Services
  3. Chapter 50. Amount, Duration, and Scope of Medical and Remedial Care Services
  4. Part II. Ambulatory Services; Medically Needy

The provision of the following medically necessary services cannot be reimbursed except when they are ordered or prescribed, and directed or performed within the scope of the license of a practitioner of the healing arts: laboratory and x-ray services, family planning services, and home health services. Physical therapy services will be reimbursed only when prescribed by a physician. Inpatient acute hospitalizations will be reimbursed only if the stay has been authorized.

Collected 2026-09-14T04:50:55Z. Source file · JSON

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