12VAC30-70-20: Standards applied to non-participants in Title XVIII programs
Where this section sits in the code
- Title 12. Health
- Agency 30. Department of Medical Assistance Services
- Chapter 70. Methods and Standards for Establishing Payment Rates; In-Patient Hospital Care
- Part I. Per Diem Methodology
For each hospital not participating in the Program under Title XVIII of the Act, the state agency will apply the standards and principles described in 42 CFR 447.250 and either (a) one of the available alternative cost apportionment methods in 42 CFR 447.250, or (b) the "Gross RCCAC method" of cost apportionment applied as follows: For a reporting period, the total allowable hospital inpatient charges; the resulting percentage is applied to the bill of each inpatient under the Medical Assistance Program.
Collected 2026-09-14T04:50:58Z. Source file · JSON