GroundRules
12VAC30-90-136: Elements of capital payment methodology not subject to appeal
Where this section sits in the code
- Title 12. Health
- Agency 30. Department of Medical Assistance Services
- Chapter 90. Methods and Standards for Establishing Payment Rates for Long-Term Care
- Part II. Nursing Home Payment System Subpart I General
- Article 11. Audits
Subpart III
Appeals
Elements of the capital payment methodology that shall not be subject to appeal shall be:
1. The definitions provided in Article 3 (12VAC30-90-35 et seq.) of Subpart II of this chapter, and the application of those definitions to the FRV rate calculation.
2. The transition policy described in 12VAC30-90-29.
3. The formula for determining the FRV per diem rate described in Article 3 of Subpart II of this chapter.
4. The calculation of the FRV rental amount described in Article 3 of Subpart II of this chapter.
5. The exclusion of certain beds from the transition policy as provided in Article 3 of Subpart II of this chapter.
Collected 2026-09-14T04:51:01Z. Source file · JSON