{"data":{"id":"us-va/12vac30-70-30","jurisdiction":"us-va","citation":"12VAC30-70-30","heading":"Limitations of Medical Assistance Program payment; Medicare reimbursement principles","body":"For either participating or nonparticipating facilities, the Medical Assistance Program will pay no more in the aggregate for inpatient hospital services that the amount it is estimated would be paid for the services under the Medicare principles of reimbursement, as set forth in 42 CFR 447.253(b)(2), and/or lesser of reasonable cost or customary charges in 42 CFR 447.250.","path":["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"],"source_url":"https://law.lis.virginia.gov/admincode/title12/agency30/chapter70/section30/","current_through":"2026 Regular Session (effective July 1, 2026)","vintage":"","retrieved_at":"2026-09-14T04:50:58Z","sha256":"7cdd50ce6e9f5f0e8f8a69de572eda33d80b66a59db7a0774a81670d41322012","source_id":"us-va-vac","stale":false,"prev":"us-va/12vac30-70-20","next":"us-va/12vac30-70-40"},"notice":"GroundRules: Original legal text. Not legal advice."}