{"data":{"id":"us-va/12vac30-70-418","jurisdiction":"us-va","citation":"12VAC30-70-418","heading":"Reimbursement for residential and inpatient substance use treatment services","body":"A. The following substance use disorder treatment services for adults and adolescents are provided in a residential or inpatient setting: (i) clinically managed population-specific high intensity residential service (ASAM Level 3.3); (ii) clinically managed high intensity residential services (adult) and clinically managed medium intensity residential services (adolescent) (ASAM Level 3.5); (iii) medically monitored intensive inpatient services (adult) and medically monitored high intensity inpatient services (adolescent) (ASAM Level 3.7); and (iv) medically managed intensive inpatient services (ASAM Level 4.0).\n\nB. If one of the services in subsection A of this section is furnished to an individual in a freestanding psychiatric hospital or inpatient psychiatric unit of an acute care hospital, reimbursement shall be based on the hospital reimbursement described in 12VAC30-70-241 and the reimbursement of services provided under the arrangement described in 12VAC30-80.\n\nC. If one of the services in subsection A of this section is furnished to an individual in an appropriately licensed residential setting, reimbursement shall be based on the psychiatric residential treatment facility (Level C) reimbursement described in 12VAC30-70-417.","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 V. Inpatient Hospital Payment System","Article 3. Other Provisions for Payment of Inpatient Hospital Services"],"source_url":"https://law.lis.virginia.gov/admincode/title12/agency30/chapter70/section418/","current_through":"2026 Regular Session (effective July 1, 2026)","vintage":"","retrieved_at":"2026-09-14T04:50:59Z","sha256":"205ac461a4f1971020dacf1f9ca05d5d877281c087e09337fada0b1ba4b6d096","source_id":"us-va-vac","stale":false,"prev":"us-va/12vac30-70-417","next":"us-va/12vac30-70-420"},"notice":"GroundRules: Original legal text. Not legal advice."}