DMAS submits intention to amend the Virginia State Plan for Medical Assistance
29 December 2011
On Dec. 13, the Virginia Department of Medical Assistance Services (DMAS) submitted its intention to amend the Virginia State Plan for Medical Assistance to provide for changes to the methods and standards for establishing payment rates—other types of care (12 VAC 30-80).
Subsection 12 VAC 30-80-30 of the Virginia state plan is being amended to increase supplemental payments for physician practices affiliated with Type 1 hospitals. DMAS intends to revise the percent of Medicare, which represents the average commercial rate, from 143 percent to 220 percent. Using the revised percent of Medicare will result in an increase in supplemental payments of approximately $21.8 million total funds.
This notice is intended to satisfy the requirements of 42 C.F.R. § 447.205 and of § 1902(a)(13) of the Social Security Act, 42 U.S.C. § 1396a(a)(13). To submit comments or request a copy of this notice, please contact William Lessard, provider reimbursement division, DMAS, at
william.lessard@dmas.virginia.gov or 804 | 225-4593.