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Virginia Department of Medical Assistance Services

Rate Setting

Inpatient Hospital Rates (DRG, Psych, Rehab)

  • Hospital Rates

  • Outpatient Facility Rates (Hospital, Ambulatory Surgery Center)

  • Outpatient Rates
  • Ambulatory Surgery Center

  • Outpatient Rehab Agencies

    Background on Rehab Reimbursement Changes
  • Outpatient Rehab Fee Schedule (pdf)
  • Physician

  • CPT Codes 10000 - 99999

  • Psychiatric Services

  • Anesthesia Reimbursement for Physicians

  • Dental

  • HCPC Codes D0000 - D9999

  • Lab & X-Ray

  • Lab CPT Codes 80000 - 89999
  • X-Ray CPT Codes 70000 - 79999
  • DME

  • DME Codes defined in Provider Manual
  • Rates in Procedure Fee File
  • Other Fee-For-Service (FFS)

  • Other FFS (HCPC or CPT Based Services)

  • Community Mental Health and Substance Abuse Services

  • Medicaid Reimbursement in Education

  • Medical and Administrative Reimbursment

  • Nursing Facilities

  • MDS 3.0 Guidance Document

  • Nursing Facility Pay for Performance Report

  • Nursing Facility Limits for Administrators, Medical Directors, and Management Fees

  • Nursing Facility Cost Ceilings and Cost Escalators

  • July 2008 through June 2012
  • Prior to June 2008
  • RS Means Construction Cost Limits & FRV Values
  • Home and Community Based Care (HCBC) Waiver Services

  • Waiver Rates
  • NOVA Localities
  • Home Health

  • Rates
  • NOVA Localities
  • Revenue Code Fee Files
  • Hospice

  • Rates

  • Managed Care

  • Medallion II Ratebook 2012

  • FAMIS Ratebook 2012

  • PACE Ratebook 2012

  • Medallion II Ratebook 2011 (Revised October 1, 2010)

  • FAMIS Ratebook 2011 (Revised October 1, 2010)

  • PACE Ratebook 2011 (Revised October 1, 2010)

  • Medallion II Rate Book 2011

  • FAMIS Rate Book 2011

  • PACE Rate Book 2011

  • Medallion II Rate Book 2010

  • FAMIS Rate Book 2010

  • PACE Rate Book 2010

  • Medallion II Rate Book 2009

  • FAMIS Rate Book 2009

  • FAMIS MOMS Rate Book 2009

  • PACE Rate Book 2009