Inpatient Hospital Payment System | Midpage

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Virginia Administrative Code

Part V

Inpatient Hospital Payment System

201Application of payment methodologies.221General.231Operating payment for DRG cases.241Operating payment for per diem cases.251Operating payment for transfer cases.261Outlier operating payment.271Payment for capital costs.281Payment for direct medical education costs of nursing schools, paramedical programs, and graduate medical education for interns and residents.291Payment for indirect medical education costs.301Payment to disproportionate share hospitals.311Hospital specific operating rate per case.321Hospital specific operating rate per day.331Statewide operating rate per case.341Statewide operating rate per day.351Updating rates for inflation.361Base year standardized operating costs per case.371Base year standardized operating costs per day.381DRG relative weights and hospital case-mix indices.391Recalibration and rebasing policy.400Determination of per diem rates.410State university teaching hospitals.411Supplemental payments for certain teaching hospitals.415Reimbursement for freestanding psychiatric hospital services under EPSDT.417Reimbursement for inpatient psychiatric services in residential treatment facilities (Level C) under EPSDT.418Reimbursement for residential and inpatient substance use treatment services.420Reimbursement of noncost-reporting general acute care hospital providers.425Supplemental payments for non-state-government-owned hospitals for inpatient services.428Supplemental payments for private hosptial partners of Type One hospitals.429Supplemental payments for private acute care hospitals.430Medicare upper limit.435Lump sum payment.441Public comment process.450Cost reporting requirements.460Hospital settlement.470Underpayments.480Refund of overpayments.490Medicaid Hospital Payment Policy Advisory Council.9998Forms (12Vac30-70).9999Documents Incorporated by Reference (12Vac30-70).