Part IV - General Program Administration

Section 12VAC30-10-400 - Methods of administration
Section 12VAC30-10-410 - Hearings for applicants and recipients
Section 12VAC30-10-420 - Safeguarding information on applicants and recipients
Section 12VAC30-10-430 - Medicaid quality control
Section 12VAC30-10-435 - Medicaid prohibition on payments to institutions or entities located outside of the United States
Section 12VAC30-10-440 - Medicaid Agency Fraud Detection and Investigation Program
Section 12VAC30-10-441 - Medicaid agency fraud detection and investigation program
Section 12VAC30-10-445 - Recovery audit contractors
Section 12VAC30-10-450 - Reports
Section 12VAC30-10-460 - Maintenance of records
Section 12VAC30-10-470 - Availability of agency program manuals
Section 12VAC30-10-480 - Reporting provider payments to Internal Revenue Service
Section 12VAC30-10-490 - Free choice of providers
Section 12VAC30-10-500 - Relations with standard-setting and survey agencies
Section 12VAC30-10-510 - Consultation to medical facilities
Section 12VAC30-10-520 - Required provider agreement
Section 12VAC30-10-530 - Utilization and quality control
Section 12VAC30-10-540 - Inspection of care in intermediate care facilities for persons with intellectual and developmental disabilities, facilities providing inpatient psychiatric services for individuals younger than 21 years of age, and mental hospitals
Section 12VAC30-10-550 - Relations with state health and vocational rehabilitation agencies and Title V grantees
Section 12VAC30-10-560 - Liens and recoveries
Section 12VAC30-10-570 - Recipient cost sharing and similar charges
Section 12VAC30-10-580 - Payment for services
Section 12VAC30-10-590 - Direct payments to certain recipients for physicians' or dentists' services
Section 12VAC30-10-600 - Prohibition against reassignment of provider claims
Section 12VAC30-10-610 - Third party liability
Section 12VAC30-10-620 - Use of contracts
Section 12VAC30-10-630 - [Repealed]
Section 12VAC30-10-631 - Standards for payment for nursing facility and intermediate care facility for the mentally retarded services
Section 12VAC30-10-640 - Program for licensing administrators of nursing homes
Section 12VAC30-10-650 - Drug Utilization Review Program
Section 12VAC30-10-660 - Disclosure of survey information and provider or contractor evaluation
Section 12VAC30-10-670 - Appeals process
Section 12VAC30-10-680 - Conflict of interest provisions
Section 12VAC30-10-690 - Exclusion of providers and suspension of practitioners and other individuals
Section 12VAC30-10-700 - Disclosure of information by providers and fiscal agents
Section 12VAC30-10-710 - Income and eligibility verification system
Section 12VAC30-10-720 - Medicaid eligibility cards for homeless individuals
Section 12VAC30-10-730 - Systematic alien verification for entitlements
Section 12VAC30-10-740 - [Repealed]
Section 12VAC30-10-750 - [Repealed]
Section 12VAC30-10-751 - Enforcement of compliance for nursing facilities
Section 12VAC30-10-760 - Pharmacy services rebate agreement terms
Section 12VAC30-10-770 - Required coordination between the Medicaid and WIC Programs
Section 12VAC30-10-780 - Nurse aide training and competency evaluation for nursing facilities
Section 12VAC30-10-790 - Preadmission screening and annual resident review in nursing facilities
Section 12VAC30-10-800 - Survey and certification process
Section 12VAC30-10-810 - Resident assessment for nursing facilities
Section 12VAC30-10-815 - Cooperation with Medicaid Integrity Program efforts
Section 12VAC30-10-820 - Employee education about false claims recoveries
Form - FORMS (12VAC30-10)