12 Va. Admin. Code § 30-80-80

Current through Register Vol. 41, No. 4, October 8, 2024

Section 12VAC30-80-80 - Fee-for-service: Medicare coinsurance and deductibles

Payments for Medicare coinsurance and deductibles for noninstitutional services shall not exceed the allowed charges determined by Medicare in accordance with 42 CFR 447.304(b) less the portion paid by Medicare, other third party payors, and recipient copayment requirements of this Plan. See 12VAC30-80-170.

12 Va. Admin. Code § 30-80-80

Derived from VR460-02-4.1920 § 8, eff. July 1, 1993; amended, Virginia Register Volume 11, Issue 17, eff. July 1, 1995; Volume 11, Issue 18, eff. July 1, 1995; Volume 12, Issue 5, eff. December 27, 1995.

Statutory Authority

§ 32.1-325 of the Code of Virginia.