Statutes, codes, and regulations
Virginia Administrative Code
Title 12 - HEALTHAgency 30 - DEPARTMENT OF MEDICAL ASSISTANCE SERVICESChapter 90 - METHODS AND STANDARDS FOR ESTABLISHING PAYMENT RATES FOR LONG-TERM CAREPart II - Nursing Home Payment SystemSubpart II - Rate Determination Procedures
Article 5 - Allowable Cost Identification
Section 12VAC30-90-58 - Fraud and abuse

12 Va. Admin. Code § 30-90-58

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Current through Register Vol. 40, No. 22, June 17, 2024
Section 12VAC30-90-58 - Fraud and abuse

Previously disallowed costs which are under appeal and affect more than one cost reporting period shall be disclosed in subsequent cost reports if the provider wishes to reserve appeal rights for such subsequent cost reports. The reimbursement effect of such appealed costs shall be computed by the provider and submitted to DMAS with the cost report. Where such disclosure is not made to DMAS, the inclusion of previously disallowed costs may be referred to the Medicaid Fraud Control Unit of the Office of the Attorney General.

12 Va. Admin. Code § 30-90-58

Derived from Virginia Register Volume 12, Issue 16, eff. July 1, 1996.

Statutory Authority

§ 32.1-325 of the Code of Virginia.