Part III - Amount, Duration, and Scope of Services

  1. § 12VAC30-50-100 - Inpatient hospital services provided at general acute care hospitals and freestanding psychiatric hospitals; enrolled providers
  2. § 12VAC30-50-105 - Inpatient hospital services provided at general acute care hospitals and freestanding psychiatric hospitals; nonenrolled providers (nonparticipating/out of state)
  3. § 12VAC30-50-110 - Outpatient hospital and rural health clinic services
  4. § 12VAC30-50-120 - Other laboratory and x-ray services
  5. § 12VAC30-50-130 - Nursing facility services, EPSDT, including school health services and family planning
  6. § 12VAC30-50-131 - Services provided by certified Early Intervention practitioners under EPSDT
  7. § 12VAC30-50-132 - [Effective until 4/5/2025] Private duty nursing services under early and periodic screening, diagnostic, and treatment
  8. § 12VAC30-50-140 - Physician's services whether furnished in the office, the patient's home, a hospital, a skilled nursing facility, or elsewhere
  9. § 12VAC30-50-150 - Medical care by other licensed practitioners within the scope of their practice as defined by state law
  10. § 12VAC30-50-160 - Home health services
  11. § 12VAC30-50-165 - Durable medical equipment suitable for use in the home
  12. § 12VAC30-50-170 - [Effective until 4/5/2025] Private duty nursing services
  13. § 12VAC30-50-170 - [Effective 4/5/2025] Private duty nursing services, version 2
  14. § 12VAC30-50-180 - Clinic services
  15. § 12VAC30-50-190 - Dental services
  16. § 12VAC30-50-200 - Physical therapy, occupational therapy, and services for individuals with speech, hearing, and language disorders
  17. § 12VAC30-50-210 - Prescribed drugs, dentures, and prosthetic devices, and eyeglasses prescribed by a physician skilled in diseases of the eye or by an optometrist
  18. § 12VAC30-50-220 - Diagnostic, screening, preventive, and rehabilitative services other than those provided elsewhere in this plan
  19. § 12VAC30-50-225 - Rehabilitative services; intensive physical rehabilitation and CORF services
  20. § 12VAC30-50-226 - Community mental health services
  21. § 12VAC30-50-227 - Lead contamination
  22. § 12VAC30-50-228 - [Repealed]
  23. § 12VAC30-50-229 - Reserved
  24. § 12VAC30-50-229.1 - [Repealed]
  25. § 12VAC30-50-230 - Services for individuals age 65 or older in institutions for mental diseases
  26. § 12VAC30-50-240 - Intermediate care services and intermediate care services for institutions for mental disease and mental retardation
  27. § 12VAC30-50-250 - Inpatient psychiatric facility services for individuals under 21 years of age
  28. § 12VAC30-50-260 - Nurse-midwife services
  29. § 12VAC30-50-270 - Hospice services (in accordance with section 1905 (o) of the Act)
  30. § 12VAC30-50-280 - Case management services for high-risk pregnant women and children up to age 1, as defined in 12VAC30-50-410, in accordance with section 1915 (g)(1) of the Act
  31. § 12VAC30-50-290 - Extended services to pregnant women
  32. § 12VAC30-50-300 - Any other medical care and any other type of remedial care recognized under state law, specified by the Secretary of Health and Human Services
  33. § 12VAC30-50-310 - Emergency services for aliens
  34. § 12VAC30-50-320 - Program of All-Inclusive Care for the Elderly (PACE)

State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.

No prior version found.