# 12 Va. Admin. Code § 30-120-390: 12VAC30-120-390. Payment rate for MCOs

> Virginia · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_120_390

## Section

- **Citation:** 12 Va. Admin. Code § 30-120-390
- **Heading:** 12VAC30-120-390. Payment rate for MCOs
- **Jurisdiction:** Virginia
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Virginia Administrative Code / Title 12 Health / Agency 30 Department of Medical Assistance Services / Chapter 120 / 12VAC30-120-390

## Text

The payment rate to MCOs that participate in the Medallion mandatory managed care program shall be set by negotiated contracts and in accordance with 42 CFR 438.4 through 42 CFR 438.8 and other pertinent federal regulations.

## Nearby sections

- [12 Va. Admin. Code § 30-120-360 12VAC30-120-360. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_120_360.md)
- [12 Va. Admin. Code § 30-120-370 12VAC30-120-370. Medallion mandatory managed care members](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_120_370.md)
- [12 Va. Admin. Code § 30-120-380 12VAC30-120-380. Medallion MCO responsibilities](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_120_380.md)
- [12 Va. Admin. Code § 30-120-390 12VAC30-120-390. Payment rate for MCOs](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_120_390.md)
- [12 Va. Admin. Code § 30-120-395 12VAC30-120-395. Preauthorized, emergency, and post-stabilization services and payment rate for care provided by out-of-network providers](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_120_395.md)
- [12 Va. Admin. Code § 30-120-400 12VAC30-120-400. Quality control and utilization review](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_120_400.md)
- [12 Va. Admin. Code § 30-120-410 12VAC30-120-410. Sanctions](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_120_410.md)
- [12 Va. Admin. Code § 30-120-420 12VAC30-120-420. Member grievances and appeals](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_120_420.md)
- [12 Va. Admin. Code § 30-120-430 12VAC30-120-430. Provider grievances, reconsiderations, and appeals](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_120_430.md)
- [12 Va. Admin. Code § 30-120-600 12VAC30-120-600. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_120_600.md)
- [12 Va. Admin. Code § 30-120-610 12VAC30-120-610. CCC Plus mandatory managed care members enrollment process](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_120_610.md)
- [12 Va. Admin. Code § 30-120-615 12VAC30-120-615. CCC Plus providers; Medicaid enrollment process](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_120_615.md)
- [12 Va. Admin. Code § 30-120-620 12VAC30-120-620. MCO responsibilities; sanctions](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_120_620.md)
- [12 Va. Admin. Code § 30-120-625 12VAC30-120-625. Continuity of care](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_120_625.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_120_390. Check the current official text before relying on it. Not legal advice.