# 12 Va. Admin. Code § 30-50-95: 12VAC30-50-95. Reimbursement of services; in general

> Virginia · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_50_95

## Section

- **Citation:** 12 Va. Admin. Code § 30-50-95
- **Heading:** 12VAC30-50-95. Reimbursement of services; in general
- **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 50 / 12VAC30-50-95

## Text

The provision of the following medically necessary services cannot be reimbursed except when they are ordered or prescribed, and directed or performed within the scope of the license of a practitioner of the healing arts: laboratory and x-ray services, family planning services, and home health services. Physical therapy services will be reimbursed only when prescribed by a physician. Inpatient acute hospitalizations will be reimbursed only if the stay has been authorized.

## Nearby sections

- [12 Va. Admin. Code § 30-50-10 12VAC30-50-10. Services provided to the categorically needy with limitations](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_50_10.md)
- [12 Va. Admin. Code § 30-50-20 12VAC30-50-20. Services provided to the categorically needy without limitation](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_50_20.md)
- [12 Va. Admin. Code § 30-50-30 12VAC30-50-30. Services not provided to the categorically needy](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_50_30.md)
- [12 Va. Admin. Code § 30-50-35 12VAC30-50-35. Requirements relating to payment for covered outpatient drugs for the categorically needy](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_50_35.md)
- [12 Va. Admin. Code § 30-50-40 12VAC30-50-40. Ambulatory services](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_50_40.md)
- [12 Va. Admin. Code § 30-50-50 12VAC30-50-50. Services provided to the medically needy with limitations](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_50_50.md)
- [12 Va. Admin. Code § 30-50-60 12VAC30-50-60. Services provided to all medically needy groups without limitations](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_50_60.md)
- [12 Va. Admin. Code § 30-50-70 12VAC30-50-70. Services or devices not provided to the medically needy](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_50_70.md)
- [12 Va. Admin. Code § 30-50-75 12VAC30-50-75. Requirements relating to payment for covered outpatient drugs for the medically needy](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_50_75.md)
- [12 Va. Admin. Code § 30-50-95 12VAC30-50-95. Reimbursement of services; in general](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_50_95.md)
- [12 Va. Admin. Code § 30-50-100 12VAC30-50-100. Inpatient hospital services provided at general acute care hospitals and freestanding psychiatric hospitals; enrolled providers](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_50_100.md)
- [12 Va. Admin. Code § 30-50-105 12VAC30-50-105. Inpatient hospital services provided at general acute care hospitals and freestanding psychiatric hospitals; nonenrolled providers (nonparticipating/out of state)](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_50_105.md)
- [12 Va. Admin. Code § 30-50-110 12VAC30-50-110. Outpatient hospital and rural health clinic services](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_50_110.md)
- [12 Va. Admin. Code § 30-50-120 12VAC30-50-120. Other laboratory and x-ray services](https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_50_120.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_VA_ADC_12_30_50_95. Check the current official text before relying on it. Not legal advice.
