The purpose of this survey is to reconcile the number of Virginia Medicaid Managed Care Organization (MCO) days for cost reporting periods ending in calendar year 2017. The data submitted in this survey are subject to audit and may require additional documentation. Please submit data no later than January 3, 2020. Providers that do not respond to this survey by the deadline accept the number of Virginia Medicaid Managed Care Organization Days Department of Medical Assistance Services (DMAS) has on file.  

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* 1. Please enter your facility's contact information.

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* 2. Please enter the number of Virginia Medicaid Nursing Facility Managed Care days for the cost reporting period ending in 2017. The Department of Medical Assistance Services (DMAS) defines a Virginia Medicaid Nursing Facility Managed Care day as the combination of: (1) Any patient day that a Virginia Managed Care Plan would consider for potential payment, (2) Patients that the nursing facility would use a RUG code to bill and (3) A patient in the CCC Demonstration or CCC Plus program.

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* 3. CERTIFICATION BY OFFICER OR ADMINISTRATOR OF PROVIDER

Intentional misrepresentation or falsification of any information contained in this survey response may be punishable by fine and/or imprisonment under Federal and/or State law.
I hereby certify, that I have read the above statement and examined the responses contained in the Medicaid Nursing Facility Managed Care Days Survey. The information contained in this survey is true, correct, and complete. Surveys that Click "No" will not be considered. 

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* 4. Comments

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