Virginia Medicaid reimbursements to 19 in-state psychiatric residential treatment facilities (PRTF) were about 25% below cost for state fiscal year (SFY) 2018. During SFY 2018, the Virginia Department of Medical Services (DMAS) reimbursed PRTFs at a maximum per diem rate of $393.50. The overall total PRTF cost per day averaged $465.32, with a median of $463.88. On average, the cost per day exceeded the DMAS rates by $102. About 89% of the PRTFs reported that operating costs exceeded their current DMAS per diem rate, and two PRTFs reported that their total cost per day was lower . . .

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