7 AAC 140.320 - Length of hospitalization
(a) Except as
provided in (b) of this section, the department will not pay for more than
three days of hospitalization for any single admission, except that, for a
maternal and newborn hospital stay related to childbirth, the department will
not pay for more than 48 hours of inpatient hospitalization for a single
recipient following a normal vaginal delivery and no more than 96 hours of
inpatient hospitalization for a single recipient following a cesarean
delivery.
(b) The department will
not pay for coverage beyond the days or hours of hospitalization specified in
(a) of this section unless the department has given prior authorization for
those days or hours under
7
AAC 105.130.
(c) If the department reimburses a provider
under the Diagnosis Related Groups (DRG) methodology, the department will use
the method specified in
7
AAC 150.250(a)(4) to calculate the
amount that will be reimbursed for the length of stay.
Notes
Authority: AS 47.05.010
AS 47.07.030
AS 47.07.040
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