016.06.08 Ark. Code R. 015 - Hospital/Critical Access Hospital/End Stage Renal Disease Update Transmittal #140

213.231 Non-Emergency Services in Emergency Departments and

Outpatient Clinic Services

A. Non-emergency services in the emergency department and outpatient hospital clinic services are not covered separately on the same date of service as an inpatient admission.

B. Coverage of outpatient surgeries and treatment/therapy services include the coverage of outpatient hospital clinic services (room) and basic non-emergency services (room) in the emergency department that occur on the same date of service.

C. See sections 172.100 and 172.200 for exceptions to the PCP referral requirement.

Notes

016.06.08 Ark. Code R. 015

5/1/2008