405 IAC 1-8-2 - Policy; scope
Current through March 30, 2022
Authority: IC 12-15-21-2; IC 12-15-21-3
Affected: IC 12-15-15-1
Sec. 2.
(a)
Reimbursement for outpatient hospital services as defined by
42
CFR 440.20(a) and to
ambulatory surgical centers is available to providers enrolled by the office as
providers who are in good standing. Continued participation in Medicaid and
payment for outpatient hospital services and ambulatory surgical centers are
contingent upon maintenance of state licensure and conformance with the
office's provider agreement.
(b)
The methodology for the reimbursement described in subsection (a) shall be
based on set fee schedule allowances for each procedure or occurrence as
established by the office.
Notes
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