Chapter 15 - Hospital Program

  1. § 13 CSR 70-15.010 - Inpatient Hospital Services Reimbursement Methodology
  2. § 13 CSR 70-15.011 - Reimbursement for Essential Disproportionate Share Hospitals
  3. § 13 CSR 70-15.015 - Direct Medicaid Payments
  4. § 13 CSR 70-15.020 - Procedures for Admission Certification, Continued Stay Review, and Validation Review of Hospital Admissions
  5. § 13 CSR 70-15.030 - Payment and Payment Limitations for Inpatient Hospital Care
  6. § 13 CSR 70-15.040 - Hospital Outpatient Settlements
  7. § 13 CSR 70-15.070 - Inpatient Psychiatric Services for Individuals Under Age Twenty-One
  8. § 13 CSR 70-15.080 - Payment Method for General Relief Recipient Hospital Outpatient Services
  9. § 13 CSR 70-15.090 - [Rescinded]
  10. § 13 CSR 70-15.100 - Unreimbursed Care Payment Methodology
  11. § 13 CSR 70-15.110 - Federal Reimbursement Allowance (FRA)
  12. § 13 CSR 70-15.150 - [Rescinded]
  13. § 13 CSR 70-15.160 - [Effective until 12/26/2023] Outpatient Hospital Services Reimbursement Methodology
  14. § 13 CSR 70-15.160 - [Effective until 1/30/2024] [Effective 12/26/2023] Outpatient Hospital Services Reimbursement Methodology, version 2
  15. § 13 CSR 70-15.160 - [Effective 1/30/2024] Outpatient Hospital Services Reimbursement Methodology, version 3
  16. § 13 CSR 70-15.170 - Enhanced Disproportionate Share Payment to Trauma Hospitals for the Cost of Care to the Uninsured Provided by Physicians Not Employed by the Hospital
  17. § 13 CSR 70-15.180 - Grant to Trauma Hospitals for the Care Provided by Physicians Not Employed by the Hospital
  18. § 13 CSR 70-15.190 - Out-of-State Hospital Services Reimbursement Plan
  19. § 13 CSR 70-15.200 - Payment Policy for a Preventable Serious Adverse Event or Hospital or Ambulatory Surgical Center-Acquired Condition
  20. § 13 CSR 70-15.220 - Disproportionate Share Hospital (DSH) Payments
  21. § 13 CSR 70-15.230 - Supplemental Upper Payment Limit Methodology

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