Chapter 5160-2 - Hospital Services

  1. § 5160-2-01 - Eligible providers
  2. § 5160-2-02 - General provisions: hospital services
  3. § 5160-2-03 - Conditions and limitations
  4. § 5160-2-04 - Coverage of hospital-provided pharmaceutical, dental, vision care, medical supply and equipment, and medically-related transportation services
  5. § 5160-2-05 - Classification of hospitals
  6. § 5160-2-07.1 - [Rescinded]Hospital services subject to and excluded from DRG prospective payment
  7. § 5160-2-07.2 - [Rescinded]Classification of hospitals
  8. § 5160-2-07.3 - [Rescinded]Methodology for determining relative weights
  9. § 5160-2-07.4 - [Rescinded]Basic methodology for determining prospective payment rates
  10. § 5160-2-07.5 - [Rescinded]Disproportionate share adjustment
  11. § 5160-2-07.6 - [Rescinded]Capital costs
  12. § 5160-2-07.7 - [Rescinded]Medical education
  13. § 5160-2-07.8 - [Rescinded]Redetermination of prospective payment rates
  14. § 5160-2-07.9 - [Rescinded]Payment for outliers
  15. § 5160-2-07.11 - [Rescinded]Payment methodology
  16. § 5160-2-07.12 - [Rescinded]Appeals and reconsideration of departmental determinations regarding hospital inpatient and outpatient services
  17. § 5160-2-07.13 - [Rescinded]Utilization control
  18. § 5160-2-07.17 - Provision of basic, medically necessary hospital-level services
  19. § 5160-2-08 - Data policies for disproportionate share and indigent care adjustments for hospital services
  20. § 5160-2-08.1 - Assessment rates
  21. § 5160-2-09 - Payment policies for disproportionate share and indigent care adjustments for hospital services
  22. § 5160-2-10 - Payment policies for disproportionate share and indigent care adjustments for psychiatric hospitals
  23. § 5160-2-12 - Appeals and reconsideration of departmental determinations regarding hospital inpatient and outpatient services
  24. § 5160-2-13 - Utilization review
  25. § 5160-2-14 - Potentially preventable readmissions
  26. § 5160-2-21 - [Rescinded]Reimbursement for services provided in an outpatient hospital setting
  27. § 5160-2-21.1 - [Rescinded]Consumer co-payments for non-emergency emergency department services
  28. § 5160-2-22 - Non-DRG prospective payment for hospital services
  29. § 5160-2-23 - Cost reports
  30. § 5160-2-24 - Audits
  31. § 5160-2-25 - Coordination of benefits: hospital services
  32. § 5160-2-30 - Hospital franchise fee program
  33. § 5160-2-40 - Psychiatric pre-certification review
  34. § 5160-2-50 - [Rescinded]Supplemental upper limit payments for inpatient and outpatient hospital services
  35. § 5160-2-51 - [Rescinded]Supplemental inpatient hospital upper payment limit payments for state hospitals
  36. § 5160-2-52 - [Rescinded]Supplemental inpatient hospital payments for private hospitals
  37. § 5160-2-53 - [Rescinded]Supplemental inpatient hospital payments for children's hospitals
  38. § 5160-2-54 - [Rescinded]Supplemental outpatient hospital upper limit payments for private, public non state-owned, and public state-owned hospitals
  39. § 5160-2-60 - Hospital cost coverage add-on
  40. § 5160-2-65 - Inpatient hospital reimbursement
  41. § 5160-2-66 - Capital costs
  42. § 5160-2-67 - Medical education
  43. § 5160-2-75 - Outpatient hospital reimbursement
  44. § 5160-2-76 - Outpatient hospital behavioral health services
  45. § 5160-2-77 - Consumer co-payments for non-emergency emergency department services
  46. § 5160-2-79 - Reimbursement for LARC devices

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