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Rule Subchapter: 37.86.30
Subchapter Title: Outpatient Hospital Services
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37.86: MEDICAID PRIMARY CARE SERVICES
37.86.30: Outpatient Hospital Services


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Rule No Rule Title Latest
Version
Effective
Date
37.86.3001 OUTPATIENT HOSPITAL SERVICES, DEFINITIONS access file 1/1/2020
37.86.3002 OUTPATIENT HOSPITAL SERVICES, SCOPE AND REQUIREMENTS access file 12/25/2015
37.86.3003 OUTPATIENT HOSPITAL SERVICES, EXCLUSIONS access file 12/25/2015
Rule 37.86.3004 reserved
37.86.3005 OUTPATIENT HOSPITAL SERVICES, REIMBURSEMENT access file 7/13/2012
37.86.3006 MENTAL HEALTH OUTPATIENT PARTIAL HOSPITAL SERVICES, REQUIREMENTS access file 9/19/2014
37.86.3007 OUTPATIENT HOSPITAL SERVICES, PROSPECTIVE PAYMENT METHODOLOGY, CLINICAL DIAGNOSTIC LABORATORY SERVICES access file 10/20/2018
Rule 37.86.3008 reserved
37.86.3009 OUTPATIENT HOSPITAL SERVICES, PAYMENT METHODOLOGY, EMERGENCY VISIT SERVICES access file 7/1/2014
Rule 37.86.3010 reserved
37.86.3011 OUTPATIENT HOSPITAL SERVICES, PROSPECTIVE PAYMENT METHODOLOGY, NONEMERGENT EMERGENCY ROOM SERVICES REP 8/1/2003
Rules 37.86.3012 and 37.86.3013 reserved
37.86.3014 OUTPATIENT HOSPITAL SERVICES, PROSPECTIVE PAYMENT METHODOLOGY, DIALYSIS SERVICES REP 7/13/2012
37.86.3015 OUTPATIENT HOSPITAL REIMBURSEMENT, OUTPATIENT HOSPITAL REIMBURSEMENT ADJUSTOR access file 1/1/2020
37.86.3016 OUTPATIENT HOSPITAL SERVICES, PROSPECTIVE PAYMENT METHODOLOGY, IMAGING SERVICES access file 7/13/2012
Rule 37.86.3017 reserved
37.86.3018 OUTPATIENT HOSPITAL SERVICES, PROSPECTIVE PAYMENT METHODOLOGY, OTHER DIAGNOSTIC SERVICES access file 7/13/2012
Rule 37.86.3019 reserved
37.86.3020 OUTPATIENT HOSPITAL SERVICES, OUTPATIENT PROSPECTIVE PAYMENT SYSTEM (OPPS) METHODOLOGY, AMBULATORY PAYMENT CLASSIFICATION access file 7/1/2014
Rule 37.86.3021 reserved
37.86.3022 OUTPATIENT HOSPITAL SERVICES, PARTIAL HOSPITALIZATION SERVICES access file 3/24/2006
Rules 37.86.3023 and 37.86.3024 reserved
37.86.3025 OUTPATIENT HOSPITAL SERVICES, REIMBURSEMENT FOR SERVICES NOT PAID UNDER THE AMBULATORY PAYMENT CLASSIFICATION SYSTEM access file 3/1/2018
Rules 37.86.3026 through 37.86.3030 reserved
37.86.3031 PROVIDER BASED ENTITY SERVICES, GENERAL REP 3/1/2018
Rule 37.86.3032 reserved
37.86.3033 PROVIDER-BASED ENTITY SERVICES, RECIPIENT ACCESS AND NOTIFICATION REP 3/1/2018
Rule 37.86.3034 reserved
37.86.3035 PROVIDER BASED ENTITY SERVICES, COMPLIANCE, AND PENALTIES REP 3/1/2018
Rule 37.86.3036 reserved
37.86.3037 PROVIDER-BASED ENTITY SERVICES, REIMBURSEMENT REP 3/1/2018
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