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Proposed Administrative Code Filings

2024

Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 6/25/24   Final Date:
Effective Date:   Withdrawal Date:
Rule: Title 23: Medicaid, Part 202: Hospital Services, Chapter 1: Inpatient Services,
Rule 1.3: Prior Authorization of Inpatient Hospital Services,
Rule 1.13: Out-of-State Facilities,
Rule 1.14: Inpatient Hospital Payments. Chapter 2: Outpatient Services,
Rule 2.3: Emergency Department Outpatient Visits,
Rule 2.8: Outpatient Hospital Rates. Chapter 3: Swing Beds,
Rule 3.4: Reimbursement. Chapter 4: Organ Transplants,
Rule 4.4: Reimbursement
Summary: This administrative code is being revised to clarify the length of stay for obstetrical deliveries and removes rate freeze language from Part 202 to correspond with SPA 23-0016 All Patient Refined Diagnosis Related Groups (APR-DRG) Reimbursement (effective July 1, 2023)
System Number: 27566
NNotice  |  Full Text

 

Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 6/4/2024   Final Date:
Effective Date:   Withdrawal Date:
Rule: Title 23: Medicaid, Part 204: Dental Services, Chapter 1: General, Rule 1.17: Early and Periodic Screening, Diagnosis, and Treatment (EPSDT)
Summary: This administrative code is being filed to correspond with SPA 23-0030 to allow the Division of Medicaid (DOM) to increase reimbursement rates for orthodontic services by ten percent (10%), effective October 1, 2023
System Number: 27519
Notice  |  Full Text

 


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