Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM

Section 30-5-1 - Revoked
Section 30-5-2 - Revoked
Section 30-5-3 - Revoked
Section 30-5-4 through 30-5-9 - Revoked
Section 30-5-10 - Revoked
Section 30-5-11 and 30-5-12 - Revoked
Section 30-5-13 - Revoked
Section 30-5-14 - Revoked
Section 30-5-15 - Revoked
Section 30-5-16 - Revoked
Section 30-5-17 - Revoked
Section 30-5-18 - Revoked
Section 30-5-19 - Revoked
Section 30-5-20 - Revoked
Section 30-5-21 - Revoked
Section 30-5-22 - Revoked
Section 30-5-23 - Revoked
Section 30-5-24 - Revoked
Section 30-5-25 - Revoked
Section 30-5-26 - Revoked
Section 30-5-27 - Revoked
Section 30-5-28 - Revoked
Section 30-5-29 - Revoked
Section 30-5-30 - Revoked
Section 30-5-31 - Revoked
Section 30-5-32 - Revoked
Section 30-5-33 - Revoked
Section 30-5-34 - Revoked
Section 30-5-35 - Revoked
Section 30-5-36 - Revoked
Section 30-5-37 and 30-5-38 - Revoked
Section 30-5-39 - Revoked
Section 30-5-40 - Revoked
Section 30-5-41 - Revoked
Section 30-5-42 - Revoked
Section 30-5-43 - Revoked
Section 30-5-44 - Revoked
Section 30-5-45 - Revoked
Section 30-5-46 - Revoked
Section 30-5-47 - Revoked
Section 30-5-48 through 30-5-50 - Revoked
Section 30-5-51 through 30-5-54 - Reserved
Section 30-5-55 through 30-5-57 - Revoked
Section 30-5-58 - Definitions
Section 30-5-59 - Provider participation requirements
Section 30-5-60 - Provider termination/suspension
Section 30-5-61 - Revoked
Section 30-5-61a - Withholding of payments to medical providers
Section 30-5-61b - Suspension of payment liability to medical providers
Section 30-5-62 - Reinstatement of a provider previously terminated from the medicaid/medikan program
Section 30-5-63 - Medical necessity
Section 30-5-64 - Revoked
Section 30-5-65 - Revoked
Section 30-5-66 - Effective date of administrative regulations in relationship to provider cost reporting periods
Section 30-5-67 - Disallowance of claims for services generated by providers ineligible for participation in the medicaid/medikan program
Section 30-5-68 - Consultants to the medicaid/medikan program
Section 30-5-69 - Volume purchase and negotiated contracts for medical services
Section 30-5-70 - Payment of medical expenses for eligible recipients
Section 30-5-71 - Copayment requirements
Section 30-5-72 - Medical contracts; funding
Section 30-5-73 - Requirements for facilities to participate
Section 30-5-74 - Revoked
Section 30-5-75 - Scope of services for eligible aliens
Section 30-5-76 - Scope of coverage and reimbursement for services for qualified medicare beneficiaries
Section 30-5-77 - Scope of home-and community-based services for technology-assisted children
Section 30-5-78 - Revoked
Section 30-5-79 - Scope of and reimbursement for home-and community-based services for persons with mental retardation or other developmental disabilities
Section 30-5-80 - This regulation shall be revoked on and after July 1, 1997
Section 30-5-81 - Scope of hospital services
Section 30-5-81a - Participation in the diagnosis related group reimbursement system
Section 30-5-81b - The basis of reimbursement for hospital services
Section 30-5-81c - Revoked
Section 30-5-81d - This rule and regulation shall expire on July 1, 1989
Section 30-5-81e - Revoked
Section 30-5-81f to 30-5-81i - Revoked
Section 30-5-81j - Revoked
Section 30-5-81k and 30-5-81 - Revoked
Section 30-5-81m and 30-5-81n - Revoked
Section 30-5-81o - Revoked
Section 30-5-81p - Revoked
Section 30-5-81q - This rule and regulation shall expire on July 1, 1989
Section 30-5-81r - This rule and regulation shall expire on July 1, 1989
Section 30-5-81s - This rule and regulation shall expire on July 1, 1989
Section 30-5-81t - Hospital change of ownership
Section 30-5-81u - General hospital groups under the diagnosis-related group (DRG) reimbursement system
Section 30-5-81v - Reimbursement for general hospital inpatient services under the diagnosis related group (DRG) reimbursement system
Section 30-5-82 - Scope of rural health clinic services
Section 30-5-82a - Reimbursement for rural health clinic services
Section 30-5-83 - Scope of services for ambulatory surgical centers
Section 30-5-83a - Reimbursement for ambulatory surgical centers
Section 30-5-84 - This rule and regulation shall expire on January 1, 1990
Section 30-5-84a - This rule and regulation shall expire on January 1, 1990
Section 30-5-85 - Scope of independent laboratory services
Section 30-5-85a - Reimbursement for independent laboratory services
Section 30-5-86 - Scope of services by community mental health centers
Section 30-5-86a - Reimbursement for community mental health centers
Section 30-5-86b - Existing provider rates for community mental health centers
Section 30-5-86c - New provider rates for community mental health centers
Section 30-5-86d - Financial recordkeeping for community mental health centers
Section 30-5-86e - Modification of prospective rates for community mental health centers
Section 30-5-87 - Scope of the Kan Be Healthy program
Section 30-5-87a - Reimbursement for Kan Be Healthy program services
Section 30-5-88 - Revoked
Section 30-5-88a - Reimbursement for physician services
Section 30-5-89 - Scope of home health services
Section 30-5-89a - Reimbursement for home health services
Section 30-5-90 - This rule and regulation shall expire on August 1, 1990
Section 30-5-90a - Revoked
Section 30-5-91 - Revoked
Section 30-5-92 - Scope of pharmacy services
Section 30-5-93 - Revoked
Section 30-5-94 - Reimbursement for pharmacy services
Section 30-5-95 - Cost report requirement for pharmacy services
Section 30-5-96 - Cost report data and record keeping requirements for pharmacy services
Section 30-5-97 - Cost report data limitations and allowances for pharmacy services
Section 30-5-98 and 30-5-99 - Reserved
Section 30-5-100 - Scope of dental services
Section 30-5-100a - Reimbursement for dental services
Section 30-5-101 - Revoked
Section 30-5-101a - Revoked
Section 30-5-102 - Scope of optometric and optical services
Section 30-5-102a - Reimbursement for optometric and optical services
Section 30-5-103 - Scope of podiatric services
Section 30-5-103a - Reimbursement for podiatric services
Section 30-5-104 - Scope of psychological services
Section 30-5-104a - Reimbursement for psychologists services
Section 30-5-105 - Scope of hearing services
Section 30-5-105a - Reimbursement for hearing services
Section 30-5-106 - Scope of ambulance services
Section 30-5-106a - Reimbursement for ambulance services
Section 30-5-107 - Scope of non-emergency medical transportation services
Section 30-5-107a - Reimbursement for non-emergency medical transportation services
Section 30-5-108 - Revoked
Section 30-5-108a - Reimbursement for durable medical equipment, medical supplies, orthotics, and prosthetics
Section 30-5-109 - Scope of services in free-standing inpatient psychiatric facilities
Section 30-5-109a - Reimbursement for free-standing psychiatric facilities
Section 30-5-110 - Scope of partial hospitalization programs
Section 30-5-110a - Reimbursement for partial hospitalization programs
Section 30-5-111 - This rule and regulation shall expire on January 2, 1991
Section 30-5-112 - Scope of local health department services
Section 30-5-112a - Reimbursement for local health department services
Section 30-5-113 - Scope of advanced registered nurse practitioner and registered nurse anesthetist services
Section 30-5-113a - Reimbursement for advanced registered nurse practitioner and registered nurse anesthetist services
Section 30-5-114 - Scope of targeted case management services
Section 30-5-114a - Reimbursement for targeted case management services
Section 30-5-115 - Scope of hospice services
Section 30-5-115a - Reimbursement for hospice services
Section 30-5-116 - Scope of rehabilitation services
Section 30-5-116a - Reimbursement for rehabilitation services
Section 30-5-117 - Scope of maternity center services
Section 30-5-117a - Reimbursement for maternity center services
Section 30-5-118 - Revoked
Section 30-5-118a - Revoked
Section 30-5-118b - Revoked
Section 30-5-119 through 30-5-149 - Reserved
Section 30-5-150 - Co-pay requirements for medikan program recipients
Section 30-5-151 - Scope of hospital services for medikan program recipients
Section 30-5-152 - Scope of rural health clinic services for medikan program recipients
Section 30-5-153 - Scope of physical therapist services
Section 30-5-153a - Reimbursement for physical therapist services
Section 30-5-154 - Scope of services by community mental health centers for medikan program recipients
Section 30-5-155 - Scope of Kan Be Healthy program services for medikan program recipients
Section 30-5-156 - Scope of physician services for medikan program recipients
Section 30-5-157 - Scope of home health services for medikan program recipients
Section 30-5-158 - Scope of pharmacy services for adult medikan program recipients
Section 30-5-159 - Scope of dental services for medikan program recipients
Section 30-5-160 - Scope of chiropractic services for medikan program recipients
Section 30-5-161 - Scope of podiatric services for medikan program recipients
Section 30-5-162 - Scope of psychological services for medikan program recipients
Section 30-5-163 - Scope of hearing services for medikan program recipients
Section 30-5-164 - Scope of ambulance services for adult medikan program recipients
Section 30-5-165 - Scope of non-ambulance medical transportation services for adult medikan program recipients
Section 30-5-166 - Scope of durable medical equipment, medical supplies, orthotic and prosthetic services for adult medikan program recipients
Section 30-5-167 - Scope of services in free-standing inpatient psychiatric facilities for medikan program recipients
Section 30-5-168 - Family planning services for medikan program recipients
Section 30-5-169 - Scope of partial hospitalization services for medikan program recipients
Section 30-5-170 - Scope of services for ambulatory surgical centers for medikan program recipients
Section 30-5-171 - This rule and regulation shall expire on December 31, 1992
Section 30-5-172 - Scope of optometric services for adult medikan program recipients
Section 30-5-173 - This rule and regulation shall be revoked on and after March 1, 1995
Section 30-5-173a - This rule and regulation shall be revoked on and after March 1, 1995
Section 30-5-174 - Delivery of managed care
Section 30-5-300 - Definitions
Section 30-5-301 - Provider participation
Section 30-5-302 - Limitations for independent living counselors
Section 30-5-303 - Cost effectiveness
Section 30-5-304 - Cost efficient plans of care
Section 30-5-305 - Assessment requirements
Section 30-5-306 - Effective date for HCBS eligibility
Section 30-5-307 - Family reimbursement restriction
Section 30-5-308 - Nonsupplementation of HCBS services
Section 30-5-309 - Scope of and reimbursement for medicaid home-and community-based services (HCBS)
Section 30-5-310 - Scope and reimbursement for home-and community-based services for persons with a severe emotional disturbance