La. Admin. Code tit. 50 § V-5301

Current through Register Vol. 50, No. 11, November 20, 2024
Section V-5301 - Payment for Outpatient Surgery Services
A. Payment for outpatient surgery services is a flat rate in accordance with the published fee schedule. The flat rate payment covers all services provided during the outpatient surgical admission. There shall be no cost settlement for outpatient surgery services except for the specific hospital types identified in Subchapter B of this Chapter.
1. Effective for dates of service on or after February 10, 2022, the Medicaid Program shall provide reimbursement for Coronavirus Disease 2019 laboratory testing in addition to the outpatient surgery fee schedule flat fee reimbursement amount.

La. Admin. Code tit. 50, § V-5301

Promulgated by the Department of Health, Bureau of Health Services Financing, LR 48283, Amended LR 481842 (7/1/2022).
AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.