Part 3 - HOSPITALS

Section 317:30-5-40 - Eligible providers
Section 317:30-5-40.1 - General information
Section 317:30-5-40.2 - Definitions [REVOKED]
Section 317:30-5-41 - Inpatient hospital coverage/limitations
Section 317:30-5-41.1 - Acute inpatient psychiatric services
Section 317:30-5-41.2 - Organ transplants
Section 317:30-5-42 - Coverage for children [REVOKED]
Section 317:30-5-42.1 - Outpatient hospital services
Section 317:30-5-42.2 - Blood and blood fractions
Section 317:30-5-42.3 - Chemotherapy and radiation therapy
Section 317:30-5-42.4 - Clinic/treatment room services; urgent care
Section 317:30-5-42.5 - Diagnostic testing therapeutic services
Section 317:30-5-42.6 - Dialysis
Section 317:30-5-42.7 - [Effective until 9/14/2025] Emergency department (ED) care/services
Section 317:30-5-42.7 - [Effective 9/14/2025] Emergency department (ED) care/services
Section 317:30-5-42.8 - Hearing and speech therapy
Section 317:30-5-42.9 - Infusions/injections
Section 317:30-5-42.10 - Laboratory
Section 317:30-5-42.11 - Observation/treatment
Section 317:30-5-42.12 - Physical therapy
Section 317:30-5-42.13 - Radiology
Section 317:30-5-42.14 - Surgery and diagnostic services
Section 317:30-5-42.15 - Outpatient hospital services for members infected with tuberculosis
Section 317:30-5-42.16 - Related services
Section 317:30-5-42.17 - Non-covered services
Section 317:30-5-42.18 - Coverage for children
Section 317:30-5-42.19 - 340B Drug Discount Program
Section 317:30-5-42.20 - High-investment drugs - outpatient hospitals
Section 317:30-5-43 - Vocational Rehabilitation coverage [REVOKED]
Section 317:30-5-44 - Medicare eligible individuals
Section 317:30-5-45 - Psychiatric hospitals - inpatient services for persons age 65 and over [REVOKED]
Section 317:30-5-46 - Psychiatric hospitals and residential psychiatric treatment facilities - inpatient services for persons under age 21 [REVOKED]
Section 317:30-5-47 - [Effective until 9/14/2025] Reimbursement for inpatient hospital services
Section 317:30-5-47 - [Effective 9/14/2025] Reimbursement for inpatient hospital services
Section 317:30-5-47.1 - Reimbursement for newborn screening services provided by the OSDH
Section 317:30-5-47.2 - Disproportionate share hospitals (DSH)
Section 317:30-5-47.3 - Indirect medical education (IME) adjustment
Section 317:30-5-47.4 - Direct medical education payment adjustment
Section 317:30-5-47.5 - Critical Access Hospitals
Section 317:30-5-47.6 - High-investment drugs - inpatient hospitals
Section 317:30-5-48 - Cost reports [REVOKED]
Section 317:30-5-49 - Reporting suspected abuse
Section 317:30-5-50 - Abortions
Section 317:30-5-51 - Elective sterilizations
Section 317:30-5-52 - Hysterectomies
Section 317:30-5-53 - Newborn care
Section 317:30-5-54 - Hospital rate appeals [REVOKED]
Section 317:30-5-55 - Residential psychiatric treatment facility rate appeals [REVOKED]
Section 317:30-5-56 - Utilization review
Section 317:30-5-57 - Notice of denial
Section 317:30-5-58 - Supplemental Hospital Offset Payment Program