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Ohio Administrative Code (Last Updated: January 12, 2021) |
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5160 Medicaid |
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Chapter5160-2. Hospital Services |
| 5160-2-01. Eligible providers |
| 5160-2-02. General provisions: hospital services |
| 5160-2-03. Conditions and limitations |
| 5160-2-04. Coverage of hospital-provided pharmaceutical, dental, vision care, medical supply and equipment, and medically-related transportation services |
| 5160-2-05. Classification of hospitals |
| 5160-2-07.1. Hospital services subject to and excluded from DRG prospective payment [RESCINDED] |
| 5160-2-07.2. Classification of hospitals [RESCINDED] |
| 5160-2-07.3. Methodology for determining relative weights [RESCINDED] |
| 5160-2-07.4. Basic methodology for determining prospective payment rates [RESCINDED] |
| 5160-2-07.5. Disproportionate share adjustment [RESCINDED] |
| 5160-2-07.6. Capital costs [RESCINDED] |
| 5160-2-07.7. Medical education [RESCINDED] |
| 5160-2-07.8. Redetermination of prospective payment rates [RESCINDED] |
| 5160-2-07.9. Payment for outliers [RESCINDED] |
| 5160-2-07.11. Payment methodology [RESCINDED] |
| 5160-2-07.12. Appeals and reconsideration of departmental determinations regarding hospital inpatient and outpatient services |
| 5160-2-07.13. Utilization control |
| 5160-2-07.17. Provision of basic, medically necessary hospital-level services |
| 5160-2-08. Data policies for disproportionate share and indigent care adjustments for hospital services |
| 5160-2-08.1. Assessment rates |
| 5160-2-09. Payment policies for disproportionate share and indigent care adjustments for hospital services |
| 5160-2-10. Payment policies for disproportionate share and indigent care adjustments for psychiatric hospitals |
| 5160-2-14. Potentially preventable readmissions |
| 5160-2-21. Reimbursement for services provided in an outpatient hospital setting [RESCINDED] |
| 5160-2-21.1. Consumer co-payments for non-emergency emergency department services |
| 5160-2-22. Non-DRG prospective payment for hospital services |
| 5160-2-23. Cost reports |
| 5160-2-24. Audits |
| 5160-2-25. Coordination of benefits: hospital services |
| 5160-2-30. Hospital franchise fee program |
| 5160-2-40. Pre-certification review |
| 5160-2-50. Supplemental upper limit payments for inpatient and outpatient hospital services |
| 5160-2-51. Supplemental inpatient hospital upper payment limit payments for state hospitals [RESCINDED] |
| 5160-2-52. Supplemental inpatient hospital payments for private hospitals [RESCINDED] |
| 5160-2-53. Supplemental inpatient hospital payments for children's hospitals [RESCINDED] |
| 5160-2-54. Supplemental outpatient hospital upper limit payments for private, public non state-owned, and public state-owned hospitals [RESCINDED] |
| 5160-2-60. Hospital cost coverage add-on |
| 5160-2-65. Inpatient hospital reimbursement |
| 5160-2-66. Capital costs |
| 5160-2-67. Medical education |
| 5160-2-75. Outpatient hospital reimbursement |
| 5160-2-76. Outpatient hospital behavioral health services |
| 5160-2-79. Reimbursement for LARC devices |