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 Hospital services subject to and excluded from DRG prospective payment [RESCINDED]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 Classification of hospitals [RESCINDED]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 Methodology for determining relative weights [RESCINDED]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 Basic methodology for determining prospective payment rates [RESCINDED]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 Disproportionate share adjustment [RESCINDED]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 Capital costs [RESCINDED]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 Medical education [RESCINDED]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 Redetermination of prospective payment rates [RESCINDED]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 Payment for outliers [RESCINDED]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 Payment methodology [RESCINDED]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 Reimbursement for services provided in an outpatient hospital setting [RESCINDED]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 Supplemental inpatient hospital upper payment limit payments for state hospitals [RESCINDED]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 Supplemental inpatient hospital payments for private hospitals [RESCINDED]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 Supplemental inpatient hospital payments for children's hospitals [RESCINDED]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