4123-6-37.3 Payment of ambulatory surgical center services.

 

 

 

4123-6-37.3                 Payment of ambulatory surgical center services.

 

 

Unless an MCO has negotiated a different payment rate with an ambulatory surgical center pursuant to rule 4123-6-08 of the Administrative Code, reimbursement for ambulatory surgical center services with a date of service of May 5, 2014 May 1, 2015 or after shall be equal to the lesser of the ambulatory surgical center's allowable billed charges or the fee schedule amount indicated in appendix A to this rule, developed with provider and employer input and effective May 5, 2014 May 1, 2015.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4123-6-37.3                                                                                                                           2

Effective:                                                             05/01/2015

Five Year Review (FYR) Dates:                         02/13/2015 and 02/01/2020

CERTIFIED ELECTRONICALLY

Certification

04/20/2015

Date

Promulgated Under:                           119.03

Statutory Authority:                           4121.12 , 4121.121 , 4121.31 , 4123.05

Rule Amplifies:                                  4121.121 , 4121.44 , 4121.441 , 4123.66

Prior Effective Dates:                         4/1/09, 4/1/10, 4/1/11, 4/1/12, 4/1/13, 5/5/14