(1) Covered surgical procedures are those procedures that meet the following standards:
- (a) Those surgical procedures which are commonly performed on an inpatient basis in hospitals, but may be safely performed in an ambulatory surgical center setting;
- (b) Those surgical procedures which are limited to those requiring a dedicated operating room and generally requiring a post-operative recovery room or short-term (not overnight) convalescent room; and
- (c) Those surgical procedures which are not otherwise excluded under 42 C.F.R. § 405.310 or other regulatory requirements.
- (2) A listing of the covered surgical procedures shall be maintained by the Alabama Medicaid Agency and shall be furnished to all ASCS. This list shall be reviewed and updated on a regular basis by the appropriate staff of the Alabama Medicaid Agency.
Statutory Authority: 42 C.F.R. §§ 405.310, 416.65.
History: Rule effective September 1, 1986.