1. (1) Medicaid recipients are required to pay, and nurse practitioners are required to collect, the designated copayment amount on each visit. The copayment amount does not apply to services provided for the following:

   1. (a) Pregnancy
   2. (b) Nursing home residents
   3. (c) Inpatient hospital visits
   4. (d) Recipients under 18 years of age
   5. (e) Surgery fees
   6. (f) Physical therapy
   7. (g) Family planning
2. (2) A provider may not deny services to any eligible individual due to the individual's inability to pay the cost-sharing amount imposed.

Author: Debra Moore

Statutory Authority: Title XIX, Social Security Act; State Plan, Attachment 3.1-A, 42 C.F.R. §440.230.

History: Emergency rule effective May 22, 1991. Permanent rule effective September 11, 1991.