(d) Prices established pursuant to subdivision (b) of this section shall provide full reimbursement for applicable:

1. (1) nursing services, technician services, and other related professional expenses directly incurred by the licensed facility;
2. (2) drugs, biologicals, surgical dressings, supplies, splints, appliances and equipment directly related to the provision of the surgical procedures;
3. (3) diagnostic or therapeutic items and services directly related to the provision of surgical procedures;
4. (4) materials for anesthesia;
5. (5) prosthetic and orthotic appliances provided during or integral to an ambulatory surgery procedure;
6. (6) administrative, personnel, business office, data processing, recordkeeping, housekeeping and other related facility overhead expenses; and
7. (7) space occupancy and plant overhead costs.
8. (8) costs associated with graduate medical education programs involved in the provision of ambulatory surgery services; and
9. (9) costs associated with hospital-based physicians, defined as salaried physicians excluding interns and residents engaged in direct provision of ambulatory surgical services can be included in a facility's payment rates upon appeal to the Department of Health. Such adjustments will be limited to the current schedule of surgical fees, as set forth in section 7.0 of the Medicaid Management Information System Provider Manual, Physicians (revised January, 1985). Copies of the Physicians Manual schedules may be obtained from the Department of Social Services, and are available for inspection and copying at the Department of Health Records Access Office, as indicated in subdivision (h) of this section.

(k) For any procedure which is not an ambulatory surgical procedure:

1. (1) facilities with a cost-based all-inclusive Medicaid clinic rate established pursuant to this Part or Subpart 86-1, shall be reimbursed at such rate; provided, however, that the provisions of subdivisions (h) through (j) of this section shall not apply and that the cost for services referred to in these subdivisions shall be considered fully reimbursed through payment of such clinic rate; and
2. (2) for facilities without a cost-based all-inclusive Medicaid clinic rate established pursuant to this Part or Subpart 86-1, facility costs shall be reimbursed in accordance with section 6.2.5 of the Medicaid Management Information System (MMIS) Clinic Provider Manual, Fees for Hospital-Based Referred Ambulatory Use of the Operating Room (revised December 1984). Copies of the schedule may be obtained from the New York State Department of Social Services, and are available for inspection and copying at the Department of Health, Records Access Office, as indicated in subdivision (h) of this section.

(l) Where multiple procedures are performed, and they appear in more than one PAS group, payment pursuant to this section shall be based upon 100 percent of the group price for the highest priced procedure and 50 percent of the applicable group price for each additional procedure furnished in the same operative session.

(m)-(n) [Reserved]

(o) The following table represents the products of ambulatory surgery (PAS) classification system for which reimbursement is available according to group and group price as established in this section. The products of ambulatory surgery classification system, developed by the New York State Department of Health, classifies ambulatory surgery procedures based upon similarities in patient and resource use characteristics. The table includes the PAS classification and PAS name as follows: