ARSD 67:16:03 – Hospital Services | Midpage67:16:03:01Definitions.67:16:03:01.03Determination of emergency hospital care.67:16:03:02Inpatient hospital services covered.67:16:03:02.01Inpatient hospital services requiring prior authorization.67:16:03:03Outpatient hospital services covered.67:16:03:04Inpatient hospital services not covered.67:16:03:06Basis of reimbursement -- Inpatient services -- In-state hospitals.67:16:03:06.01Basis of reimbursement -- Outpatient services.67:16:03:06.02Certain in-state hospitals and hospital units exempt from diagnosis-related group basis of reimbursement.67:16:03:06.03Basis of reimbursement -- Inpatient services -- In-state critical access hospitals.67:16:03:06.04Basis of reimbursement -- Inpatient services -- Out-of-state hospitals.67:16:03:06.06Reimbursement for in-state DRG-exempt hospitals and units, Repealed.67:16:03:06.07Reimbursement of outpatient laboratory services.67:16:03:06.08Payment for above-average, access-critical and above-average, at-risk hospitals, Repealed.67:16:03:06.09Disproportionate share hospitals.67:16:03:06.10Classification of hospitals providing certain outpatient surgical procedures, Repealed.67:16:03:06.11Basis of reimbursement -- Outpatient surgical procedures covered under subdivision 67:16:03:03(10), Repealed.67:16:03:06.12Services included in reimbursement rate for outpatient surgical procedures covered under to chapter 67:16:28, Repealed.67:16:03:06.13Items and services not included in reimbursement rate for outpatient surgical services covered under chapter 67:16:28 and paid under the provisions of chapter 67:16:03, Repealed.67:16:03:06.14Payment groups for outpatient hospital surgical procedures covered under chapter 67:16:28, Repealed.67:16:03:06.15Rate of payment -- Medicare crossover claims for certain inpatient hospital services.67:16:03:06.16Rate of reimbursement if individual subject to care management remains in psychiatric unit beyond established discharge date, Repealed.67:16:03:06.17Basis of reimbursement -- Inpatient services -- claims containing revenue code 275 or 278, Repealed.67:16:03:06.18Basis of reimbursement -- Outpatient prospective payment system.67:16:03:07Payment of hospital services.67:16:03:07.01Maximum rate of payment -- Transfers between DRG reimbursed hospital unit and DRG-exempt intensive care nursery unit in same hospital, Repealed.67:16:03:07.02Maximum rate of payment -- Patient transfer not medically necessary.67:16:03:10Utilization review.67:16:03:11Inpatient psychiatric hospital services, Repealed.67:16:03:14Claim requirements, Repealed.67:16:03:14.01Billing requirements.67:16:03:14.02Claim requirements for individuals subject to managed care who remain in psychiatric unit beyond established discharge date, Repealed.67:16:03:15Application of other chapters.67:16:03:0AList of Diagnosis-Related Groups (DRGs, repealed, 30 SDR 26, effective September 3, 2003.67:16:03:0BList of Outpatient Laboratory Services, repealed, 30 SDR 26, effective September 3, 2003.67:16:03:0CList of Inpatient Services Requiring Prior Authorization, repealed, 42 SDR 51, effective October 13, 2015.