- (1) An inpatient hospital must meet Medicare participation requirements.
- (2) Each hospital that provides inpatient services must have a utilization review plan as described in 42 CFR 482.30.
- (3) Each hospital that accepts a Medicaid member for treatment is responsible to verify that the member receives all medically necessary services from Medicaid providers.
- (4) Each hospital is financially responsible for any services a member receives from a non-Medicaid provider.
- (5) Inpatient hospital intensive physical rehabilitation participation is subject to 42 CFR 482.56 and 42 CFR 412, Subpart B and Subpart P.
KEY: Medicaid
Date of Last Change: November 10, 2023
Notice of Continuation: September 14, 2022
Authorizing, and Implemented or Interpreted Law: 26B-1-213; 26B-3-108; 26B-3-110