(1) An outpatient hospital must:
- (a) be licensed or formally-approved as a hospital by an officially designated authority for state-standard setting;
- (b) meet participation requirements in Medicare as a hospital;
- (c) be a hospital that accepts a Medicaid member for treatment and accepts responsibility to make sure the member receives medically necessary services from Medicaid providers; and
- (d) accept financial responsibility for any services a member receives from a non-Medicaid provider.
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-3-104; 26B-3-108(2); 26B--114