R414-3A-4. Program Access Requirements

Latest version.

  (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 all medically necessary services from Medicaid providers; and

  (d) Accept financial responsibility for any services a member receives from a non-Medicaid provider.

                    
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