R414-2A-4. Hospital Admission Requirements

  (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.