Ohio Admin. Code 4123-6-37.3 - Payment of ambulatory surgical center services
Unless an MCO has negotiated a different payment rate with an
ambulatory surgical center pursuant to rule
4123-6-10 of the Administrative
Code, reimbursement for ambulatory surgical center services with a date of
service of May 1, 2022
shall
2022
Ambulatory surgical centers determined as of the effective date of this
rule by the centers for medicare and medicaid services (CMS) to not meet
quality requirements
2022
1
2021
shall
2022
However, if such an ambulatory surgical center, upon reconsideration,
is subsequently determined by CMS to meet quality requirements
2022
shall
shall
Notes
Promulgated Under: 119.03
Statutory Authority: 4121.12, 4121.121, 4121.30, 4121.31, 4121.44, 4121.441, 4123.05, 4123.66
Rule Amplifies: 4121.12, 4121.121, 4121.44, 4121.441, 4123.66
Prior Effective Dates: 04/01/2009, 04/01/2010, 04/01/2011, 04/01/2012, 04/01/2013, 05/05/2014, 05/01/2015, 05/01/2016, 05/01/2017, 05/01/2018, 05/01/2019, 05/16/2020, 05/06/2021, 05/01/2022
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
Unless an 2022 shall 2022
Ambulatory surgical centers determined as of the effective date of this rule by the centers for medicare and medicaid services (CMS) to not meet quality requirements 2022 1 2021 shall 2022
However, if such an ambulatory surgical center, upon reconsideration, is subsequently determined by CMS to meet quality requirements 2022 shall shall
Notes
Promulgated Under: 119.03
Statutory Authority: 4121.12, 4121.121, 4121.30, 4121.31, 4121.44, 4121.441, 4123.05, 4123.66
Rule Amplifies: 4121.12, 4121.121, 4121.44, 4121.441, 4123.66
Prior Effective Dates: 04/01/2009, 04/01/2010, 04/01/2011, 04/01/2012, 04/01/2013, 05/05/2014, 05/01/2015, 05/01/2016, 05/01/2017, 05/01/2018, 05/01/2019, 05/16/2020, 05/06/2021, 05/01/2022