Part 3 - HOSPITALS

  1. § 317:30-5-40 - Eligible providers
  2. § 317:30-5-40.1 - General information
  3. § 317:30-5-40.2 - Definitions [REVOKED]
  4. § 317:30-5-41 - Inpatient hospital coverage/limitations
  5. § 317:30-5-41.1 - Acute inpatient psychiatric services
  6. § 317:30-5-41.2 - Organ transplants
  7. § 317:30-5-42 - Coverage for children [REVOKED]
  8. § 317:30-5-42.1 - Outpatient hospital services
  9. § 317:30-5-42.2 - Blood and blood fractions
  10. § 317:30-5-42.3 - Chemotherapy and radiation therapy
  11. § 317:30-5-42.4 - Clinic/treatment room services; urgent care
  12. § 317:30-5-42.5 - Diagnostic testing therapeutic services
  13. § 317:30-5-42.6 - Dialysis
  14. § 317:30-5-42.7 - [Effective until 9/14/2025] Emergency department (ED) care/services
  15. § 317:30-5-42.7 - [Effective 9/14/2025] Emergency department (ED) care/services, version 2
  16. § 317:30-5-42.8 - Hearing and speech therapy
  17. § 317:30-5-42.9 - Infusions/injections
  18. § 317:30-5-42.10 - Laboratory
  19. § 317:30-5-42.11 - Observation/treatment
  20. § 317:30-5-42.12 - Physical therapy
  21. § 317:30-5-42.13 - Radiology
  22. § 317:30-5-42.14 - Surgery and diagnostic services
  23. § 317:30-5-42.15 - Outpatient hospital services for members infected with tuberculosis
  24. § 317:30-5-42.16 - Related services
  25. § 317:30-5-42.17 - Non-covered services
  26. § 317:30-5-42.18 - Coverage for children
  27. § 317:30-5-42.19 - 340B Drug Discount Program
  28. § 317:30-5-42.20 - High-investment drugs - outpatient hospitals
  29. § 317:30-5-43 - Vocational Rehabilitation coverage [REVOKED]
  30. § 317:30-5-44 - Medicare eligible individuals
  31. § 317:30-5-45 - Psychiatric hospitals - inpatient services for persons age 65 and over [REVOKED]
  32. § 317:30-5-46 - Psychiatric hospitals and residential psychiatric treatment facilities - inpatient services for persons under age 21 [REVOKED]
  33. § 317:30-5-47 - [Effective until 9/14/2025] Reimbursement for inpatient hospital services
  34. § 317:30-5-47 - [Effective 9/14/2025] Reimbursement for inpatient hospital services, version 2
  35. § 317:30-5-47.1 - Reimbursement for newborn screening services provided by the OSDH
  36. § 317:30-5-47.2 - Disproportionate share hospitals (DSH)
  37. § 317:30-5-47.3 - Indirect medical education (IME) adjustment
  38. § 317:30-5-47.4 - Direct medical education payment adjustment
  39. § 317:30-5-47.5 - Critical Access Hospitals
  40. § 317:30-5-47.6 - High-investment drugs - inpatient hospitals
  41. § 317:30-5-48 - Cost reports [REVOKED]
  42. § 317:30-5-49 - Reporting suspected abuse
  43. § 317:30-5-50 - Abortions
  44. § 317:30-5-51 - Elective sterilizations
  45. § 317:30-5-52 - Hysterectomies
  46. § 317:30-5-53 - Newborn care
  47. § 317:30-5-54 - Hospital rate appeals [REVOKED]
  48. § 317:30-5-55 - Residential psychiatric treatment facility rate appeals [REVOKED]
  49. § 317:30-5-56 - Utilization review
  50. § 317:30-5-57 - Notice of denial
  51. § 317:30-5-58 - Supplemental Hospital Offset Payment Program

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.

No prior version found.