In the Clarification of Outpatient Clinic and Hospital Facility Services Definition final rule, the Centers for Medicare & Medicaid Services (CMS) aimed to align the Medicaid definition of outpatient hospital services more closely to the Medicare definition to:
- Improve the functionality of the applicable upper payment limits’
- Provide more transparency in determining available hospital coverage in any state; and
- Generally clarify the scope of services for which federal financial participation is available under the outpatient hospital services benefit category
Published November 2008.
Submitted October 2007.