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Medicaid Outpatient Regulation and Comments

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

Final Rule

Published November 2008.

Association Comments on Proposed Rule

Submitted October 2007.

 

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