Alabama Administrative Code
Title 560 - ALABAMA MEDICAID AGENCY
Chapter 560-X-38 - AMBULATORY SURGICAL CENTER SERVICES
Section 560-X-38-.03 - Payment
Current through Register Vol. 43, No. 02, November 27, 2024
(1) Payment shall be made for a surgical procedure performed on a Medicaid recipient only if the procedure is on the approved list.
(2) Ambulatory surgical center services are items and services furnished by an outpatient ambulatory surgery center in connection with a covered surgical procedure.
(3) Rates of reimbursement for ambulatory surgical center services include, but are not limited to:
(4) Ambulatory surgical center services do not include items and services for which payment may be made under other provisions. Ambulatory surgical center services do not include:
Author: Vicki W. Huff.
Statutory Authority: State Plan, Attachment 3.1-A; 42 C.F.R. §§ 416.61, 416.65, 416.120.