Louisiana Administrative Code
Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE
Part V - Hospital Services
Subpart 5 - Outpatient Hospital Services
Chapter 51 - General Provisions
Section V-5113 - Never Events
Universal Citation: LA Admin Code V-5113
Current through Register Vol. 50, No. 3, March 20, 2024
A. Effective for dates of service on or after July 1, 2012, the Medicaid Program will not provide reimbursement for outpatient hospital services for "never events" or medical procedures performed in error which are preventable and have a serious, adverse impact to the health of the Medicaid recipient. Reimbursement will not be provided when the following "never events" occur:
1. the wrong surgical procedure is performed
on a patient;
2. surgical or
invasive procedures are performed on the wrong body part; or
3. surgical or invasive procedures are
performed on the wrong patient.
AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.
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