Louisiana Administrative Code
Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE
Part V - Hospital Services
Subpart 5 - Outpatient Hospital Services
Chapter 53 - Outpatient Surgery
Subchapter A - General Provisions
Section V-5301 - Payment for Outpatient Surgery Services
Universal Citation: LA Admin Code V-5301
Current through Register Vol. 50, No. 9, September 20, 2024
A. Payment for outpatient surgery services is a flat rate in accordance with the published fee schedule. The flat rate payment covers all services provided during the outpatient surgical admission. There shall be no cost settlement for outpatient surgery services except for the specific hospital types identified in Subchapter B of this Chapter.
1. Effective for dates of service on or after
February 10, 2022, the Medicaid Program shall provide reimbursement for
Coronavirus Disease 2019 laboratory testing in addition to the outpatient
surgery fee schedule flat fee reimbursement amount.
AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.
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