Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 471 - NEBRASKA MEDICAL ASSISTANCE PROGRAM SERVICES
Chapter 46 - RATES FOR HOSPITAL SERVICES
Section 471-46-004 - NON-PAYMENT FOR HOSPITAL ACQUIRED CONDITIONS
Universal Citation: 471 NE Admin Rules and Regs ch 46 ยง 004
Current through September 17, 2024
Medicaid will not make payment for conditions which are a result of avoidable inpatient hospital complications and medical errors that are identifiable, preventable, and serious in their consequences to patients. This means that Medicaid will, at a minimum, identify as a hospital acquired condition, those secondary diagnosis codes that have been identified as Medicare hospital acquired conditions when not present on hospital admission.
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