Ohio Administrative Code
Title 5160 - Ohio Department of Medicaid
Chapter 5160-2 - Hospital Services
- Section 5160-2-01 - Eligible providers
- Section 5160-2-02 - General provisions: hospital services
- Section 5160-2-03 - Conditions and limitations
- Section 5160-2-04 - Coverage of hospital-provided pharmaceutical, dental, vision care, medical supply and equipment, and medically-related transportation services
- Section 5160-2-05 - Classification of hospitals
- Section 5160-2-07.1 - Hospital services subject to and excluded from DRG prospective payment
- Section 5160-2-07.2 - Classification of hospitals
- Section 5160-2-07.3 - Methodology for determining relative weights
- Section 5160-2-07.4 - Basic methodology for determining prospective payment rates
- Section 5160-2-07.5 - Disproportionate share adjustment
- Section 5160-2-07.6 - Capital costs
- Section 5160-2-07.7 - Medical education
- Section 5160-2-07.8 - Redetermination of prospective payment rates
- Section 5160-2-07.9 - Payment for outliers
- Section 5160-2-07.11 - Payment methodology
- Section 5160-2-07.12 - Appeals and reconsideration of departmental determinations regarding hospital inpatient and outpatient services
- Section 5160-2-07.13 - Utilization control
- Section 5160-2-07.17 - Provision of basic, medically necessary hospital-level services
- Section 5160-2-08 - Data policies for disproportionate share and indigent care adjustments for hospital services
- Section 5160-2-08.1 - Assessment rates
- Section 5160-2-09 - Payment policies for disproportionate share and indigent care adjustments for hospital services
- Section 5160-2-10 - Payment policies for disproportionate share and indigent care adjustments for psychiatric hospitals
- Section 5160-2-12 - Appeals and reconsideration of departmental determinations regarding hospital inpatient and outpatient services
- Section 5160-2-13 - Utilization review
- Section 5160-2-14 - Potentially preventable readmissions
- Section 5160-2-17 - Provision of basic, medically necessary hospital-level services
- Section 5160-2-21 - Reimbursement for services provided in an outpatient hospital setting
- Section 5160-2-21.1 - Consumer co-payments for non-emergency emergency department services
- Section 5160-2-22 - Non-DRG prospective payment for hospital services
- Section 5160-2-23 - Cost reports
- Section 5160-2-24 - Audits
- Section 5160-2-25 - Coordination of benefits: hospital services
- Section 5160-2-30 - Hospital franchise fee program
- Section 5160-2-40 - Psychiatric pre-certification review
- Section 5160-2-50 - Supplemental upper limit payments for inpatient and outpatient hospital services
- Section 5160-2-51 - Supplemental inpatient hospital upper payment limit payments for state hospitals
- Section 5160-2-52 - Supplemental inpatient hospital payments for private hospitals
- Section 5160-2-53 - Supplemental inpatient hospital payments for children's hospitals
- Section 5160-2-54 - Supplemental outpatient hospital upper limit payments for private, public non state-owned, and public state-owned hospitals
- Section 5160-2-60 - Hospital cost coverage add-on
- Section 5160-2-65 - Inpatient hospital reimbursement
- Section 5160-2-66 - Capital costs
- Section 5160-2-67 - Medical education
- Section 5160-2-75 - Outpatient hospital reimbursement
- Section 5160-2-76 - Outpatient hospital behavioral health services
- Section 5160-2-77 - Consumer co-payments for non-emergency emergency department services
- Section 5160-2-79 - Reimbursement for LARC devices
Disclaimer: These regulations may not be the most recent version. Ohio may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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