Ohio Administrative Code
Title 5160 - Ohio Department of Medicaid
Chapter 5160-2 - Hospital Services
Section 5160-2-79 - Reimbursement for LARC devices
Universal Citation: OH Admin Code 5160-2-79
Current through all regulations passed and filed through September 16, 2024
(A) Notwithstanding the provisions of rules 5160-2-65 and 5160-2-75 of the Administrative Code, long-acting reversible contraceptive (LARC) devices may be billed separately when provided during an inpatient hospitalization.
(B) LARC devices may include intrauterine devices (IUD) and subdermal contraceptive implants.
(C) Implementation and billing procedures.
(1)
The provisions of
this rule are effective for claims associated with the provision of a LARC
device in an inpatient hospital setting on or after the effective date of this
rule.
(2)
Only one outpatient claim for a LARC device may be
submitted for a recipient in conjunction with an inpatient obstetrical delivery
claim.
(D) Payment for LARC devices.
(1)
Payment for the
LARC device will be made in accordance with paragraph (E) of rule
5160-4-12 of the Administrative
Code, at the rate in effect on the date of service.
(2)
The corresponding
inpatient obstetrical delivery claim will be paid in accordance with rule
5160-2-65 of the Administrative
Code.
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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