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 March 18, 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.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
