Lawriter - OAC - 4123-6-37.3 Payment of ambulatory surgical center services.

4123-6-37.3 Payment of ambulatory surgical center services.

Unless an MCO has negotiated a different payment rate with an ambulatory surgical center pursuant to rule 4123-6-08 of the Administrative Code, reimbursement for ambulatory surgical center services with a date of service of May 1, 2017 or after shall be equal to the lesser of the ambulatory surgical center's allowable billed charges or the fee schedule amount indicated in appendix A to this rule, developed with provider and employer input and effective May 1, 2017.

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Cite as Ohio Admin. Code 4123-6-37.3

Effective: 5/1/2017
Five Year Review (FYR) Dates: 02/01/2020
Promulgated Under: 119.03
Statutory Authority: 4121.12, 4121.121, 4121.30, 4121.31, 4123.05
Rule Amplifies: 4121.12, 4121.121, 4121.44, 4121.441, 4123.66
Prior Effective Dates: 4/1/09, 4/1/10, 4/1/11, 4/1/12, 4/1/13, 5/5/14, 5/1/15, 5/1/16