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 April 1, 2013 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 April 1, 2013.

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Effective: 04/01/2013
R.C. 119.032 review dates: 01/08/2013 and 02/01/2015
Promulgated Under: 119.03
Statutory Authority: 4121.12, 4121.121, 4121.31, 4123.05
Rule Amplifies: 4121.121, 4121.44, 4121.441, 4123.66
Prior Effective Dates: 4/1/09, 4/1/10, 4/1/11, 4/1/12