(A) The department will reimburse an ambulatory surgery center (ASC) for facility services furnished in connection with covered surgical procedures when the services are provided by an eligible ASC provider to an eligible medicaid recipient. Reimbursement for covered ASC services will be paid according to rule 5160-22-03 of the Administrative Code.
(B) An "ambulatory surgery center (ASC)" is any distinct entity that operates exclusively for the purpose of providing surgical services to patients not requiring hospitalization.
(C) All ASCs that have a valid agreement with the centers for medicare and medicaid services (CMS) to provide services in the medicare program are eligible to become medicaid providers upon execution of the "Ohio Medicaid Provider Agreement."
Five Year Review (FYR) Dates: 01/12/2015 and 04/15/2020
Promulgated Under: 119.03
Statutory Authority: 5164.02
Rule Amplifies: 5162.03, 5164.02
Prior Effective Dates: 3/20/84, 1/4/88, 2/17/91, 5/10/07