Medicaid Hospital Reimbursement

Laws/Regulations

Provider Bulletins & Statutory Language

Provider Bulletin 2014-06  
Outpatient modernization is dependent on CPT/HCPCS codes which are not currently required on the claims. Effective May 1, 2014, hospitals will be required to bill a valid CPT or HCPCS code along with the revenue center code.

Public Act 13-234, Section 76
Statutory language granting the Department the authority to implement changes regarding APR-DRG.