Medicaid and Outpatient Hospital Services

Author / Creator

Library of Congress. Congressional Research Service

Available as

Online

Summary

Provides background on Medicaid coverage of outpatient hospital services. Summarizes proposed Medicaid rule to change definition of outpatient hospital and rural health clinic services, and to chan...

Provides background on Medicaid coverage of outpatient hospital services. Summarizes proposed Medicaid rule to change definition of outpatient hospital and rural health clinic services, and to change requirements for States to demonstrate compliance with Federal upper payment limits on outpatient hospital services that are provided in private outpatient facilities. Outlines CMS justification for proposed changes, and concerns about potential impact of changes on Medicaid coverage of certain services. Summarizes final rule and latest Congressional action.

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