Section 16.03.09.412 - OUTPATIENT HOSPITAL SERVICES: COVERAGE AND LIMITATIONS01.Services Provided On-Site. Outpatient hospital services must be provided on-site.02.Exceptions and Limitations. a. Payment for emergency room service is limited to six (6) visits per calendar year.b. Emergency room services that are followed immediately by admission to inpatient status will be excluded from the six (6) visit limit.03.Co-Payments.a. When an emergency room physician conducts a medical screening and determines that an emergency condition does not exist, the hospital can require the participant to pay a co-payment as described in IDAPA 16.03.18, "Medicaid Cost-Sharing."b. A hospital may refuse to provide services to a participant when a medical screening has determined that an emergency condition does not exist and the participant does not make the required co-payment at the time of service. Under these circumstances, the hospital must provide notification to the participant as specified in Section 1916A(e) of the Social Security Act.Idaho Admin. Code r. 16.03.09.412