23 Miss. Code. R. 202-2.2

Current through December 10, 2024
Rule 23-202-2.2 - Outpatient Hospital Services
A. The Division of Medicaid covers outpatient hospital services provided by a licensed hospital in hospital outpatient departments to a beneficiary by or under the direction of a physician or dentist which are preventive, diagnostic, therapeutic, rehabilitative or palliative and include, but are not limited to:
1. Emergency department services,
2. Observation services,
3. Outpatient department services including same-day surgery,
4. Laboratory tests,
5. X-ray and other radiology services,
6. Medical supplies,
7. Physician-administered drugs and implantable drug system devices, and
8. Mental health services.
B. The Division of Medicaid requires prior authorization for certain physician-administered drugs and implantable drug system devices as determined by the Division of Medicaid.

23 Miss. Code. R. 202-2.2

42 C.F.R. § 440.20; Miss. Code Ann. §§ 43-13-117, 43-13-121.
Amended 1/1/2019
Amended 12/1/2019
Amended 11/1/2020
Amended 5/1/2021