Ala. Admin. Code r. 560-X-38-.04

Current through Register Vol. 43, No. 1, October 31, 2024

Section 560-X-38-.04 - Covered Surgical Procedures

(1) Covered surgical procedures are those procedures that meet the following standards:

(a) Those surgical procedures which are commonly performed on an inpatient basis in hospitals, but may be safely performed in an ambulatory surgical center setting;

(b) Those surgical procedures which are limited to those requiring a dedicated operating room and generally requiring a post-operative recovery room or short-term (not overnight) convalescent room; and

(c) Those surgical procedures which are not otherwise excluded under 42 C.F.R. § 405.310 or other regulatory requirements.

(2) A listing of the covered surgical procedures shall be maintained by the Alabama Medicaid Agency and shall be furnished to all ASCS. This list shall be reviewed and updated on a regular basis by the appropriate staff of the Alabama Medicaid Agency.

Author:

Ala. Admin. Code r. 560-X-38-.04

Rule effective September 1, 1986.

Statutory Authority:42 C.F.R. §§ 405.310, 416.65.