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016.06.3-210.200. Definition, Scope and Coverage of Ambulatory Surgical Center (ASC) Services

AR ADC 016.06.3-210.200Arkansas Administrative Code

West's Arkansas Administrative Code
Title 016. Department of Human Services
Division 06. Division of Medical Services
Rule 3. Ambulatory Surgical Center Provider Manual (Refs & Annos)
Section 210.000. Program Coverage
Ark. Admin. Code 016.06.3-210.200
016.06.3-210.200. Definition, Scope and Coverage of Ambulatory Surgical Center (ASC) Services
Currentness
A. An ASC is a distinct entity that operates exclusively to furnish outpatient surgical services to patients not requiring hospitalization.
1. Certain surgical or medical procedures may require prior authorization.
2. Certain surgeries may require paper billing with attached documentation.
B. Arkansas Medicaid covers as bundled or global services, CMS-approved outpatient surgeries and ASC facility services (such as the following), that are directly related to the surgeries.
1. Nursing, technician and related services
2. Use of the facilities where the surgical procedures are performed
3. Drugs, biologicals for which separate payment is not allowed
4. Surgical dressings, supplies, splints, casts, and appliances and equipment directly related to the performance of surgical procedures
5. Diagnostic or therapeutic services or items directly related to the performing of a surgical procedure
6. Specimen handling when applicable
7. Administrative, recordkeeping, and housekeeping items and services
8. Materials for anesthesia
9. Supervision of the services of an anesthetist by the operating surgeon
10. CRNA (employee of the ASC)

Credits

Eff. Nov. 1, 2007; Oct. 13, 2003; Feb. 1, 2005; May 1, 2008; June 15, 2006. Amended July 15, 2012; July 1, 2014.
<Editor’s Note: Nonfunctioning links so in original.>
Current with amendments received through February 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 016.06.3-210.200, AR ADC 016.06.3-210.200
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