Payment policies

Ambulatory surgical centers (Last updated 7/1/23)

Clinical Trials, Investigational Device Exemption (IDE) studies, Coverage with Evidence Development (CED) studies (Last updated 06/17/24)

Emergency department services (Last updated 10/2/23)

FQHC services (Last updated 3/8/23)

Inpatient readmissions (Last updated 6/1/23)

Observation services (Last updated 4/30/24)

Off-Campus outpatient clinic services (Last updated 6/1/23)

Organ Transplants (Last updated 5/17/24)

Preventive services (Last updated 2/26/24)

Primary care services (Last updated 6/4/24)

Rural health clinics (Last updated 6/1/23)

Sepsis DRG review (Last updated 11/1/23)

Three Day Payment Window (Outpatient Services Treated as Inpatient) (Last updated 5/23/24)

TIN Validation (Last updated 7/19/24)

Vision services (Last updated 3/1/24)

Window to Request a Reconsideration of Postpay Audit Findings (Last updated 6/4/24)