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SubPart 86-4 - Free-standing Ambulatory Care Facilities
Effective Date
06/14/2017
SubPart 86-4 - Free-standing Ambulatory Care Facilities
Section 86-4.1 - Definitions
Section 86-4.2 - Facility rates
Section 86-4.3 - Recording and reporting of financial and statistical data
Section 86-4.4 - Certification of reports
Section 86-4.5 - Correction and supplementation of reports
Section 86-4.6 - Audits
Section 86-4.7 - Title XVIII (Medicare) certification
Section 86-4.8 Reserved
Section 86-4.9 - Units of service
Section 86-4.10 - Minimum utilization standards
Section 86-4.11 - Computation of basic rate for facilities other than licensed free-standing ambulatory surgery centers
Section 86-4.12 - Allowance for diagnostic and/or treatment centers providing a disproportionate share of bad debt and charity care
Section 86-4.13 - Groupings
Section 86-4.14 - Ceilings on payments
Section 86-4.15 - Calculation of trend factor
Section 86-4.16 - Revisions in certified rates
Section 86-4.17 - Appeal process
Section 86-4.18 Reserved
Section 86-4.19 - Rates for facilities without adequate cost experience
Section 86-4.20 - Capital cost reimbursement
Section 86-4.21 - Allowable costs
Section 86-4.22 - Recoveries of expense
Section 86-4.23 - Depreciation
Section 86-4.24 - Interest
Section 86-4.25 - Return on investment
Section 86-4.26 - Sales, leases and realty transactions
Section 86-4.27 - Compensation of operators and relatives of operators
Section 86-4.28 - Related organizations
Section 86-4.29 Reserved
Section 86-4.30 Reserved
Section 86-4.31 - Termination of service
Section 86-4.32 Reserved
Section 86-4.33 Reserved
Section 86-4.34 - Pilot reimbursement projects
Section 86-4.35 - Computation of basic rates for clinic services provided to Acquired Immune Deficiency Syndrome (AIDS) and Human Immunodeficiency Virus (HIV) sero-positive patients by freestanding ambulatory care facilities and hospital clinic outpatient
Section 86-4.36 REPEALED
Section 86-4.37 - Computation of basic rates of payment for services provided to Medicaid patients by preferred primary care providers
Section 86-4.38 - Computation of basic rates of payment for services provided to Medicaid patients by specialty clinics
Section 86-4.39 - Computation of basic rates for methadone maintenance treatment services provided by freestanding ambulatory care facilities and hospital outpatient clinic services.
Section 86-4.40 - Computation of case-based rates of payment for licensed free-standing ambulatory surgery centers and hospital based ambulatory surgery services
Section 86-4.41 - Computation of basic rates for day health care services provided by freestanding ambulatory care facilities to patients with acquired immune deficiency syndrome (AIDS) and other human immunodeficiency (HIV) related illnesses