Outpatient Hospital Services

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.