R414-3A-4. Program Access Requirements

(1) An outpatient hospital must: (a) be licensed or formally-approved as a hospital by an officially designated authority for state-standard setting; (b) meet participation requirements in Medicare as a hospital; (c) be a hospital that accepts a Medicaid member for treatment and accepts responsibility to make sure the member receives medically necessary services from Medicaid providers; and (d) accept financial responsibility for any services a member receives from a non-Medicaid provider.