048.0037.28.10
Ch. 28, § 10. Payment of Claims
Cite as Medicaid Rules, Ch. 28, § 10
Each claim must contain a certification by the hospital that the service was medically necessary, that it was provided on the date specified, that third party liability has been paid or, if third party liability has been denied, documentation of that denial is attached, and that the payment sought is not in excess of the hospital's usual and customary charge for the service.