048.0037.31.7
Ch. 31, § 7. Medicaid allowable payment for specialty services
Cite as Medicaid Rules, Ch. 31, § 7
(a) All-inclusive rate. No additional Medicaid reimbursement will be given to providers of specialty services. The only remuneration will be as specified in the all-inclusive contract rate.
(b) Services that require prior authorization or admission certification. The Department may require prior authorization or admission certification as a prerequisite to Medicaid payment. Failure to obtain prior authorization or admission certification shall result in the denial of Medicaid payment.