Ch. 31, § 9. Reimbursement to non-contracting providers

(a) Medicaid reimbursement for specialty services furnished by non-contracting providers shall be limited to reimbursement for services provided in response to an emergency. (b) The Medicaid reimbursement rate for specialty services furnished by a non-contracting provider to a recipient, in response to an emergency, shall be the average Medicaid rate paid to contracting providers for such services. (c) Retroactive eligibility. Specialty services furnished by a non-contracting provider to an individual that becomes eligible for Medicaid after the date of admission, shall be reimbursed at the average Medicaid rate paid to a contracting provider for the same or similar services.