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| § 5164.01 |
Definitions |
| § 5164.02 |
Rules to implement chapter |
| § 5164.03 |
Mandatory and optional services |
| § 5164.05 |
Coverage of services provided by outpatient health facilities |
| § 5164.06 |
Medicaid coverage of occupational therapy services |
| § 5164.061 |
Chiropractic services |
| § 5164.07 |
Coverage of inpatient care and follow-up care for a mother and her newborn |
| § 5164.08 |
Breast cancer and cervical cancer screening |
| § 5164.09 |
Equivalent coverage for orally and intravenously administered cancer medications |
| § 5164.091 |
Coverage for opioid analgesics |
| § 5164.10 |
Coverage of tobacco cessation medications and services |
| § 5164.14 |
Medicaid coverage for health care service provided by pharmacist |
| § 5164.15 |
Mental health services |
| § 5164.16 |
Coverage of one or more state plan home and community-based services |
| § 5164.17 |
Medicaid coverage of tobacco cessation services |
| § 5164.20 |
Medicaid not to cover drugs for erectile dysfunction |
| § 5164.25 |
Recipient with developmental disability who is eligible for medicaid case management services |
| § 5164.26 |
Healthcheck component |
| § 5164.29 |
Revised Medicaid provider enrollment system |
| § 5164.291 |
Provider credentialing committee |
| § 5164.30 |
Provider agreement with department required |
| § 5164.301 |
Medicaid provider agreements for physician assistants |
| § 5164.31 |
Funding for implementing the provider screening requirements |
| § 5164.32 |
Expiration of medicaid provider agreements |
| § 5164.33 |
Denying, terminating, and suspending provider agreements |
| § 5164.34 |
Criminal records check of provider personnel, owners and officers |
| § 5164.341 |
Criminal records check by independent provider |
| § 5164.342 |
Criminal records checks by waiver agencies |
| § 5164.35 |
Provider offenses |
| § 5164.36 |
Credible allegation of fraud or disqualifying indictment; suspension of provider agreement |
| § 5164.37 |
Suspension of provider agreement without notice |
| § 5164.38 |
Adjudication orders of department |
| § 5164.39 |
Hearing not required unless timely requested |
| § 5164.44 |
Employee status of independent provider |
| § 5164.45 |
Contracts for examination, processing, and determination of medicaid claims |
| § 5164.46 |
Electronic claims submission process; electronic fund transfers |
| § 5164.47 |
Contracting for review and analysis, quality assurance and quality review |
| § 5164.471 |
Summary data regarding perinatal services |
| § 5164.48 |
Medicaid payments made to organization on behalf of providers |
| § 5164.55 |
Final fiscal audits |
| § 5164.56 |
Lien for amount owed by provider |
| § 5164.57 |
Recovery of medicaid overpayments |
| § 5164.58 |
Agency action to recover overpayment to provider |
| § 5164.59 |
Deduction of incorrect payments |
| § 5164.60 |
Interest on Medicaid provider excess payments |
| § 5164.61 |
Scope of available remedies for recovery of excess payments |
| § 5164.70 |
Limitations on medicaid payments for services |
| § 5164.71 |
Payments for freestanding medical laboratory charges |
| § 5164.72 |
Limitations on payments for inpatient hospital care |
| § 5164.721 |
Claims by freestanding birthing centers |
| § 5164.73 |
Division of payments between physician or podiatrist and nurse |
| § 5164.74 |
Reimbursement of graduate medical education costs |
| § 5164.741 |
Payment for graduate medical education costs to noncontracting hospitals |
| § 5164.75 |
Medicaid payment for a drug subject to a federal upper reimbursement limit |
| § 5164.751 |
State maximum allowable cost program |
| § 5164.752 |
Determining maximum dispensing fee |
| § 5164.753 |
Dispensing fee |
| § 5164.754 |
Agreement for multiple-state drug purchasing program |
| § 5164.755 |
Supplemental drug rebate program |
| § 5164.756 |
Drug rebate agreement or supplemental drug rebate agreement for medicaid program not subject to public records law |
| § 5164.757 |
E-prescribing applications |
| § 5164.758 |
Adoption of rules for implementation of coordinated services program for medicaid users who abuse prescription drugs |
| § 5164.759 |
Outpatient drug use review program |
| § 5164.7510 |
Pharmacy and therapeutics committee |
| § 5164.7511 |
Medication synchronization for medicaid recipients |
| § 5164.7512 |
Definitions for sections 5164.7512 to 5164.7514 |
| § 5164.7514 |
Step therapy exemption process |
| § 5164.7515 |
Annual benchmark for prescribed drug spending growth |
| § 5164.76 |
Manner of payment for community mental health service providers or facilities and alcohol and drug addiction services |
| § 5164.761 |
Beta testing of updates to billing codes or payment rates |
| § 5164.78 |
Medicaid payment rates for certain neonatal and newborn services |
| § 5164.80 |
Public notice for changes to payment rates for medicaid assistance |
| § 5164.82 |
Payment for provider-preventable condition |
| § 5164.85 |
Enrolling in group health plan |
| § 5164.86 |
Qualified state long-term care insurance partnership program |
| § 5164.88 |
Coordinated care through health homes |
| § 5164.881 |
Health home services |
| § 5164.89 |
Case management of nonemergency transportation services |
| § 5164.90 |
Transition of medicaid recipients to community settings |
| § 5164.91 |
Integrated care delivery system |
| § 5164.911 |
Integrated care delivery system evaluation |
| § 5164.912 |
Integrated care delivery system standardized claim form |
| § 5164.92 |
Advanced diagnostic imaging services coverage under medicaid program |
| § 5164.93 |
Incentive payments for adoption and use of electronic health record technology |
| § 5164.94 |
Delivery of services in culturally and linguistically appropriate manners |
| § 5164.95 |
Standards for payments for telehealth services; eligible practitioners |
| § 5164.951 |
Standards for medicaid payments for services provided through teledentistry |
