AR HB1968

Creates Section 20-77-125 of Arkansas Code establishing Medicaid reimbursement standards for ambulatory surgery centers (ASCs) for appropriate procedures not requiring hospitalization.

Sets Medicaid reimbursement rate for appropriate procedures at 80% of Hospital Outpatient Procedure Department Medicare reimbursement rates.

Requires implantable devices costing more than 50% of procedure reimbursement to be reimbursed at pass-through cost rates.

Permits appropriate procedures (those not on Medicare or Medicaid inpatient-only lists) to be performed at either ASCs or hospital outpatient departments with uniform billing and reimbursement standards.

Establishes that procedures on Medicare inpatient-only lists but not Medicaid inpatient-only lists shall be reimbursed at 80% of comparable Medicare rates based on Relative Value Units.