INTERPRETIVE OR POLICY STATEMENT
Legal and Administrative Services
Subject: Inpatient hospital medicaid provider guide (MPG).
Effective for dates of service on and after January 1, 2013, the medicaid program of HCA is publishing a revised inpatient hospital services MPG.
Specific changes to the guide include:
|•||Added robotic assisted surgery criteria.|
|•||Added criteria for authorization of transcatheter aortic valve replacement (TAVR).|
|•||Removed blue note box explaining separate authorization segments.|
|•||Removed blue note box explaining responsibility of the institution for mental disease (IMD) and RSN responsibilities.|
|•||Added billing instructions specific to IMDs.|
|•||Added criteria for qualifying medicaid emergency psychiatric demonstration (MEPD) emergencies.|
|•||Added criteria for MEPD related inpatient psychiatric admissions regarding adverse events.|