ÐÏࡱá > þÿ . 0 þÿÿÿ - ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿì¥Á q ¿ - bjbjt+t+ ( A A - ÿÿ ÿÿ ÿÿ ] Ä Ä Ä Ä Ä Ä Ä Ø Ø Ø Ø Ø ä , Ø ö $ $ $ $ $ $ $ $ È Ê Ê Ê Ê Ê Ê $ ù ô í œ î Ä $ $ $ $ $ î $ Ä Ä $ $ $ $ $ $ $ Ä $ Ä $ È Ø Ø Ä Ä Ä Ä $ È $ ¤ $ È Ä Ä È $ pÝ«¬Þ³ÀØ Ø $ È Title 13--DEPARTMENT OF SOCIAL SERVICES Division 40--Division of Family Services Chapter 81--Vendor Payment for Medical Care Services 13 CSR 40-81.005 Organization and Description (Moved to 13 CSR 70-1.010) 13 CS13 CSR 40-81.045 Medicaid Program Benefits for Nurse-Midwife Services (Moved to 13 CSR 70-55.010) 13 CSR 40-81.050 Inpatient Hospital Services Reimbursement Plan; Outpatient Hospital Services Reimbursement Methodology (Moved to 13 CSR 70-15.010) 13 CSR 40-81.051 Limitations on Payment for Inpatient Hospital Care (Moved to 13 CSR 70-15.030) 13 CSR 40-81.052 Second Opinion Requirement Before Nonemergency Elective Surgical Operations (Moved to 13 CSR 70-3.110) 13 CSR 40-81.053 Inpatient Hospital Psychiatric Services for Individuals Under Age Twenty-One (Moved to 13 CSR 70-15.070) 13 CSR 40-81.054 Copayment and Coinsurance for Certain Medicaid-Covered Services (Moved to 13 CSR 70-4.050) 13 CSR 40-81.055 Copayment for Pharmacy Services (Moved to 13 CSR 70-4.051) 13 CSR 40-81.056 Home Health Care Services (Moved to 13 CSR 70-90.010) 13 CSR 40-81.057 Home Health Care Services Reimbursement (Moved to 13 CSR 70-90.020) 13 CSR 40-81.060 Obtaining Information From Providers of Medical Servicces (Moved to 13 CSR 70-3.050) 13 CSR 40-81.070 Length of Time for Submitting Claims (Rescinded April 11, 1980) 13 CSR 40-81.071 Timely Filing and Processing of Claims, Medicaid Program (Moved to 13 CSR 70-3.100) 13 CSR 40-81.080 Reasonable Cost-Related Reimbursement Plan for Long-Term Care (Moved to 13 CSR 70-10.005) 13 CSR 40-81.081 Prospective Reimbursement Plan for Long-Term Care (Moved to 13 CSR 70-10.010) 13 CSR 40-81.082 Limitation on Allowable Capital Cost Overruns for New Institutional Health Services in Title XIX Reimbursement Rate Setting (Moved to 13 CSR 70-10.100) 13 CSR 40-81.083 Prospective Reimbursement Plan for Nonstate Operated Facilities for ICF/MR Services (Moved to 13 CSR 70-10.030) 13 CSR 40-81.084 Evaluation and Assessment Measures for Title XIX Residents in Long-Term Care Facilities (Moved to 13 CSR 15-9.030) 13 CSR 40-81.085 Prospective Reimbursement System for Long-Term Care (Rescinded August 11, 1984) 13 CSR 40-81.086 Preadmission Screening (Moved to 13 CSR 15-9.020) 13 CSR 40-81.090 Duty of Medicaid Participating Hospital and Other Vendors to Assist in Recovering Third Party Payments (Moved to 13 CSR 70-3.040) 13 CSR 40-81.092 Required Reporting of Injuries Received by Title XIX Recipients (Moved to 13 CSR 70-4.060) 13 CSR 40-81.100 Abortions Emergency rule filed July 7, 1977, effective July 17, 1977, expired Oct. 15, 1977. 13 CSR 40-81.101 Abortions (Moved to 13 CSR 70-25.100) 13 CSR 40-81.110 Quality Standards for Approving Manufacturers for the Medicaid Drug Program (Rescinded January 12, 1980) 13 CSR 40-81.120 Hearing Aid Program (Moved to 13 CSR 70-45.010) 13 CSR 40-81.125 Personal Care Program (Moved to 13 CSR 70-91.010) 13 CSR 40-81.126 Adult Day Health Care Program (Moved to 13 CSR 70-92.010) 13 CSR 40-81.130 Podiatric Services Program (Moved to 13 CSR 70-30.010) 13 CSR 40-81.140 Procedures for Medical Services Provider Hearings (Moved to 13 CSR 70-4.030) 13 CSR 40-81.141 Eligibility Corrective Section Recipient Payments (Moved to 13 CSR 70-4.040) 13 CSR 40-81.150 Computer-Generated Drug Pricing Tape (Moved to 13 CSR 70-20.070) 13 CSR 40-81.160 Sanctions for False or Fraudulent Claims for Title XIX Services (Moved to 13 CSR 70-3.030) 13 CSR 40-81.161 Computation of Provider Overpayment by Statistical Sampling (Moved to 13 CSR 70-3.130) 13 CSR 40-81.162 Procedures for Evaluation of Appropriate Hospital Admissions and Continued Days of Stay (Moved to 13 CSR 70-15.090) 13 CSR 40-81.165 Title XIX Provider Enrollment (Moved to 13 CSR 70-3.020) 13 CSR 40-81.170 Optical Care Benefits and Limitations, Medicaid Program (Moved to 13 CSR 70-40.010) 13 CSR 40-81.180 Payment Method for General Relief Recipient Hospital Outpatient Services (Moved to 13 CSR 70-15.080) 13 CSR 40-81.181 Scope of Medical Services for General Relief Recipients (Moved to 13 CSR 70-2.020) 13 CSR 40-81.190 Limitations on Payment of Out-of-State Nonemergency Medical Services (Moved to 13 CSR 70-3.120) 13 CSR 40-81.195 Title XIX Procedure of Exception to Medical Care Services Limitations (Moved to 13 CSR 70-2.100) 13 CSR 40-81.200 Title XIX Recipient Lock-in Program (Moved to 13 CSR 70-4.070) - ( Q p † ‡ ¶ Ñ Ò 9 : ² Î Ï / 0  ¨ © # $ v ‘ ’ Ã Þ ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ( Q p † ‡ ¶ Ñ Ò 9 : ² Î Ï / 0  ¨ © # $ v ‘ ’ Ã Þ ß & ' ` | } È ã ä 5 6 € › œ ë K g h õ w “ ” ý ^ z { £ ¾ ¿ 7 R S ¤ ¿ À Û . / J f g Ä á â # $ K g h — ³ ´ à ü ý @ [ \ Ÿ º » ñ ýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýý dÞ ß & ' ` | } È ã ä 5 6 € › œ ë K g h õ w “ ” ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ^ z { £ ¾ ¿ 7 R S ¤ ¿ À Û . / J f g Ä á â # $ K g h ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý h — ³ ´ à ü ý @ [ \ Ÿ º » ñ _ z { È ã ä M i j ™ ´ µ þ ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ñ _ z { È ã ä M i j ™ ´ µ þ u ‘ ’ Û ö ÷ M h i À Û Ü , - ýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýýý u ‘ ’ Û ö ÷ M h i À Û Ü , - ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý °Ð/ °à=!°'"°'# $ %° [ $ @ñÿ $ N o r m a l mH <