Library: Policy

317:30-5-306. Coverage by category

Revised 6-25-12

     Payment is made to renal dialysis facilities as set forth in this Section.

• (1) Adults.  Payment is made for outpatient renal dialysis for adults at the PPS rate.

• (2) Children.  Coverage for children is the same as for adults.

• (3) Individuals eligible for Part B of Medicare.  Payment is made utilizing the Medicaid allowable for comparable service.