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(a) The maximum number of days of hospitalization payable by the division for an individual recipient is limited to the 50th percentile of the length of hospitalization stay for that particular primary medical or surgical diagnosis involved identified in the Length of Stay by Diagnosis and Operation, Western Region, 1994, which is adopted by reference.
(b) Notwithstanding (a) of this section the division of medical assistance will not pay for more than a total of eight days for a recipient for all hospitalizations in any 12 consecutive month period.
(c) In this section
(1) "hospitalization" includes room, board, and charges for ancillary services;
(2) "ancillary services" include pharmacy, medical and surgical supplies, laboratory, radiology, respiratory services, physical therapy, and operating room services.
History: Eff. 11/20/94, Register 132
Authority: AS 47.05.010
Editor's note: The Length of Stay by Diagnosis and Operation, Western Region, 1994 can be obtained by writing to the Health Care Investment Analysts, 300 East Lombard Street, Baltimore, Maryland 21202. The document may be inspected at the division of medical assistance, Department of Health and Social Services, 4411 Business Park Blvd., Suite 46, Anchorage, Alaska 99503.
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Last modified 7/05/2006