Outpatient Services Subject to CAH Reasonable Cost Method. For companies on or after December 1, 2009, outpatient companies offered by a CAH, shall be reimbursed at one hundred and one % of cheap value. This doesn’t embrace any prices of doctor providers or other professional providers supplied to CAH outpatients.

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Notice thereof shall be given in accordance with paragraph of this section. The Director, OCHAMPUS, or a designee, might consolidate any variety of proceedings for listening to when the facts and circumstances are similar and no substantial right of an interesting party shall be prejudiced. A statement of the best to appeal further in any case when the reconsideration willpower is less than absolutely favorable to the appealing get together and the amount in dispute is $50 or extra.

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