| Statute: ARTICLE 22A.
16-22A-3. Fees for testing; payment of same.
(a) Testing required under this article shall be a covered benefit reimbursable by all health insurers except for health insurers that offer only supplemental coverage policies or policies which cover only specified diseases. All policies issued pursuant to articles fifteen, sixteen, twenty-four and twenty-five-a of chapter thirty-three of this code shall provide coverage for the testing required under this article.
(b) The Department of Health and Human Resources shall pay for testing required under this article when the newborn infant is eligible for medical assistance under the provisions of section twelve, article five, chapter nine of this code.
(c) In the absence of a third-party payer, the parents of a newborn infant shall be informed of the testing availability and its costs and they may refuse to have the testing performed. Charges for the testing required under this article shall be paid by the hospital or other health care facility where the infant=s birth occurred: Provided, That nothing contained in this section may be construed to preclude the hospital or other health care facility from billing the infant=s parents directly.
Source: HB2388, 1998
Rule: §16-24-6. Screening Fee Schedule.
6.1. All licensed health care facilities shall charge a fee for the initial newborn hearing screening that will be applied to all payors at the rate, not to exceed the rate, established by the Medicaid DRG process.
6.2. For infants born in a nonlicensed health care facility, including a home, pursuant to subsection 4.3., a health care provider will charge a fee for an outpatient newborn hearing screen at the rate, nor to exceed the rate, established by the Medicaid DRG process.
Source: HB2388, 1998
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