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Outpatient Hospital Services

Outpatient services are defined as those preventive, diagnostic, therapeutic, rehabilitative, surgical, and emergency services received by a patient through an outpatient/ambulatory care facility for the treatment of a disease or injury for a period of time generally not exceeding 24 hours.  Outpatient/ambulatory care facilities include Hospital Outpatient Departments, Diagnostic/Treatment Centers, Ambulatory Surgical Centers, Emergency Rooms, End Stage Renal Disease (ESRD) Clinics, and Outpatient Pediatric AIDS Clinic (OPAC).  Included in these services are assessments for mental health and substance abuse and treatment for renal disease.  Additional outpatient services would include emergency services for treatment of a medical emergency or accidental injury.  Comprehensive neurodevelopmental and/or psychological developmental assessment and testing services shall be provided to eligible children under the age of 21 who have, or are suspected to have, a developmental disability, significant developmental delay, behavioral or learning disorder or other disabling condition.  Such medically necessary diagnostic services, treatment and other measures, are for the purpose of correcting or ameliorating physical and/or mental  illness and conditions which left untreated, would negatively impact the health and quality of life of the child.

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