(a) Reimbursement for services covered under this Article and provided at a birth center as defined in Section 5 of the Birth Center Licensing Act shall include: (1) Beginning January 1, 2025, subject to federal approval, a facility fee for the birthing person and baby that is no less than 80% of the statewide average facility payment rate made to a hospital for an uncomplicated vaginal birth. The facility fee shall include medications, laboratory tests, and supplies provided. (2) Beginning January 1, 2025, no less than 80% of the Department fee schedule rate for professional services for the birthing person and baby covered under this Article that are reimbursable separate from the facility fee and provided within the scope of licensure or certification of both the practitioner and birth center. (b) The Department shall submit any necessary application to the federal Centers for Medicare and Medicaid Services for a waiver or State Plan amendment to implement the requirements of this Section. approval, a facility fee for the birthing person and baby that is no less than 80% of the statewide average facility payment rate made to a hospital for an uncomplicated vaginal birth. The facility fee shall include medications, laboratory tests, and supplies provided. the Department fee schedule rate for professional services for the birthing person and baby covered under this Article that are reimbursable separate from the facility fee and provided within the scope of licensure or certification of both the practitioner and birth center.
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