Regulation .09 Covered Services — General Requirements.
Regulation .09 Covered Services — General Requirements.LinkCopy Citation
For participants in the REM program, the Program covers and shall reimburse for services specified in Regulations .10 and .11 of this chapter when these services are:
A.
Medically necessary;
B.
Prescribed by a:
(1)
Physician;
(2)
Physician assistant; or
(3)
Nurse practitioner;
C.
Preauthorized, when required, by the Department;
D.
Rendered in accordance with accepted health professional standards;
E.
Rendered in accordance with the treatment plan or physician's, physician assistant’s, or nurse practitioner’s order, or both; and
F.
Delivered by an enrolled Medical Assistance provider.