Regulation .04 Covered Services.
Regulation .04 Covered Services.LinkCopy Citation
A.
The Program covers medically necessary services rendered to recipients, when the services are:
(1)
Provided according to the laws and regulations of the State and locality in which they are rendered in accordance with 42 CFR §486.100;
(2)
Rendered by a physician who meets the qualification standards in accordance with 42 CFR §486.102 or qualified non-physician (technician) who meets the qualification standards in accordance to 42 CFR §486.104; and
(3)
Ordered in writing by the treating physician or nurse practitioner who is enrolled as a provider in the Program with an active status on the date of service in accordance with State law.
B.
Portable X-ray services include the following:
(1)
Skeletal films involving extremities, pelvis, vertebral column, and skull;
(2)
Chest films which do not involve the use of contrast media;
(3)
Abdominal films which do not involve the use of contrast media;
(4)
Diagnostic mammograms, if approved by the FDA;
(5)
Transportation of portable X-ray equipment to a patient’s home or a long term care facility (LTCF); and
(6)
Electrocardiograms (EKGs/ECGs).