Plain Text Law

Regulation .06 Limitations.

Regulation .06 Limitations.Copy Citation

The Program does not cover:
A.
Services for individuals who are not eligible for Medicaid;
B.
Services for individuals who are not medically eligible for chronic hospital services;
C.
Services identified by the Department or its designee as not medically necessary;
D.
Hospital services, procedures, drugs, or hospital admissions that are investigational or experimental;
E.
Duplicated care or services;
F.
Interpretation of laboratory tests or panels;
G.
Inpatient and outpatient diagnostic and laboratory services not ordered by the attending physician or other practitioner involved in the participant’s care; or
H.
Telephones, televisions, or personal comfort items or services.