Sec. 10.09.93.06. Limitations

Latest version.

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 participants care; or

H. Telephones, televisions, or personal comfort items or services.

                    
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