CMS-179 4.19 (k)(1)

66a

Revision: HCFA‑AT‑81‑34 (BPP)

10‑81

State:

Citation 4.19 (k)(1) Payments to Physicians for

42 CFR 405.515

1903(i)(7) of the Act Clinical Laboratory Services

For services performed by an outside laboratory for a physician who bills for the service, payment does not exceed the amount that would be authorized under Medicare in accordance with 42 CFR 405.515(b),(c) and (d).

Yes

Not applicable. The Medicaid agency does not allow payment under the plan to physicians for outside laboratory services.

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TN No.

Supersedes Approval Date Effective Date

TN No.