7 AAC 110.440 - Physician radiology and imaging services
(a) The department
will pay for diagnostic and follow-up x-rays without prior approval by the
department, but films shall be made available to the department on
request.
(b) The department will
not pay for radiologic contrast material separate from coverage for an x-ray
except for low osmolar contrast material (LOCM) used in intrathecal,
intravenous, and intra-arterial injections for a recipient with
(1) a history of previous adverse reaction to
contrast material other than a sensation of heat, flushing, or a single episode
of nausea or vomiting;
(2) a
history of asthma or allergy;
(3)
significant cardiac dysfunction, including recent or imminent cardiac
decompensation, severe arrhythmias, unstable angina pectoris, recent myocardial
infarction, or pulmonary hypertension;
(4) general severe debilitation; or
(5) sickle cell disease.
(c) The department will pay for magnetic
resonance imaging (MRI), magnetic resonance angiogram (MRA), single-photon
emission computerized tomography (SPECT), and positron emission tomography
(PET) services that are provided on an outpatient basis and for which the
department has given prior authorization.
Notes
Authority:AS 47.05.010
AS 47.07.030
AS 47.07.040
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