Mont. Admin. R. 37.85.220 - INDEPENDENT DIAGNOSTIC TESTING FACILITIES
(1) Any facility that is enrolled in the
federal Medicare program as an independent diagnostic testing facility (IDTF)
may also enroll in the Montana Medicaid program as an IDTF.
(2) IDTFs enrolled in the Montana Medicaid
program shall be governed by
42
CFR 410.32 and
410.33.
The department hereby adopts and incorporates by reference
42
CFR 410.32 and
410.33
(2001). Copies of
42
CFR 410.32 and
410.33
(2001) are available upon request from the Department of Public Health and
Human Services, Health Policy and Services Division, 1400 Broadway, P.O. Box
202951, Helena, MT 59620-2951.
(3)
In addition to
42
CFR 410.32 and
410.33,
IDTFs enrolled in the Montana Medicaid program shall comply with all rules
generally applicable to Medicaid providers.
(4) An IDTF shall be reimbursed for
diagnostic services performed pursuant to this rule in accordance with ARM
37.85.406 and
37.86.105.
(5) The definitions found in the introduction
to Physicians Current Procedural Terminology, fourth edition (CPT4), published
by the American Medical Association of Chicago, Illinois and adopted at ARM
37.86.101 set forth meanings of
terms commonly used by the Montana Medicaid program in implementation of the
program's IDTF fee schedule.
(6)
The Physician-Related Services Manual governing the administration of the IDTF
program adopted at ARM
37.86.101 applies to independent
diagnostic testing facilities.
Notes
53-6-113, MCA; IMP, 53-6-111, MCA;
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