Mont. Admin. r. 37.86.2903 - INPATIENT HOSPITAL SERVICES, EXCLUSIONS

(1) Inpatient hospital services do not include:

(a) services excluded from coverage by the Medicaid program under ARM 37.85.207;

(b) experimental or investigational services such as, the use of off-label drugs where this usage is not a national standard of practice, or non-FDA approved use of drugs, biologicals, and devices;

(c) services that do not comply with national standards of medical care; and

(d) inpatient hospital services provided outside the borders of the United States will not be covered or reimbursed by the Montana Medicaid program.

Notes

Mont. Admin. r. 37.86.2903

NEW, 2006 MAR p. 1640, Eff. 7/1/06; AMD, 2010 MAR p. 1534, Eff. 7/1/10.

53-2-201, 53-6-113, MCA; IMP, 53-2-201, 53-6-101, MCA;