Subchapter 37.85.4 - Provider Requirements
- Rule 37.85.401 - PROVIDER PARTICIPATION
- Rule 37.85.402 - PROVIDER ENROLLMENT AND AGREEMENTS
- Rule 37.85.403 - ICD CLINICAL MODIFICATION (CM) AND PROCEDURAL CODING SYSTEM (PCS) SERVICES
- Rule 37.85.404 and 37.85.405 - Reserved
- Rule 37.85.406 - BILLING, REIMBURSEMENT, CLAIMS PROCESSING, AND PAYMENT
- Rule 37.85.407 - THIRD PARTY LIABILITY
- Rule 37.85.408 and 37.85.409 - Reserved
- Rule 37.85.410 - DETERMINATION OF MEDICAL NECESSITY
- Rule 37.85.411 - PROVIDER RIGHTS
- Rule 37.85.412 - INTERPRETATION OF RULES
- Rule 37.85.413 - LIMITATIONS ON CODING ADVICE
- Rule 37.85.414 - MAINTENANCE OF RECORDS AND AUDITING
- Rule 37.85.415 - MEDICAL ASSISTANCE MEDICAID PAYMENT
- Rule 37.85.416 - STATISTICAL SAMPLING AUDITS
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