Code of Maine Rules
10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES
144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL
Chapter 101 - MAINECARE BENEFITS MANUAL (FORMERLY MAINE MEDICAL ASSISTANCE MANUAL)
Chapter II - Specific Policies By Service
Section 144-101-II-101 - Medical Imaging Services
Subsection 144-101-II-101.01 - DEFINITIONS

101.01-1 Accrediting Body means an entity that has been approved by the Food and Drug Administration (FDA) under Section 354 of the Public Health Service Act ( 42 U.S.C. 263 b (e) (1) (A)) to accredit Mammography Facilities.

101.01-2 Certificate means the certificate issued by the Food and Drug Administration (FDA) to all mammography facilities that provide breast cancer screening or diagnosis through mammography and that meet all accreditation requirements in accordance with the Mammography Quality Standards Act (MQSA), Public Law 102-539, Section 354 of the Public Health Service Act ( 42 U.S.C. 263 b (b) (1)) and all applicable FDA regulations.

101.01-3 Computed Tomography (CT) means a diagnostic technology that combines x-ray equipment with a computer and cathode ray tube display to produce images of cross sections of the human body.

101.01-4 Independent Medical Imaging means a medical imaging service not provided in, nor affiliated with, a hospital outpatient department or ambulatory services clinic whose rate of reimbursement includes such diagnostic services. A radiologist must direct an independent medical imaging services provider.

101.01-5 Magnetic Resonance Imaging (MRI) meansa non-invasive form of diagnostic technology that employs magnetic and radio frequency fields to image body tissues and monitor body chemistry. It does so without using ionizing radiation.

101.01-6 Mammogram means a radiographic image produced through mammography.

101.01-7 Mammography means radiography of the breast, which may utilize specialized diagnostic procedures including computer analyzed digitalization or digital mammography.

101.01-8 Mammography Facility means a hospital, outpatient department, clinic, radiology practice, mobile unit, an office of a physician or other facility that conducts breast cancer screening or diagnosis through mammography activities, including any or all of the following: the operation of equipment to produce a mammogram, processing of film, initial interpretation of the mammogram and the viewing conditions for that interpretation. This term does not include a facility of the Department of Veteran Affairs.

101.01-9 Nuclear Medicine means a diagnostic and treatment imaging process that uses special cameras and radioactive materials to form images of the body.

101.01-10 Positron Emission Tomography (PET) Scan means a diagnostic technology that involves the acquisition of physiologic images based on the detection of positrons. Positrons are tiny particles emitted from a radioactive substance administered to the patient. The subsequent views of the human body developed by this technique are used to evaluate the patient for the presence of a variety of diseases.

101.01-11 Radiologist means a doctor of medicine or doctor of osteopathy licensed to practice by the state or province in which services are provided and qualified by advanced training and experience in radiology and magnetic resonance imaging for diagnostic purposes.

101.01-12 Radiology means the use of ionizing radiation on human beings under the supervision of a licensed practitioner.

101.01-13 Ultrasonography means a diagnostic technology that produces a visual image from the application of high frequency sound waves.