Administrative Rules of Montana
Department 37 - PUBLIC HEALTH AND HUMAN SERVICES
Chapter 37.86 - MEDICAID PRIMARY CARE SERVICES
Subchapter 37.86.32 - Nonhospital Laboratory and Radiology (X-Ray) Services
Rule 37.86.3201 - NONHOSPITAL LABORATORY AND RADIOLOGY (X-RAY) SERVICES, REQUIREMENTS

(1) "Nonhospital laboratory and radiology (x-ray) services" are professional and technical laboratory and radiology services which are ordered and provided by a physician, dentist, or other practitioner licensed within the scope of his practice as defined by state law.

(2) Nonhospital laboratory and radiology (x-ray) services may be provided in an office or similar facility other than a hospital outpatient department or clinic.

(3) Providers must meet the following requirements:

(4) 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 defines the terms commonly used by the Montana Medicaid program in implementation of the program's nonhospital laboratory and radiology (x-ray) fee schedule.

(5) The "Physician-Related Services Manual" adopted at ARM 37.86.101 governs the administration of the Nonhospital Laboratory and Radiology (X-ray) program.