Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0037 - Medicaid
Chapter 26 - COVERED SERVICES
Section 26-19 - Laboratory Services
Universal Citation: WY Code of Rules 26-19
Current through September 21, 2024
(a) Eligible providers. Independent laboratories certified by Medicare, hospital laboratories, and physician offices with a laboratory licensed by the state in which the laboratory is located.
(b) Covered services. Professional or technical laboratory services ordered by a licensed provider under their scope of practice. Services shall be directly related to the diagnosis and treatment of the patient as specified in the ordering provider"s treatment plan.
(c) Excluded services:
(i) Handling charges where a specimen is
referred by one (1) laboratory to another;
(ii) Post-mortem examinations;
(iii) Fees charged to obtain immediate
results;
(iv) Technician callback
fees; and
(v) Services that are not
FDA approved.
(d) Limited services:
(i) Specimen collection
fees shall be paid only to the provider that collects the specimen from the
client.
(ii) Only one collection
fee shall be allowed for each type of specimen for each client encounter,
regardless of the number of specimens extracted.
(iii) Clinical laboratory services routinely
performed by non-physicians shall not be entitled to a professional
component.
Disclaimer: These regulations may not be the most recent version. Wyoming may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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