CMS-179 4.19 (k)(1)

State Plan Under Title XIX of the Social Security Act (Base plan pages, Attachments, Supplements to Attachments) (CMS-179)

Exhibit AG (2)

State Plan Under Title XIX of the Social Security Act (Base plan pages)

OMB: 0938-0193

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66a

Revision: HCFA‑AT‑81‑34 (BPP)

10‑81


State:


Citation 4.19 (k)(1) Payments to Physicians for

42 CFR 405.515


1903(i)(7) of the Act Clinical Laboratory Services


For services performed by an outside laboratory for a physician who bills for the service, payment does not exceed the amount that would be authorized under Medicare in accordance with 42 CFR 405.515(b),(c) and (d).



Yes


Not applicable. The Medicaid agency does not allow payment under the plan to physicians for outside laboratory services.



















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TN No.

Supersedes Approval Date Effective Date

TN No.


File Typeapplication/msword
File Title66a
AuthorCMS
Last Modified ByAnnette Pearson
File Modified2015-04-09
File Created2015-04-09

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