LSA 18-375 Radiology Rule
June 5, 2019Amends 405 IAC 5-27-1 to update definitions and terminology.
Amends 405 IAC 5-27-2 to clarify prior authorization and service limitations for radiologic procedures.
Amends 405 IAC 5-27-3 to update definitions and terminology and revise Medicaid policy for computerized tomography scans. Amends 405 IAC 5-27-6 to update terminology and revise Medicaid policy for sonography procedures.
Adds 405 IAC 5-27-7 to implement reimbursement and prior authorization policy for positron emission tomography scans.
Adds 405 IAC 5-27-8 to implement reimbursement and prior authorization policy for interventional radiology procedures.
Adds 405 IAC 5-27-9 to implement reimbursement policy for magnetic resonance imaging.
Effective 30 days after filing with the Publisher. Statutory authority: IC 12-15-1-10; IC 12-15-21-1; IC 12-15-21-2; IC 12-15-21-3.
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Original source URL:
https://www.in.gov/fssa/files/LSA_18-375_Radiology_Docket.pdf