Ala. Admin. Code r. 560-X-39-.03

Current through Register Vol. 43, No. 3, December 31, 2024

Section 560-X-39-.03 - Physician Services

(1) For ESWL treatment to both kidneys during the same treatment period, Medicaid will pay the surgeon one-and-a-half times the regular reimbursement rate for the surgical procedure.

(2) For repeat ESWL treatments on the same recipient within a ninety-day period, Medicaid will reimburse the surgeon at half the regular reimbursement rate for the surgical procedure.

Author: Charles A. Reasner

Ala. Admin. Code r. 560-X-39-.03

Rule effective October 13, 1987.

Statutory Authority: State Plan; Title XIX, Social Security Act; 42 C.F.R. §§401, etseq.