SECTION 317:30-5-42.10. Laboratory

Latest version.

  To be eligible for payment as a laboratory/pathology service, the service must be:
(1)   Ordered and provided by or under the direction of a physician or other licensed practitioner within the scope of practice as defined by state law;
(2)   Provided in a hospital or independent laboratory;
(3)   Directly related to the diagnosis and treatment of a medical condition;
(4)   Authorized under the laboratory's CLIA certification; and
(5)   Considered medically necessary as defined in OAC 317:30-3-1(f) and 317:30-5-20.

[Source: Added at 24 Ok Reg 317, eff 12-1-06 (emergency); Added at 24 Ok Reg 905, eff 5-11-07; Amended at 36 Ok Reg 127, eff 11-16-18 (emergency); Amended at 36 Ok Reg 887, eff 9-1-19]

                    
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