§140.411. Covered Services By Physicians  


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  • The Department shall pay physicians for the provision of services not otherwise excluded which are:

     

    a)         Essential for the diagnosis and treatment of a disease or injury;

     

    b)         Included in the Physicians' Current Procedural Terminology (CPT) fourth edition, published by the American Medical Association; and

     

    c)         Provided by the physician or by a member of the physician's staff under the physician's direct supervision.