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Section 27-2-12.8 - Mammograms for medicaid recipients.

27-2-12.8. Mammograms for medicaid recipients.

In providing coverage for mammograms under the medicaid program, the department shall ensure that:   

A.     patients will not be routinely solicited for mammograms; and that mammograms will only be performed based on nationally recognized standards; and   

B.     any fee for service payment that shall be made on behalf of the medicaid program for a mammogram of a medicaid recipient shall be consistent with and not exceed the usual and customary charge that reflects the reasonable fair market value of the cost of a mammogram.   

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