Section 240.000. Coverage Restrictions.
- 016.06.36–241.000 Fluoride Varnish Treatment
- 016.06.36–242.000 Dermatology
- 016.06.36–243.000. Family Planning Services.
- 016.06.36–243.100. Women's Health Demonstration Waiver.
- 016.06.36–243.200. Family Planning Services for Women in Aid Category 61 (PW)
- 016.06.36–243.300. Basic Family Planning Visit.
- 016.06.36–243.400. Periodic Family Planning Visit.
- 016.06.36–243.500. Contraception
- 016.06.36–244.000. Covered Drugs and Immunizations.
- 016.06.36–244.001. Agalsidase Beta and Laronidase Injections.
- 016.06.36–244.002. Verteporfin (Visudyne).
- 016.06.36–244.003. Fluocinolone Acetonide Intravitreal Implant (Retisert).
- 016.06.36–244.100. Special Pharmacy, Therapeutic Agents and Treatments.
- 016.06.36–244.200. Radiopharmaceutical Therapy.
- 016.06.36–245.000. Laboratory and X-Ray Services Referral Requirements.
- 016.06.36–246.000. Non-Core Rural Health Clinic (Rhc) Services.
- 016.06.36–247.000. Obstetrical Services.
- 016.06.36–247.100. Pregnant Women in the PW Aid Category
- 016.06.36–247.200 Risk Management Services for Pregnancy
- 016.06.36–248.000. Psychotherapy and Psychological Testing.
- 016.06.36–249.000. Inpatient Evaluation and Management Services.
- 016.06.36–249.100. Professional Components of Diagnostic and Therapeutic Procedures.
- 016.06.36–250.000. Outpatient Hospital Physician Services.
- 016.06.36–250.100. Emergency Services.
- 016.06.36–250.200 Physician Assessment in the Hospital Emergency Department
- 016.06.36–250.300. Non-Emergency Services.
- 016.06.36–250.400. Therapy and Treatment.
- 016.06.36–250.500. Observation Status.
- 016.06.36–251.000. Surgery.
- 016.06.36–251.100. CO-Surgery.
- 016.06.36–251.110. Assistant Surgery 8–1–21
- 016.06.36–251.120. Surgical Residents.
- Section 251.200. Surgical Procedures.