Section 210.000. Program Coverage.
- 016.06.42–211.000. Introduction.
- 016.06.42–213.000. Scope.
- 016.06.42–214.000. Benefit Limits.
- 016.06.42–214.100. Extension of Benefits for Portable X-Ray Services
- 016.06.42–214.110. Completion of Form Dms-671, “Request for Extension of Benefits for Clinical, Outpatient, Diagnostic Laboratory, and Radiology/Other Services”
- 016.06.42–214.120. Documentation Requirements for Extension of Benefits Request.
- 016.06.42–214.200. Administrative Reconsideration of Extensions of Benefits Denial.
- 016.06.42–214.210. Appealing an Adverse Action.
- 016.06.42–215.000. Exclusions.