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016.06.36-222.000 Fetal Non-Stress Test and Ultrasound Benefit Limits

AR ADC 016.06.36-222.000Arkansas Administrative CodeEffective: February 1, 2022

West's Arkansas Administrative Code
Title 016. Department of Human Services
Division 06. Division of Medical Services
Rule 36. Physician/Independent Lab/Crna/Radiation Therapy Center Provider Manual (Refs & Annos)
Section 213.000. Exclusions.
Effective: February 1, 2022
Ark. Admin. Code 016.06.36-222.000
016.06.36-222.000 Fetal Non-Stress Test and Ultrasound Benefit Limits
Currentness
The Arkansas Medicaid Program covers the Fetal Non-Stress Test and the Ultrasound when performed in conjunction with maternity care. Refer to Section 292.673 of this manual for procedure codes.
A. The Ultrasound and Fetal Non-Stress Test have a benefit limit of two (2) per pregnancy.
B. Post-procedural visits are covered within the 10-day period following a fetal non-stress test.
If it is necessary to exceed the Medicaid established benefit limits, the physician must request extension of the benefit with documentation that justifies the need for additional tests and establishes medical necessity.

Credits

Eff. Oct. 13, 2003. Amended Feb. 1, 2022.
<Editor’s Note: Nonfunctioning links so in original.>
Current with amendments received through February 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 016.06.36-222.000, AR ADC 016.06.36-222.000
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