HAR §17-1737-5
HAR §17-1737-5. Physician services
Cite as Haw. Code R. § 17-1737-5
(a) Physician
services means services provided within the scope of
practice of medicine or osteopathy as defined by state
law.
(b) Medicaid payments shall be made for medically
necessary services when the services are provided by a
physician authorized by the department at locations
including, but not limited to:
(1) The physician's office;
(2) A clinic;
(3) A private home;
(4) An approved hospital;
(5) An approved skilled nursing or intermediate
care facility; or
(6) A licensed care home or adult family boarding
home.
(c) For the purpose of this program, the
following physicians' services shall be non-
reimbursable:
UNOFFICIAL
1737-7
(1) Hospital visits to a patient in an
institution for tuberculosis, Hansen's
disease, or mental disease; and
(2) Professional services rendered to an inmate
of a public institution, including visits to
a hospital where the inmate is confined
temporarily. [Eff 08/01/94 ] (Auth:
HRS §346-14) (Imp: 42 C.F.R. §§440.50,
441.13)