Laboratory And Radiology Services: Provider Reimbursement

01. Provider of Service. Payment for laboratory tests can only be made to the actual provider of that service, except in the case of: (7-1-26) a. An independent laboratory that can bill for a reference laboratory; (7-1-26) b. A transplant facility that can bill for histocompatibility testing; and (7-1-26) c. Healthcare professionals acting within the licensure and scope of their practice. (7-1-26) 02. Specimen Collection Fee. Collection fees for specimens drawn by venipuncture or catheterization are payable only to the provider or laboratory who draws the specimen. If done during an office visit on the same day the service is ordered, specimen collection is reimbursable even if PA is not approved. (7-1-26) IDAHO ADMINISTRATIVE CODE IDAPA 16.03.26 Department of Health & Welfare Medicaid Plan Benefits Section 206 Page 62