ARM 37.86.2903. INPATIENT HOSPITAL SERVICES, EXCLUSIONS

(1) Inpatient hospital services do not include: (a) services excluded from coverage by the Medicaid program under ARM 37.85.207; (b) experimental or investigational services such as, the use of off-label drugs where this usage is not a national standard of practice, or non-FDA approved use of drugs, biologicals, and devices; (c) services that do not comply with national standards of medical care; and (d) inpatient hospital services provided outside the borders of the United States will not be covered or reimbursed by the Montana Medicaid program.