(a) The Department of Human Services may not use state policies, guidelines, manuals, or other such criteria in enforcement actions against providers unless the criteria have been promulgated.
(b) Nothing in this section requires or authorizes the department to attempt to promulgate standards of care that practitioners use in determining medical necessity or rendering medical decisions, diagnoses, or treatment.
(c) Medicaid contractors may not use a different provider manual than the Centers for Medicare and Medicaid Services Provider Reimbursement Manual promulgated for each service category.
Section: Previous 20-77-1702 20-77-1703 20-77-1704 20-77-1705 20-77-1706 20-77-1707 20-77-1708 20-77-1709 20-77-1710 20-77-1711 20-77-1712 20-77-1713 20-77-1714 20-77-1715 20-77-1716 NextLast modified: November 15, 2016