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Rule Subchapter: 37.85.4
Subchapter Title: Provider Requirements
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37.85: GENERAL MEDICAID SERVICES
37.85.4: Provider Requirements


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Rule No Rule Title Latest
Version
Effective
Date
37.85.401 PROVIDER PARTICIPATION access file 3/11/1997
37.85.402 PROVIDER ENROLLMENT AND AGREEMENTS access file 3/11/1997
37.85.403 ICD CLINICAL MODIFICATION (CM) AND PROCEDURAL CODING SYSTEM (PCS) SERVICES access file 12/25/2014
Rules 37.85.404 and 37.85.405 reserved
37.85.406 BILLING, REIMBURSEMENT, CLAIMS PROCESSING, AND PAYMENT access file 3/1/2018
37.85.407 THIRD PARTY LIABILITY access file 3/11/1997
Rules 37.85.408 and 37.85.409 reserved
37.85.410 DETERMINATION OF MEDICAL NECESSITY access file 3/11/1997
37.85.411 PROVIDER RIGHTS access file 6/30/2000
37.85.412 INTERPRETATION OF RULES access file 4/1/2005
37.85.413 LIMITATIONS ON CODING ADVICE access file 4/1/2005
37.85.414 MAINTENANCE OF RECORDS AND AUDITING access file 4/1/2005
37.85.415 MEDICAL ASSISTANCE MEDICAID PAYMENT access file 3/15/2002
37.85.416 STATISTICAL SAMPLING AUDITS access file 6/30/2000
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