Section R414-3A-5 - Services(1) Services appropriate in the outpatient hospital setting encompass medically necessary diagnostic, therapeutic, rehabilitative, or palliative medical services and supplies.(2) Outpatient hospital services include: (a) the service of nurses or other personnel necessary to complete the service and provide member care during the provision of service;(b) the use of hospital facilities, equipment, and supplies; and(c) the technical portion of clinical laboratory and radiology services.(3) Cosmetic or reconstructive procedures are set forth in Section R414-1-29.(4) Sleep studies are available only in a sleep disorder center accredited by the American Academy of Sleep Medicine.(5) Hyperbaric oxygen therapy is limited to service in a facility in which the hyperbaric unit is accredited by the Undersea and Hyperbaric Medical Society. Hyperbaric oxygen therapy is therapy that places the member in an enclosed pressure chamber for medical treatment.Utah Admin. Code R414-3A-5
Amended by Utah State Bulletin Number 2018-7, effective 3/5/2018