Table 2.7  Medical Necessity Standards


  AL AR CA FL GA ID IN IA KS KY LA MA MS
General coverage rule                X     X     
Medical necessity standard                  X        
Pediatric medical necessity standard                          
Mental health or substance abuse related  medical necessity standard                          
Pregnancy medical necessity standard                            
TB medical necessity standard                          
Dual diagnosis medical necessity definition                            

Table 2.7 Medical Necessity Standards part 2


  MT NE NY NC ND OK PA SD TX VT VA WA WV
General coverage rule               X       X X
Medical necessity standard   X X                      
Pediatric medical necessity standard   X                      
Mental health or substance abuse related  medical necessity standard                           
Pregnancy medical necessity standard                            
TB medical necessity standard                          
Dual diagnosis medical necessity definition