TMPPM 2010 > Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook > Certified Registered Nurse Anesthetist (CRNA) > Services/Benefits, Limitations and Prior Authorization

3.2 Services/Benefits, Limitations and Prior Authorization

Medically necessary services performed by a CRNA are benefits if the services are within the scope of the CRNA's practice as defined by state law; are prescribed, supervised by, and provided under the direction of a supervising physician (MD or DO), dentist, or podiatrist licensed in the state in which they practice and to the extent allowed by state law; or are provided under one of the following conditions:

•No physician anesthesiologist is on the medical staff of the facility where the services are provided (e.g., rural settings).

•No physician anesthesiologist is available to provide the services, as determined by the policies of the facility in which the services are provided.

•The physician performing the procedure requiring the services specifically requests the services of a CRNA.

•The eligible client requiring the services specifically requests the services of a CRNA.

•The CRNA is scheduled or assigned to provide the services according to policies of the facility in which the services are provided.

•The services are provided by the CRNA in connection with a medical emergency.

Texas Medicaid does not reimburse the CRNA for equipment, drugs, or supplies.

Refer to: Subsection 2.3.3, "Outpatient Benefits and Limitations" (Vol.2 Hospital Services Handbook) for information about drugs, equipment and supplies.