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December 2016 Texas Medicaid Provider Procedures Manual

Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook : 4 Certified Registered Nurse Anesthetist (CRNA) : 4.2 Services, Benefits, Limitations, and Prior Authorization

Medically necessary services that are 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; and are provided under one of the following conditions:
Texas Medicaid does not reimburse the CRNA for equipment, drugs, or supplies.
Refer to:
Subsection 4.2, “Services, Benefits, Limitations, and Prior Authorization,” in the Inpatient and Outpatient Hospital Services Handbook (Vol. 2, Provider Handbooks) for information about drugs, equipment and supplies.

Texas Medicaid & Healthcare Partnership
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