2009 West Virginia Code
CHAPTER 16. PUBLIC HEALTH
ARTICLE 33. BREAST AND CERVICAL CANCER PREVENTION AND CONTROL ACT.
§16-33-11 Application forms and process.

§16-33-11. Application forms and process.
(a) The bureau shall develop authorization request forms and make the forms available to the provider upon request.

(b) An application for inpatient diagnostic services shall be accompanied by a written, signed statement from the attending physician which includes the medical basis for requested inpatient services and explains why the services may not be performed on an outpatient basis.

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