(In order to participate in the Title XIX Medicaid Program As an ESWL provider, the following requirements must be met:

1. (a) Submit written request for enrollment
2. (b) Submit documentation that the lithotripsy machine is FDA approved
3. (c) Provide documentation to indicate the lithotripsy machine is being operated under the authority of a valid Certificate of Need (CON). Documentation can be a copy of the valid CON or a copy of the contract between the provider of care and the holder of the CON.

Author: Luann C. McQueen

Statutory Authority: State Plan, Attachment 3.1-A, Page 1; Title XIX, Social SecurityAct; 42 C.F.R. §§482.11, 482.12, 482.22, 482.54.

History: Rule effective December 14, 1990.