The member’s treating clinician must order all diagnostic tests. The supervising physician for the IDTF, whether or not for a mobile unit, may not order tests to be performed by the IDTF, unless the supervising physician is the member’s treating physician and is not otherwise prohibited from referring to the IDTF. The supervising physician is the member’s treating physician if he or she furnishes a consultation or treats the member for a specific medical problem and uses the test results in the management of the member’s medical problem. (A) Order Requirements.

1. (1) a testing facility that furnishes a diagnostic test ordered by the treating clinician may not change the diagnostic test or perform an additional diagnostic test without a new order.

2. (2) an order is a communication from the treating clinician requesting that a diagnostic test be performed for a member. The order may conditionally request an additional diagnostic test for a particular member if the result of the initial diagnostic test ordered yields to a certain value determined by the treating clinician (e.g., if test X is negative, then perform test Y). An order may include the following forms of communication:

   1. (a) a written document signed by the treating clinician, which is hand-delivered, mailed, or faxed to the testing facility; or
   2. (b) a telephone call by the treating clinician to the testing facility.

Commonwealth of Massachusetts Subchapter Number and Title Page

MassHealth 4. Program Regulations

4-5

Provider Manual Series (130 CMR 431.000)

Transmittal Letter Date

Independent Diagnostic Testing

Facility Manual

IDTF-13 01/01/14

1. (B) If the order is communicated via telephone or electronic message, the treating clinician and the testing facility must document the telephone call or electronic message in their respective copies of the member’s medical records.