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State/territory
Is the Benefit Covered?
Copayment Requirement
Prior Approval Requirement
Coverage Limitations
Reimbursement Methodology
Populations Covered
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Benefits by Service: Certified Registered Nurse Anesthetist Services (October 2008)
Definition/Notes
Note: Totals include 50 states and D.C.
"Benefits Covered" Totals
"Benefits Not Covered" Totals
Is the benefit covered?
39
12
Is there a co-payment requirement?
Yes:
4
No:
35
Is the Benefit Covered?
Copayment Requirement
Prior Approval Requirement
Coverage Limitations
Reimbursement Methodology
Populations Covered
Alabama
Yes
Fee for service at 85% of physician fee
CN
Alaska
No
Arizona
Yes
Fee for service
CN & MN
Arkansas
Yes
Fee for service at 80% of physician fee
CN & MN
California
Yes
Fee for service
CN & MN
Colorado
Yes
Fee for service
CN
Connecticut
No
Delaware
Yes
Direct reimbursement limited to services provided without physician supervision
Fee for Service
CN
District of Columbia
No
Florida
Yes
Fee for service at 80% of physician fee
CN & MN
Georgia
Yes
Fee for service at 84.645% of CMS RBRVS rates for 2000
CN & MN
Hawaii
No
Idaho
Yes
Fee for service at 85% of physician fee
CN
Illinois
Yes
Fee for service at physician fee
CN & MN
Indiana
Yes
Fee for service at 60% of physician fee
CN
Iowa
Yes
Specified services including some pain management
Fee for service at 80% of physician fee if no medical direction by anesthesiologist or at 60% if medical direction given
CN & MN
Kansas
Yes
Fee for service
CN & MN
Kentucky
Yes
Fee for service at 75% of physician fee
A, B, C & D - See state-specific FN
Louisiana
Yes
Fee for service
CN & MN
Maine
Yes
Specified procedures and services
Fee for service at 75% of physician fee
CN & MN
Maryland
Yes
Fee for service
CN & MN
Massachusetts
No
Michigan
Yes
Selected procedures
Fee for service using base units, time and level of supervision
CN & MN
Minnesota
Yes
Fee for service
A & B - See state-specific FN
Mississippi
Yes
$3/visit
Fee for service at 90% of physician fee, 50% of physician fee for medically directed anesthesia
CN
Missouri
Yes
$.50/day
Fee for service
CN & MN
Montana
Yes
$4/episode of treatment
Fee for service
A & B - See state-specific FN
Nebraska
Yes
Fee for service
CN & MN
Nevada
Yes
Fee for service
CN
New Hampshire
No
New Jersey
No
New Mexico
Yes
Fee for service
CN
New York
No
North Carolina
Yes
Surgeon must obtain for specified services
Fee for service at 90% of physician fee without medical direction and at 50% of physician fee with medical direction
CN & MN
North Dakota
Yes
Fee for service at 75% of physician fee
CN & MN
Ohio
Yes
Fee for service
CN
Oklahoma
Yes
$1/service
Fee for service
CN
Oregon
Yes
Fee for service
A & B - See state-specific FN
Pennsylvania
No
Rhode Island
No
South Carolina
Yes
Fee for service, at 90% of anesthesiologist rate
CN
South Dakota
Yes
Fee for service
CN
Tennessee
Yes
A & B - See state-specific FN
Texas
Yes
Fee for service at 92% of physician fee
CN & MN
Utah
Yes
Fee for service
A, B & C - See state-specific FN
Vermont
No
Virginia
No
Washington
Yes
Fee for service
CN & MN
West Virginia
Yes
Fee for service
A & B
Wisconsin
Yes
Fee for service
CN & MN
Wyoming
Yes
Fee for service
CN
American Samoa
No
Guam
No
Northern Mariana Islands
No
Puerto Rico
No
Virgin Islands
No
Definition/Notes:
Link to Certified Registered Nurse Anesthetist Services Footnote
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Category...
Choose a Category
Institutional and Clinic Services
Practitioner Services
Prescription Drugs
Physical Therapy and Other Services
Products and Devices
Transportation Services
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Community Based Care
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Service...
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