Public Comment Form

AMPM POLICY 310-N - LABORATORY SERVICES

Click on the link: AMPM POLICY 310-N - LABORATORY SERVICES

Purpose: Outlines medically necessary laboratory services for diagnostic, screening 
and monitoring purposes when ordered by a member’s Primary Care Provider (PCP), other 
attending physician or dentist, and provided by a free-standing laboratory or hospital 
laboratory, clinic, physician office or other health care facility laboratory with Clinical 

Laboratory Improvement Act (CLIA) licensure or a Certificate of Waiver.


Opening Reason: General 5-year review



Contact Information

*Indicates Required Fields

Submitted by Value

First Name *

Last Name *

Address

City

State

ZIP

Email (Required)

Phone

Your Comment




*Uploading a file is optional*

You may attach up to five 20 MB files to accompany your submission. Allowed formats are pdf, jpg, jpeg, png, txt, gif, doc, docx, xlsx, xls. If you experience technical difficulties submitting your comment please contact the person listed at the bottom of this page.


Thank you for subscribing to the AMPM POLICY 310-N - LABORATORY SERVICES mailing list.