(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.
Structure West Virginia Code
Article 33. Breast and Cervical Cancer Prevention and Control Act
§16-33-3. Establishment of Breast and Cervical Cancer Detection and Education Program
§16-33-4. Grants to Approved Organizations
§16-33-5. Breast and Cervical Cancer Detection and Education Program Coalition
§16-33-7. Establishment of Breast and Cervical Cancer Diagnostic and Treatment Fund
§16-33-9. Financial Eligibility
§16-33-10. Medical Eligibility