Table 1 List of Designated Health Services

1

Clinical laboratory services,

2

Physical therapy services,

3

Occupational therapy services,

4

Outpatient speech-language pathology services,

5

Radiology and certain other imaging services,

6

Radiation therapy services and supplies,

7

Durable medical equipment and supplies,

8

Parenteral and enteral nutrients, equipment, and supplies,

9

Prosthetics, orthotics, and prosthetic devices and supplies,

10

Home health services,

11

Outpatient prescription drugs, and

12

Inpatient and outpatient hospital services