(1) The medical assistance facility must maintain, or have available, clinical laboratory services adequate to fulfill the needs of its patients and meeting the following standards:

(a) The facility, at a minimum, must provide basic laboratory services essential to the immediate diagnosis and treatment of the patients, including:

(i) chemical examinations of urine by stick or tablet methods, or both (including urine ketones) ;

(ii) microscopic examinations of urine sediment;

(iii) hemoglobin or hematocrit;

(iv) blood sugar;

(v) gram stain;

(vi) examination of stool specimens for occult blood;

(vii) pregnancy tests;

(viii) primary culturing for transmittal to a medicare-certified laboratory; and

(ix) sediment rate, CBC.

(b) The facility must have a contractual agreement with a medicare-approved hospital or independent laboratory for any additional laboratory services that are needed by a patient.

(c) Emergency provision of basic laboratory services must be available 24 hours a day.

(d) The facility must assign personnel to direct and conduct the laboratory services.

(e) Only personnel designated as qualified by the medical staff by virtue of education, experience, and training may perform and report laboratory test results.

History: Sec. 50-5-103, MCA; IMP, Sec. 50-5-101, 50-5-103 and 50-5-204, MCA; NEW, 1989 MAR p. 663, Eff. 4/28/89; TRANS, from DHES, 2002 MAR p. 185.