(1) Ambulatory surgical center (ASC) services:

(a) are services that will be covered by Medicaid if provided in an outpatient ASC setting incident to provision of physician or dental services to the patient where the services and supplies are furnished in the ASC on a physician's or dentist's order by ASC personnel under the supervision of ASC medical staff;

(b) are limited as provided by ARM 37.86.1402(1) through (4) with the term clinic taken to mean ASC.

(2) Clinic services, covered by the Medicaid program, include physician services covered in ARM 37.86.101, 37.86.104 and 37.86.105.

(3) Clinic services, covered by the Medicaid program, include mid-level practitioner services covered in ARM 37.86.201, 37.86.202 and 37.86.205.