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(ii) recent medical history indicates that performing that service, procedure, or test on an outpatient basis or in an ambulatory surgical center would seriously endanger the recipient’s health;

(D) recipients who do not require or who no longer require acute inpatient care; however, the department will make a payment to the hospital for accommodation when no long-term care bed is available, if the department has approved the level of care appropriate for the recipient in situations involving a swing bed or administrative-wait bed;

(E) custodial care related to court commitments; patients confined to a hospital under a court commitment for any reason will be covered for payment only to the extent medical necessity exists for inpatient hospital care;

(F) recipients remaining beyond the length of stay authorized under 7 AAC 140.320;

(G) recipients pending discharge when hospital care is no longer required;

(H) days of care due to failure to promptly request or perform necessary diagnostic studies, medical-surgical procedures, or consultations;

(I) disability examinations, except that the department will pay for outpatient tests ordered by a physician as part of

(i) an initial disability examination in accordance with 7 AAC 40.180; or

(ii) a review of a disability determination in accordance with 7 AAC 40.190;

(J) evaluative or periodic checkups, examinations, or immunizations that are connected with the participation in, enrollment in, attendance at, or accomplishment of a program or activity unrelated to the recipient’s physical or mental health or rehabilitation, except mammograms;

(6) organ transplants and related services, and dental implants, except that the department will make payment for organ transplants and requisite related medical care for

(A) kidney and corneal transplants; prior authorization is not required;

(B) skin and bone transplants for which the department has given prior authorization;

(C) bone marrow transplants for which the department has given prior authorization;