Wis. Admin. Code DHS § DHS 107.25

Current through December 30, 2024
Section DHS 107.25 - Diagnostic testing services
(1) COVERED SERVICES. Professional and technical diagnostic services covered by MA are laboratory services provided by a certified physician or under the physician's supervision, or prescribed by a physician and provided by an independent certified laboratory, and x-ray services prescribed by a physician and provided by or under the general supervision of a certified physician.
(2) OTHER LIMITATIONS.
(a) All diagnostic services shall be prescribed or ordered by a physician or dentist.
(b) Laboratory tests performed which are outside the laboratory's certified areas are not covered.
(c) Portable x-ray services are covered only for recipients who reside in nursing homes and only when provided in a nursing home.
(d) Reimbursement for diagnostic testing services shall be in accordance with limitations set by P.L. 98-369, Sec. 2303.

Wis. Admin. Code Department of Health Services DHS 107.25

Cr. Register, February, 1986, No. 362, eff. 3-1-86.