DHS 107.13(7)(c)2.2. Services provided to a resident of an intermediate care facility, skilled nursing facility or an institution for mental diseases, or to a hospital patient unless the services are performed to prepare the recipient for discharge from the facility to reside in the community.
DHS 107.13(7)(c)3.3. Services performed by volunteers, except that out-of-pocket expenses incurred by volunteers in performing services may be covered.
DHS 107.13(7)(c)4.4. Services that are not rehabilitative, including services that are primarily recreation-oriented.
DHS 107.13(7)(c)5.5. Legal advocacy performed by an attorney or paralegal.
DHS 107.13 HistoryHistory: Cr. Register, February, 1986, No. 362, eff. 3-1-86; am. (1) (f) 8., Register, February, 1988, No. 386, eff. 3-1-88; emerg. cr. (3m), eff. 3-9-89; cr. (3m), Register, December, 1989, No. 408, eff. 1-1-90; emerg. cr. (2) (c) 5., (3) (c) 2., (4) (c) 4. and (6), eff. 1-1-90; cr. (2) (c) 5., (3) (c) 2., (4) (c) 4. and (6), Register, September, 1990, No. 417, eff. 10-1-90; emerg. r. and recr. (1) (b) 3., am. (1) (f) 6., eff. 1-1-91; am. (1) (a), (b) 1. and 2., (c), (f) 5., 6. and 8., (2) (a) 1., 3. a. and b., 4. f., 6., 7., (b) 1. and 2., (c) 2., (3) (a) (intro.), 4., 5., 7., (b) 1. and 2., (c) 1. (3) (d) 1. and 2., (4) (a) 3. and 6. and (d) 6., r. and recr. (1) (b) 3. and (e), r. (4) (b) 1. d., renum. (4) (b) 1. c. to be d., cr. (2) (c) 6., (3) (c) 3. and 4., (3) (d) 3., Register, September, 1991, No. 429, eff. 10-1-91; am. (4) (a) 2., cr. (4) (a) 8., Register, February, 1993, No. 446, eff. 3-1-93; corrections in (3) (d) 3. and (3m) (a) 1. made under s. 13.93 (2m) (b) 7., Stats., Register February 2002 No. 554; emerg. am. (2) (c) 5. and (4) (c) 4., cr. (6) (b) 4. and (7), eff. 7-1-04; CR 04-025: am (2) (c) 5. and (4) (c) 4., cr. (6) (b) 4. and (7) Register October 2004 No. 586, eff. 11-1-04; corrections in (1) (a), (f) 5., (2) (a) (intro.), 3., (c) 6., (3) (a) (intro.), (c) 3., (d) 3., (3m) (a) (intro.), 1., (b) 3., (4) (a) (intro.), 8., (6) (a) (intro.), (c) 1., (7) (a) and (c) 1. made under s. 13.92 (4) (b) 7., Stats., Register December 2008 No. 636; CR 06-080: am. (2) (a) (intro.), 1. (intro.), 3. a., b., 4. a. to f., 6., 7., (b) 1., 4. a. to d., (c) 4., 6. and (d) 2., cr. (2) (a) 1. a. to g. and (2m) Register May 2009 No. 641, eff. 6-1-09; CR 14-066: am. (2) (a) (intro.), r. (2) (a) 2., am. (2) (a) 4. (intro.), cr. (2) (a) 4. g., r. (2) (b) 4. b., am. (2) (d) (intro.), 1. to. 4. Register August 2015 No. 716, eff. 9-1-15; 2019 Wis. Act 1: am. (2) (d) 2. Register May 2019 No. 761; eff. 6-1-19; CR 20-039: am. (2) (d) 1. Register October 2021 No. 790, eff. 11-1-21; correction in (6) (c) 2. made under s. 35.17, Stats., Register July 2022 No. 799; correction in (3) (d) 3., (3m) (a) 1. made under s. 13.92 (4) (b) 7., Stats., made under s. 13.92 (4) (b) 7., Stats., Register September 2022 No. 801; CR 22-043: cr. (2) (a) 4. h., am. (2) (a) 5., (b) 4. e., (3) (a) 5., 6., (b) 4. d., (3m) (d) 6., (4) (a) 8., (d) 7. Register May 2023 No. 809, eff. 6-1-23; correction in (2) (a) 5., (3) (a) 6. made under s. 35.17, Stats., Register May 2023 No. 809; CR 23-046: r. (2) (a) 6., 7., (b), (3) (a) 4., 7., (b) Register April 2024 No. 820, eff. 5-1-24; correction in (2) (a) 5., (3) (a) 6. made under s. 35.17, Stats., Register April 2024 No. 820.
DHS 107.14DHS 107.14Podiatry services.
DHS 107.14(1)(1)Covered services.
DHS 107.14(1)(a)(a) Podiatry services covered by medical assistance are those medically necessary services for the diagnosis and treatment of the feet and ankles, within the limitations described in this section, when provided by a certified podiatrist.
DHS 107.14(1)(b)(b) The following categories of services are covered services when performed by a podiatrist:
DHS 107.14(1)(b)1.1. Office visits;
DHS 107.14(1)(b)2.2. Home visits;
DHS 107.14(1)(b)3.3. Nursing home visits;
DHS 107.14(1)(b)4.4. Physical medicine;
DHS 107.14(1)(b)5.5. Surgery;
DHS 107.14(1)(b)6.6. Mycotic conditions and nails;
DHS 107.14(1)(b)7.7. Laboratory;
DHS 107.14(1)(b)8.8. Radiology;
DHS 107.14(1)(b)9.9. Plaster or other cast material used in cast procedures and strapping or tape casting for treating fractures, dislocations, sprains and open wounds of the ankle, foot and toes;
DHS 107.14(1)(b)10.10. Unna boots; and
DHS 107.14(1)(b)11.11. Drugs and injections.
DHS 107.14(2)(2)Other limitations.
DHS 107.14(2)(a)(a) Podiatric services pertaining to the cleaning, trimming and cutting of toenails, often referred to as palliative or maintenance care, shall be reimbursed once per 61 day period only if the recipient is under the active care of a physician and the recipient’s condition is one of the following:
DHS 107.14(2)(a)1.1. Diabetes mellitus;
DHS 107.14(2)(a)2.2. Arteriosclerosis obliterans evidenced by claudication;
DHS 107.14(2)(a)3.3. Peripheral neuropathies involving the feet, which are associated with:
DHS 107.14(2)(a)3.a.a. Malnutrition or vitamin deficiency;
DHS 107.14(2)(a)3.b.b. Diabetes mellitus;
DHS 107.14(2)(a)3.c.c. Drugs and toxins;
DHS 107.14(2)(a)3.d.d. Multiple sclerosis; or