DHS 107.21(1)(c)4. 4. Procedures relating to genetics, including:

DHS 107.21(1)(c)4.a. a. Ultrasound;

DHS 107.21(1)(c)4.b. b. Amniocentesis;

DHS 107.21(1)(c)4.c. c. Tay-Sachs screening;

DHS 107.21(1)(c)4.d. d. Hemophilia screening;

DHS 107.21(1)(c)4.e. e. Muscular dystrophy screening; and

DHS 107.21(1)(c)4.f. f. Sickle-cell screening; and

DHS 107.21(1)(c)5. 5. Colposcopy, culdoscopy, and laparoscopy procedures which may be either diagnostic or treatment procedures.

DHS 107.21(1)(d) (d) Counseling services. Counseling services in the clinic are covered as indicated in this paragraph. These services may be performed or supervised by a physician, registered nurse or licensed practical nurse. Counseling services may be provided as a result of request by a recipient or when indicated by exam procedures and health history. These services are limited to the following areas of concern:

DHS 107.21(1)(d)1. 1. Instruction on reproductive anatomy and physiology;

DHS 107.21(1)(d)2. 2. Overview of available methods of contraception, including natural family planning. An explanation of the medical ramifications and effectiveness of each shall be provided;

DHS 107.21(1)(d)3. 3. Counseling about venereal disease;

DHS 107.21(1)(d)4. 4. Counseling about sterilization accompanied by a full explanation of sterilization procedures including associated discomfort and risks, benefits, and irreversibility;

DHS 107.21(1)(d)5. 5. Genetic counseling accompanied by a full explanation of procedures utilized in genetic assessment, including information regarding the medical ramifications for unborn children and planning of care for unborn children with either diagnosed or possible genetic abnormalities;

DHS 107.21(1)(d)6. 6. Information regarding teratologic evaluations; and

DHS 107.21(1)(d)7. 7. Information and education regarding pregnancies at the request of the recipient, including pre-natal counseling and referral.

DHS 107.21(1)(e) (e) Contraceptive methods. Procedures related to the prescription of a contraceptive method are covered services. The contraceptive method selected shall be the choice of the recipient, based on full information, except when in conflict with sound medical practice. The following procedures are covered:

DHS 107.21(1)(e)1. 1. Those related to intrauterine devices (IUD):

DHS 107.21(1)(e)1.a. a. Furnishing and fitting of the device;

DHS 107.21(1)(e)1.b. b. Localization procedures limited to sonography, and up to 2 x-rays with interpretation;

DHS 107.21(1)(e)1.c. c. A follow-up office visit once within the first 90 days of insertion; and

DHS 107.21(1)(e)1.d. d. Extraction;

DHS 107.21(1)(e)2. 2. Those related to diaphragms:

DHS 107.21(1)(e)2.a. a. Furnishing and fitting of the device; and

DHS 107.21(1)(e)2.b. b. A follow-up office visit once within 90 days after furnishing and fitting;

DHS 107.21(1)(e)3. 3. Those related to contraceptive pills:

DHS 107.21(1)(e)3.a. a. Furnishing and instructions for taking the pills; and

DHS 107.21(1)(e)3.b. b. A follow-up office visit once during the first 90 days after the initial prescription to assess physiological changes. This visit shall include taking blood pressure and weight, interim history and laboratory examinations as necessary.

DHS 107.21(1)(f) (f) Office visits. Follow-up office visits performed by either a nurse or a physician and an annual physical exam and health history are covered services.