DHS 107.14(2)(e)(e) Services provided during a nursing home visit to cut, clean or trim toenails, corns, callouses or bunions of more than one resident shall be reimbursed at the nursing home single visit rate for only one of the residents seen on that day of service. All other claims for residents seen at the nursing home on the same day of service shall be reimbursed up to the multiple nursing home visit rate. The podiatrist shall identify on the claim form the single resident for whom the nursing home single visit rate is applicable, and the residents for whom the multiple nursing home visit rate is applicable. DHS 107.14(2)(f)(f) Debridement of mycotic conditions and mycotic nails is a covered service provided that utilization guidelines established by the department are followed. DHS 107.14(3)(3) Non-covered services. The following are not covered services: DHS 107.14(3)(a)(a) Procedures which do not relate to the diagnosis or treatment of the ankle or foot; DHS 107.14(3)(c)(c) All orthopedic and orthotic services except plaster and other material cast procedures and strapping or tape casting for treating fractures, dislocations, sprains or open wounds of the ankle, foot or toes; DHS 107.14(3)(d)(d) Orthopedic shoes and supportive devices such as arch supports, shoe inlays and pads; DHS 107.14(3)(h)(h) Services directed toward the care and correction of “flat feet;” DHS 107.14(3)(j)(j) All other services not specifically identified as covered in this section. DHS 107.14 HistoryHistory: Emerg. cr. eff. 7-1-90; cr. Register, January, 1991, No. 421, eff. 2-1-91. DHS 107.15(1)(1) Definition. In this section, “spell of illness” means a condition characterized by the onset of a spinal subluxation.“Subluxation” means the alteration of the normal dynamics, anatomical or physiological relationships of contiguous articular structures. A subluxation may have biomechanical, pathophysiological, clinical, radiologic and other manifestations. DHS 107.15(2)(2) Covered services. Chiropractic services covered by MA are manual manipulations of the spine used to treat a subluxation. These services shall be performed by a chiropractor certified pursuant to s. DHS 105.26. DHS 107.15(3)(a)1.1. Prior authorization is required for services beyond the initial visit and 20 spinal manipulations per spell of illness. The prior authorization request shall include a justification of why the condition is chronic and why it warrants the scope of service being requested. DHS 107.15(3)(a)2.2. Prior authorization is required for spinal supports which have been prescribed by a physician or chiropractor if the purchase or rental price of a support is over $75. Rental costs under $75 shall be paid for one month without prior approval. DHS 107.15(3)(b)(b) Conditions justifying spell of illness designation. The following conditions may justify designation of a new spell of illness if treatment for the condition is medically necessary: DHS 107.15(3)(b)2.2. An acute onset of an aggravation of pre-existing spinal subluxation by injury; or DHS 107.15(3)(b)3.3. An acute onset of a change in pre-existing spinal subluxation based on objective findings. DHS 107.15(3)(c)(c) Onset and termination of spell of illness. The spell of illness begins with the first day of treatment or evaluation following the onset of a condition under par. (b) and ends when the recipient improves so that treatment by a chiropractor for the condition causing the spell of illness is no longer medically necessary, or after 20 spinal manipulations, whichever comes first. DHS 107.15(3)(d)(d) Documentation. The chiropractor shall document the spell of illness in the patient plan of care. DHS 107.15(3)(e)(e) Non-transferability of treatment days. Unused treatment days from one spell of illness shall not be carried over into a new spell of illness.