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. DHS 107.21(1)(g)(g) Supplies. The following supplies are covered when prescribed: DHS 107.21(2)(2) Services requiring prior authorization. All sterilization procedures require prior authorization by the medical consultant to the department, as well as the informed consent of the recipient. Informed consent requests shall be in accordance with s. DHS 107.06 (3). DHS 107.21 NoteNote: For more information on prior authorization, see DHS 107.02 (3).
DHS 107.21(3)(3) Non-covered services. The following services are not covered services: DHS 107.21(3)(a)(a) The sterilization of a recipient under the age of 21 or of a recipient declared legally incapable of consenting to such a procedure; DHS 107.21(3)(b)(b) Services and items that are provided for the purpose of enhancing the prospects of fertility in males or females, including but not limited to: DHS 107.21(3)(b)1.1. Artificial insemination, including but not limited to intra-cervical or intra-uterine insemination; DHS 107.21(3)(b)3.3. Infertility testing, including but not limited to tubal patency, semen analysis or sperm evaluation; DHS 107.21(3)(b)4.4. Reversal of female sterilizations, including but not limited to tubouterine implantation, tubotubal anastomoses or fimbrioplasty; DHS 107.21(3)(b)7.7. Office visits, consultations and other encounters to enhance fertility; and DHS 107.21(3)(c)(c) Impotence devices and services, including but not limited to penile prostheses and external devices and to insertion surgery and other related services; DHS 107.21 NoteNote: For more information on non-covered services, see s. DHS 107.03.