DHS 107.29(5)(5)Other ambulatory services furnished by a rural health clinic. In this subsection, “other ambulatory services” means ambulatory services other than the services in subs. (1), (2), and (3) that are otherwise included in the written plan of treatment and meet specific state plan requirements for furnishing those services. Other ambulatory services furnished by a rural health clinic are not subject to the physician supervision requirements under s. DHS 105.35.
DHS 107.29 HistoryHistory: Cr. Register, February, 1986, No. 362, eff. 3-1-86; corrections in (2) and (5) made under s. 13.92 (4) (b) 7., Stats., Register December 2008 No. 636.
DHS 107.30DHS 107.30Ambulatory surgical center services.
DHS 107.30(1)(1)Covered services. Covered ambulatory surgical center (ASC) services are those medically necessary services identified in this section which are provided by or under the supervision of a certified physician in a certified ambulatory surgical center. The physician shall demonstrate that the recipient requires general or local anesthesia, and a postanesthesia observation time, and that the services could not be performed safely in an office setting. These services shall be performed in conformance with generally-accepted medical practice. Covered ambulatory surgical center services shall be limited to the following procedures:
DHS 107.30(1)(a)(a) Surgical procedures:
DHS 107.30(1)(a)1.1. Adenoidectomy or tonsillectomy;
DHS 107.30(1)(a)2.2. Arthroscopy;
DHS 107.30(1)(a)3.3. Breast biopsy;
DHS 107.30(1)(a)4.4. Bronchoscopy;
DHS 107.30(1)(a)5.5. Carpal tunnel;
DHS 107.30(1)(a)6.6. Cervix biopsy or conization;
DHS 107.30(1)(a)7.7. Circumcision;
DHS 107.30(1)(a)8.8. Dilation and curettage;
DHS 107.30(1)(a)9.9. Esophago-gastroduodenoscopy;
DHS 107.30(1)(a)10.10. Ganglion resection;
DHS 107.30(1)(a)11.11. Hernia repair;
DHS 107.30(1)(a)12.12. Hernia — umbilical;
DHS 107.30(1)(a)13.13. Hydrocele resection;
DHS 107.30(1)(a)14.14. Laparoscopy, peritoneoscopy or other sterilization methods;
DHS 107.30(1)(a)15.15. Pilonidal cystectomy;
DHS 107.30(1)(a)16.16. Procto-colonoscopy;
DHS 107.30(1)(a)17.17. Tympanoplasty;
DHS 107.30(1)(a)18.18. Vasectomy;
DHS 107.30(1)(a)19.19. Vulvar cystectomy; and
DHS 107.30(1)(a)20.20. Any other surgical procedure that the department determines shall be covered and that the department publishes notice of in the MA provider handbook; and
DHS 107.30(1)(b)(b) Laboratory procedures. The following laboratory procedures are covered but only when performed in conjunction with a covered surgical procedure under par. (a):
DHS 107.30(1)(b)1.1. Complete blood count (CBC);
DHS 107.30(1)(b)2.2. Hemoglobin;
DHS 107.30(1)(b)3.3. Hematocrit;