DHS 107.06(4)(i)1.1. Abortions, both surgically-induced and drug-induced, are limited to those that comply with s. 20.927, Stats. DHS 107.06(4)(i)2.2. Services, including drugs, directly related to non-surgical abortions shall comply with s. 20.927, Stats., may only be prescribed by a physician, and shall comply with MA policy and procedures as described in MA provider handbooks and bulletins. DHS 107.06(5)(5) Non-covered services. The following services are not covered services: DHS 107.06(5)(a)(a) Services and items that are provided for the purpose of enhancing the prospects of fertility in males or females, within the meaning of s. DHS 107.03 (19). DHS 107.06(5)(d)(d) As separate charges, preoperative and postoperative surgical care, including office visits for suture and cast removal, which commonly are included in the payment of the surgical procedure; DHS 107.06(5)(e)(e) As separate charges, transportation expenses incurred by a physician, to include but not limited to mileage; DHS 107.06(5)(g)(g) Except as provided in sub. (3) (b) 1., a hysterectomy if it was performed solely for the purpose of rendering an individual permanently incapable of reproducing or, if there was more than one purpose to the procedure, it would not have been performed but for the purpose of rendering the individual permanently incapable of reproducing; DHS 107.06(5)(m)(m) Lincocin (lincomycin) injections performed on an outpatient basis; DHS 107.06(5)(n)(n) Orthopedic shoes and supportive devices such as arch supports, shoe inlays and pads; DHS 107.06(5)(o)(o) Services directed toward the care and correction of “flat feet”; DHS 107.06(5)(p)(p) Sterilization of a mentally incompetent or institutionalized person, or of a person who is less than 21 years of age; DHS 107.06(5)(q)(q) Inpatient laboratory tests not ordered by a physician or other responsible practitioner, except in emergencies; DHS 107.06(5)(r)(r) Hospital care following admission on a Friday or Saturday, except for emergencies, accident care or obstetrical cases, unless the hospital can demonstrate to the satisfaction of the department that the hospital provides all of its services 7 days a week; DHS 107.06(5)(w)(w) Non-emergency gastric bypass or gastric stapling for obesity; and DHS 107.06 NoteNote: For more information on non-covered services, see s. DHS 107.03. DHS 107.06 HistoryHistory: Cr. Register, February, 1986, No. 362, eff. 3-1-86; cr. (2) (cm), (4) (h) and (5) (y), am. (4) (a) 3. Register, February, 1988, No. 386, eff. 3-1-88; am. (4) (a) 1. c., p. and q., cr. (4) (a) 1. r., Register, April, 1988, No. 388, eff. 7-1-88; r. (2) (cm) and (5) (y), r. and recr. (4) (h), Register, December, 1988, No. 396, eff. 1-1-89; r. (2) (zh), (zk), (zo), (zp) and (4) (a), renum. (2) (zi) to (zw) to be (zh) to (zs) and am. renum. (4) (b) to (h) to be (4) (a) to (g), cr. (2) (zt), r. (4) (a), Register, September, 1991, No. 429, eff. 10-1-91; r. and recr. (2) (h) and (5) (a), r. (2) (zb), (zc), zl), (zn), (zp), (zq) and (zs), renum. (2) (zd), (ze) to (zk), (zm), (zo), (zr) and (zt) to be(zb), (zc) to (zi), (zj), (zk), (zL) and (zm) and am.(2) (zc) and (zm), am. (5) (w) and (x), cr. (2) (zn) and (zo), (4) (h) and (i), Register, January, 1997, No. 493, eff. 2-1-97; correction in (4) (a) made under s. 13.93 (2m) (b) 7., Stats., Register, April, 1999, No. 520; correction in (3) (b) 3. (intro.) made under s. 13.92 (4) (b) 7., Stats., Register December 2008 No. 636; republication of (3) (e) 5. to reinsert text inadvertently dropped in 1991, Register February 2019 No. 758; CR 20-039: r. (4) (e) Register October 2021 No. 790, eff. 11-1-21; CR 20-068: am. (3) (d) (intro), 1. a. to f., 2. to 6., 7. (intro.), a., b. Register December 2021 No. 792, eff. 1-1-22; CR 22-043: am. (1), cr. (4) (cm), r. (5) (c) Register May 2023 No. 809, eff. 6-1-23; CR 23-046: r. (3) (b) 1. Register April 2024 No. 820, eff. 5-1-24.