Code of Vermont Rules
Agency 13 - AGENCY OF HUMAN SERVICES
Sub-Agency 174 - HEALTH CARE ADMINISTRATIVE RULES (HCAR)
Chapter 005 - PODIATRY SERVICES
Section 13 174 005 - PODIATRY SERVICES
Universal Citation: VT Code of Rules 13 174 005
Current through August, 2024
4.221 Podiatry Services.
(5/1/2023, GCR 22-099)
4.221.1 Definitions
(a) "Podiatry services" means the diagnosis
and treatment of ailments of the foot, ankle, and lower extremity.
4.221.2 Covered Services
(a) Vermont Medicaid covers medically
necessary podiatry services.
(b)
Routine foot care, including the cutting or removing of corns and calluses, and
trimming, cutting, clipping, or debriding of toenails, is covered when
medically necessary for beneficiaries who have a medical condition, including
diabetes or a peripheral vascular disease, that affects the lower
extremities.
4.221.3
Qualified Providers
(a) Podiatry services are
covered when performed by a licensed podiatrist, or other licensed providers,
working within their scope of practice.
4.221.4 Non-Covered Services
(a) Hygienic care including cleaning or
soaking of feet is not covered.
(b)
Services performed in the absence of a medical condition or injury involving
the foot, ankle, or lower extremity are not covered.
(c) Routine foot care services are not
covered, except as provided at HCAR 4.221.2(b), even if the individual is
unable to perform these services for themself.
STATUTORY AUTHORITY:
3 V.S.A. § 801; 33 V.S.A. § 1901
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