Wisconsin Administrative Code
Department of Health Services
DHS 101-109 - Medical Assistance
Chapter DHS 107 - Covered Services
Section DHS 107.25 - Diagnostic testing services
Universal Citation: WI Admin Code ยง DHS 107.25
Current through February 26, 2024
(1) COVERED SERVICES. Professional and technical diagnostic services covered by MA are laboratory services provided by a certified physician or under the physician's supervision, or prescribed by a physician and provided by an independent certified laboratory, and x-ray services prescribed by a physician and provided by or under the general supervision of a certified physician.
(2) OTHER LIMITATIONS.
(a) All diagnostic services shall be
prescribed or ordered by a physician or dentist.
(b) Laboratory tests performed which are
outside the laboratory's certified areas are not covered.
(c) Portable x-ray services are covered only
for recipients who reside in nursing homes and only when provided in a nursing
home.
(d) Reimbursement for
diagnostic testing services shall be in accordance with limitations set by P.L.
98-369, Sec. 2303.
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