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UNOFFICIAL 1722-20 jaw provided such repair commences within ninety days of an accidental injury or as soon as medically feasible, and provided that the individual is eligible for covered services at the time services are provided and at the time of the accident; (13) Orthopedic services and supplies; (14) Biofeedback and acupuncture; (15) Obesity treatment and weight loss programs; (16) Medical services rendered outside the state; (17) Services which are not medically necessary to diagnose, treat, or to improve the functioning of a malformed body member, even though such services are not specifically listed as exclusions; (18) Cosmetic surgery, including treatment for complications of cosmetic surgery; (19) Reconstructive surgery for congenital or acquired conditions that do not involve severe functional impairment including but not limited to keloids, mammoplasty except for radical mastectomy, deviated septum for which psychological or psychiatric impairment alone shall not be a sufficient basis for reconstructive surgery; (20) Medical services received and paid for by the Veterans Administration; (21) Medical services that are payable under the terms of worker compensation, automobile medical and no-fault, underinsured or uninsured motorist, or similar contract of insurance; (22) Conditions resulting from acts of war, declared or not; (23) Transportation to medical providers to include ambulance services; (24) Hospice services; (25) Early and Periodic Screening Diagnostic and Treatment (EPSDT) services; (26) Outpatient renal services; (27) Case management services; (28) Personal care services; (29) Private duty nursing and medical social worker services; (30) Services provided by the community long term care branch; (31) Home Health Agency (HHA) services; (32) Targeted case management services;