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UNOFFICIAL 1737-94

(d) Bunionectomies are covered only when the bunion is present with overlying skin ulceration or neuroma secondary to the bunion. (e) The following services shall not be covered under the program: (1) Routine foot care, including debridement not related to treatment of infection or injury,

with the exception of diabetic foot care in the inpatient hospital or nursing facility

setting. Routine foot care, as defined for this purpose, includes: (A) The cutting or removal of corns or calluses; (B) The trimming of nails (including mycotic nails); and (C) Other hygienic and preventive maintenance care in the realm of self-

care, such as cleaning and soaking the feet, the use of shin creams to maintain skin tone of both ambulatory and bedfast patients; (2) Treatment of flat feet; (3) Any services performed in the absence of localized illness, injury or symptoms involving the foot and ankle are not covered; (4) Bunionectomies are not covered if the sole indications are pain and difficulty finding appropriate shoes; and (5) Services performed in, but not limited to, the following settings: (A) A home; (B) A domiciliary care home; (C) A residential drug treatment program; (D) A mental health group home; (E) A therapeutic home; or (F) A foster home. (f) All podiatry services to be provided to a hospital inpatient or recommended appliances of a non- emergency nature and costing more than $100 shall require prior authorization by the department’s medical consultant or agent. Requests for services or appliances shall be submitted on the appropriate departmental form by the patient's attending physician. [Eff 08/01/94; am 01/29/96; am 10/26/01; am 05/05/05] (Auth: HRS §346-14) (Imp: 42 C.F.R. §440.60)

§17-1737-81 Pediatric or family nurse practitioner services. (a) Pediatric or family nurse