The following medical services if prescribed or ordered by a provider acting within the scope of the provider’s practice under statutes, rules, or regulations that govern the provider’s practice: a.
(a)#
Inpatient hospital services other than services in an institution for mental diseases, including psychiatric and alcohol or other drug abuse treatment services.
(b)#
Services specified in this paragraph, provided by any hospital on an outpatient basis.
(c)#
Skilled nursing home services other than in an institution for mental diseases, except as limited under s. 49.45 (6c) and (30m) (b) and (c).
(d)#
Home health services, subject to the limitation under s. 49.45 (8), or, if a home health agency is unavailable, nursing services.
(e)#
Laboratory and X-ray services.
(f)#
Services and supplies for family planning, as defined in s. 253.07 (1) (a).