us-wi/statute/49.46/2/b

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us-wi/statute/49.46/2/b · Axiom

(6)#

The following services that, other than under subd. 6. f., fm., k., and Lr., are 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. Intermediate care facility services other than in an institution for mental diseases, except as limited under s. 49.45 (30m) (b) and (c). b. Physical and occupational therapy. c. Speech, hearing and language disorder services. d. Medical supplies and equipment. dm. Subject to the requirements under s. 49.45 (9r), durable medical equipment that is considered complex rehabilitation technology, excluding speech generating devices. e. Subject to the limitation under s. 49.45 (30r), inpatient hospital, skilled nursing facility and intermediate care facility services for patients of any institution for mental diseases who are under 21 years of age, are under 22 years of age and who were receiving these services immediately prior to reaching age 21, are 65 years of age or older, or are otherwise permitted under s. 49.45 (53m). f. Medical day treatment services, mental health services and alcohol and other drug abuse services, including services provided by a psychiatrist. fm. Subject to the limitations under s. 49.45 (45), mental health services and alcohol and other drug abuse services, including services provided by a psychiatrist, to an individual who is 21 years of age or older in the individual’s home or in the community. g. Nursing services as defined in rules that the department shall promulgate. h. Legend drugs, as listed in the Wisconsin medical assistance drug index. i. Over-the-counter drugs listed by the department in the Wisconsin medical assistance drug index. j. Personal care services, subject to the limitation under s. 49.45 (42). k. Alcohol and other drug abuse day treatment services. L. Mental health and psychosocial rehabilitative services, including case management services, provided by the staff of a community support program certified under s. 49.45 (2) (a) 11. Lm. Subject to the limitations under s. 49.45 (30e), psychosocial services, including case management services, provided by the staff of a community-based psychosocial service program. Lo. Subject to the limitations under s. 49.45 (30g), community recovery services. Lr. Psychotherapy and alcohol and other drug abuse services, as specified under s. 49.45 (30f). m. Respiratory care services for ventilator-dependent individuals. n. Breast screenings for which coverage is required under s. 632.895 (8) (am).

(6)(a)#

Intermediate care facility services other than in an institution for mental diseases, except as limited under s. 49.45 (30m) (b) and (c).

(6)(b)#

Physical and occupational therapy.

(6)(c)#

Speech, hearing and language disorder services.

(6)(d)#

Medical supplies and equipment.

(6)(dm)#

Subject to the requirements under s. 49.45 (9r), durable medical equipment that is considered complex rehabilitation technology, excluding speech generating devices.

(6)(e)#

Subject to the limitation under s. 49.45 (30r), inpatient hospital, skilled nursing facility and intermediate care facility services for patients of any institution for mental diseases who are under 21 years of age, are under 22 years of age and who were receiving these services immediately prior to reaching age 21, are 65 years of age or older, or are otherwise permitted under s. 49.45 (53m).

(6)(f)#

Medical day treatment services, mental health services and alcohol and other drug abuse services, including services provided by a psychiatrist.

(6)(fm)#

Subject to the limitations under s. 49.45 (45), mental health services and alcohol and other drug abuse services, including services provided by a psychiatrist, to an individual who is 21 years of age or older in the individual’s home or in the community.

(6)(g)#

Nursing services as defined in rules that the department shall promulgate.

(6)(h)#

Legend drugs, as listed in the Wisconsin medical assistance drug index.

(6)(i)#

Over-the-counter drugs listed by the department in the Wisconsin medical assistance drug index.

(6)(j)#

Personal care services, subject to the limitation under s. 49.45 (42).

(6)(k)#

Alcohol and other drug abuse day treatment services.

(6)(l)#

Mental health and psychosocial rehabilitative services, including case management services, provided by the staff of a community support program certified under s. 49.45 (2) (a) 11.

(6)(lm)#

Subject to the limitations under s. 49.45 (30e), psychosocial services, including case management services, provided by the staff of a community-based psychosocial service program.

(6)(lo)#

Subject to the limitations under s. 49.45 (30g), community recovery services.

(6)(lr)#

Psychotherapy and alcohol and other drug abuse services, as specified under s. 49.45 (30f).

(6)(m)#

Respiratory care services for ventilator-dependent individuals.

(6)(n)#

Breast screenings for which coverage is required under s. 632.895 (8) (am).

(1)(a)#

(1)(b)#

(1)(c)#

(1)(d)#

(1)(e)#

(1)(f)#

(1)(g)#

(1)(hm)#

(1)(im)#