Section 140.6 Medical Services Not Covered

Section 140.6  Medical

Services Not Covered

The following services are not

covered under the Department's medical assistance programs:

a)         Services

available without charge;

b)         Services

prohibited by State or federal law;

c)         Experimental

procedures;

d)         Research oriented procedures; other than those described in

Section 140.3(b)(27) and 140.3(c)(23);

e)         Medical examinations required for entrance into educational or

vocational programs;

f)         Autopsy examinations;

g)         Artificial insemination;

h)         Medical or surgical procedures performed for cosmetic

purposes;

i)          Medical or surgical transsexual treatment, for dates of

service prior to April 1, 2015;

j)          Diagnostic and/or therapeutic procedures related to primary

infertility/sterility;

k)         Subsequent treatment for venereal disease, when those services

are available through State and/or local health agencies;

l)          Medical care provided by mail or telephone;

m)        Unkept appointments;

n)         Non-medically necessary items and services provided for the

convenience of recipients and/or their families; and

o)         Preparation of routine records, forms and reports.

p)         Visits with persons other than a recipient, such as family

members or group care facility staff.