Wis. Admin. Code § DHS 107.33 – Ambulatory prenatal services for recipients with presumptive eligibility.

(1) Covered services. Ambulatory prenatal care services are covered services. These services include treatment of conditions or complications that are caused by, exist or are exacerbated by a pregnant woman’s pregnant condition.
(2) Prior authorization. An ambulatory prenatal service may be subject to a prior authorization requirement, when appropriate, as described in this chapter.
(3) Other limitations.
1. (a) Ambulatory prenatal services shall be reimbursed only if the recipient has been determined to have presumptive MA eligibility under s. 49.465, Stats., by a qualified provider under s. DHS 103.11.
2. (b) Services under this section shall be provided by a provider certified under ch. DHS 105.

History: Cr. Register, February, 1988, No. 386, eff. 3-1-88; correction in (3) made under s. 13.92 (4) (b) 7., Stats., Register December 2008 No. 636.