Sec. 10.09.77.05. Limitations

The Program does not cover the following:

A. Services not medically necessary;

B. Investigational and experimental drugs and procedures;

C. Services denied by Medicare as not medically necessary;

D. Services which do not involve direct patient contact (face-to-face);

E. Laboratory or x-ray services performed by another facility;

F. Immunizations;

G. Visits only to accomplish one or more of the following:

(1) Collection of specimens for laboratory procedures;

(2) Interpretation of laboratory tests or panels;

(3) Ascertaining the patient's weight; and

(4) Measurement of blood pressure;

H. Well child visits; and

I. Sports physicals.