Services covered and limitations

(a) Except for the limitations and exclusions listed below, the department shall pay for the following: (1) the manual manipulation of the spine, but not for any procedures or services of an unproven, educational, social, research, experimental, or cosmetic nature; for services in excess of those deemed medically necessary and medically appropriate by the department to treat the client's condition; or for services not directly related to the client's diagnosis, symptoms, or medical history; (2) services provided in the provider's office, client's home, hospital, nursing facility, rest home, home for the aged, boarding home, or intermediate care facility for the mentally retarded (ICF/MR); and (3) HealthTrack Services and HealthTrack Special Services. (b) Limitations on covered services shall be as follows: (1) those services listed in the department's fee schedule and within the scope of the provider's practice; (2) the department shall pay for no more than one visit per day per client per provider; and (3) the department shall pay for a maximum of four exams or treatments in a single visit to a home, hospital, nursing facility, rest home, home for the aged, boarding home, or intermediate care facility for the mentally retarded (ICF/MR).