Services not covered

The department shall not pay for the following chiropractic services which are not covered under the Medical Assistance Program: (a) chiropractic practice does not include the prescription or administration of any medicine or drug or the performance of any surgery; (b) x-rays furnished by a practitioner of chiropractic; (c) an initial visit for exam and diagnosis; (d) manipulation of other parts of the body such as: the shoulder, arm, knee—even when for subluxation of the spine; (e) lab work ordered by a practitioner of chiropractic; (f) for information or services provided to a client over the telephone; and (g) for cancelled office visits or appointments not kept.