WAC 182-550-1600. Specific items/services not covered

The medicaid agency does not pay for an inpatient or outpatient hospital service, treatment, equipment, drug, or supply that is not listed or referred to as a covered service in this chapter. The following list of noncovered items and services is not intended to be all-inclusive. Noncovered items and services include, but are not limited to: (1) Personal care items such as, but not limited to, slippers, toothbrush, comb, hair dryer, and make-up; (2) Telephone/telegraph services or television/radio rentals; (3) Medical photographic or audio/videotape records; (4) Crisis counseling; (5) Psychiatric day care; (6) Ancillary services, such as respiratory and physical therapy, performed by regular nursing staff assigned to the floor or unit; (7) Standby personnel and travel time; (8) Routine hospital medical supplies and equipment such as bed scales; (9) Handling fees and portable X-ray charges; (10) Room and equipment charges ("rental charges") for use periods concurrent with another room or similar equipment for the same client; (11) Cafeteria charges; and (12) Services and supplies provided to nonpatients, such as meals and "father packs."