General Information
Provider Information
Eligibility and Certification
Under HFS 105.26, Wis. Admin. Code, chiropractors are required to be licensed by the Wisconsin Chiropractic Examining Board according to s. 446.02, Wis. Stats., for Wisconsin Medicaid certification.
For general information on applying for Wisconsin Medicaid certification, please refer to the Provider Certification section of the All-Provider Handbook. Providers may also download certification packets from the Wisconsin Medicaid Web site at dhs.wisconsin.gov/medicaid/.
Certification for Laboratory Services
All laboratories testing human specimens to determine health status are covered by the Clinical Laboratory Improvement Amendments (CLIA) of 1988. Lab operations governed by CLIA include the following:
- Patient test management.
- Personnel qualifications.
- Proficiency testing.
- Quality assurance.
- Quality control.
- Records and information systems.
- Tests performed.
All providers performing laboratory tests need a CLIA identification number and a certificate of waiver or certificate of registration from the federal Centers for Medicare and Medicaid Services (CMS). This applies to clinics and individual provider offices that perform lab tests.
Clinics with multiple-location labs are required to have a billing provider number for each lab with a CLIA identification number.
A lab may receive a certificate of waiver if it restricts testing of waived tests as identified by the CMS. A lab that performs more than the waived tests needs a certificate of registration.
Next — Provider Information, Provider Responsibilities
Previous — Provider Information, Scope of Service
Chiropractic Services Handbook
PHC 1306, October 2004