(2)__Rehabilitation for disease or injury but excluding long-term, inpatient rehabilitation; and

(3)__Skilled nursing facility care required for continued recovery after an acute inpatient hospitalization but excluding supportive activities of daily living care;

B.__Outpatient and ambulatory services, including coverage of diagnostic, surgical and emergency care and excluding:

(1)__Nonemergent emergency room care;

(2)__Ambulance services determined not medically necessary; and

(3)__Random health screenings for specific conditions for which no risk factors or indicators exist;

C.__Professional services at all sites, including all medically necessary professional services delivered by any licensed, certified or registered health care practitioner within the practitioner's legal scope of practice, with the following exclusions:

(1)__Speech and occupational therapy for persons 5 years of age or older for chronic conditions;

(2)__Physical, occupational and speech therapy for nonacute rehabilitation;

(3)__Vision care services other than the treatment of disease or injury;

(4)__Counseling and health education services other than those integral to the care of an individual as a result of illness, injury or other health condition;

(5)__Chiropractic services provided as nonacute care;

(6)__Podiatry services other than the equivalents to those provided by Medicare;