23 Miss. Code. R. 223-5.6

Current through October 18, 2024

Rule 23-223-5.6 - Non-Covered Services

A. The Division of Medicaid does not cover personal care services (PCS) solely for the convenience of the child, the parents or the caregiver.

B. Non-covered PCS include, but are not limited to:

1. Skilled nursing services including, but not limited to:

a) Nasogastric or gastrostomy feedings,

b) Apnea monitoring,

c) Home dialysis,

d) Intravenous (IV) infusion of total parenteral nutrition (TPN) or hyperalimentation,

e) IV infusion of fluids for hydration

f) Medication administration, and/or

g) Tracheostomy care.

2. Services provided by those individuals described in Miss. Admin. Code Part 200, Rule 2.2.A.,

3. For the sole purpose of escorting beneficiaries outside of the home for visits to a physician's office or school, and/or

4. Services that could be provided through the home health benefit.

C. Only one (1) service is covered if private duty nursing (PDN) and PCS are provided at the same time to the same beneficiary.

23 Miss. Code. R. 223-5.6

42 C.F.R. § 440.167; Miss. Code Ann. §§ 43-13-117, 43-13-121.

Adopted 4/1/2020

Amended 6/1/2020

Amended 7/1/2020