Idaho Admin. Code r. 16.03.09.722

Current through September 2, 2024
Section 16.03.09.722 - HOME HEALTH SERVICES: COVERAGE AND LIMITATIONS
01.Settings. Home health services are covered in a participant's place of residence and any setting in which normal life activities take place. Services are not covered when provided in a:
a. Hospital;
b. Nursing facility;
c. ICF/IID, unless such services are not otherwise required to be provided by the ICF/IID; or
d. Any setting in which Medicaid covers inpatient services, including room and board.
02.Limitations. Home health services are limited to one hundred (100) visits per calendar year per person.
03.Requirements. Services and items must be medically necessary and when appropriate, meet the requirements for:
a. Audiology services under Sections 740 through 749 of these rules;
b. Medical supplies, items, and appliances under Sections 750 through 779 of these rules;
c. Physical therapy, occupational therapy, and speech-language pathology services under Sections 730 through 739 of these rules; and
d. Early Periodic, Screening, Diagnosis, and Treatment Services under Sections 880 through 889 of these rules.

Idaho Admin. Code r. 16.03.09.722

Effective March 17, 2022