20 Miss. Code. R. 2-III

Current through December 10, 2024

Section 20-2-III - RATES

A. The following MAR and codes apply to services provided by or through a home health agency:

Service	Fee Per Visit	Billing Code
RN Skilled Nursing	$125.00	S9123
LPN Skilled Nursing	$105.00	S9124
Physical Therapy	$125.00	S9131
Speech Therapy	$125.00	S9128
Occupational Therapy	$125.00	S9129
Medical Social Services	$125.00	S9127
Home Health Aide	$55.00	S9122

Note: The descriptions of these codes have been modified for this Fee Schedule. Please see the HCPCS section.

For services that exceed two (2) hours, reimbursement for time in excess of the first two (2) hours shall be pro-rated and based on an hourly rate equal to fifty percent (50%) of the above visit fee. For home health services rendered in two (2) hours or less, reimbursement shall be made for a visit as above provided.

Note: In addition to the Skilled Nursing Care fees above, an additional sum of seven dollars and sixteen cents ($7.16) per visit shall be added to cover the cost of medical supplies, provided the billing form adequately specifies what supplies were utilized.

B. The following Private Duty Rates shall apply:

Skilled Nursing Care - R.N.	$44.00 per hour
Skilled Nursing Care - L.P.N.	$37.00 per hour
Certified Nurse Assistant	$20.00 per hour
Sitter/Attendant	$15.00 per hour

C. Any reimbursement to persons not working under a professional license, such as a spouse or relative, will be at the rate of eight dollars ($8.00) per hour unless otherwise negotiated by the payer and caregiver or provider.

D. Professional providers not assigned a MAR for home health services and who have not negotiated their rates with the payer prior to provision of home health care, shall be reimbursed at the usual and customary rate, or the total billed charge, whichever is less.

E. Respite Care is reimbursed at a rate of $20.00 per hour.

20 Miss. Code. R. 2-III

Amended 6/14/2017

Amended 6/15/2019