23 Miss. Code. R. 223-4.6

Current through December 10, 2024

Rule 23-223-4.6 - Non-Covered Services

A. The Division of Medicaid does not cover private duty nursing (PDN) services solely for the convenience of the child, the parents or the caregiver.

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

1. PDN services solely for:

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 or,

f) Therapy maintenance.

2. PDN 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. Skilled nursing services which could be provided through the home health benefit.

C. Only one (1) service is covered if PDN and personal care services (PCS) are provided at the same time to the same beneficiary.

23 Miss. Code. R. 223-4.6

42 C.F.R. § 440.80; Miss. Code Ann. §§ 43-13-117, 43-13-121.

Adopted 4/1/2020

Amended 6/1/2020

Amended 7/1/2020