Md. Code Regs. 10.67.06.05 - Benefits - Home Health Services
A.
Subject to the conditions specified in §B of this regulation, an MCO shall
provide to its enrollees medically necessary home health services, including:
(1) Skilled nursing services, including the
supervisory visits required by §A(2) of this regulation;
(2) Home health aide services, including
biweekly supervisory visits by a registered nurse in the recipient's home,
every second visit of which includes observations of the delivery of services
by the aide to the enrollee;
(3)
Physical therapy services;
(4)
Occupational therapy services;
(5)
Speech pathology services; and
(6)
Medical supplies that are used during a home health visit.
B. An MCO shall provide the home health
services specified in §A of this regulation that are:
(1) Certified by the enrollee's PCP or by the
enrollee's attending physician to be required on a part-time, intermittent
basis; and
(2) Rendered in the
enrollee's home.
Notes
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