23 Miss. Code. R. 203-4.15 - Keloids
A. Medicaid covers the initial evaluation
consultation to diagnose the condition and/or develop a plan of
treatment.
B. Medicaid covers
treatment only when there is medical documentation that demonstrates any of the
following signs and symptoms:
1.
Pain,
2. Persistent itching and/or
burning sensation,
3. Ulceration
and bleeding,
4. Limitation of
movement of the head or a digit or extremity,
5. Obstruction of a bodily orifice,
6. Infection, or
7. Fast growth.
C. Medicaid covered Keloid treatments include
the following:
1. Intralesional injection,
including cortisone injections,
2.
Topical treatment,
3. Excision
(surgery), and
4. Radiation
therapy.
D. Medicaid
does not require prior approval for treatment of keloids.
1. The physician must retain all
documentation supporting medical necessity in the record.
2. Documentation must include size, location
and severity of symptoms.
3.
Photographs may also be used to support medical necessity.
Notes
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