23 Miss. Code. R. 215-1.4 - Non-Covered Services
The Division of Medicaid does not cover:
A. Home health services provided to a
beneficiary who can receive the services in an outpatient setting including,
but not limited to:
1. Outpatient
hospital,
2. Free-standing clinic,
or
3. Nursing facility.
B. Services that are not medically
necessary.
C. Services that are not
part of a written plan of care reviewed and recertified every sixty (60) days
by a physician or non-physician practitioner (NPP).
D. Services provided by a home health agency
that has not met the requirements for participation in Medicare.
E. Services that have not been ordered by a
physician or (NPP).
F. Services
provided in another state where the beneficiary has been a resident for more
than thirty (30) days.
G. The
following services under the home health benefit:
1. Physical therapy,
2. Occupational therapy, and/or
3. Speech-language pathology and audiology
services.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.