23 Miss. Code. R. 223-3.1 - Definitions

The Division of Medicaid defines:

A. Early and Periodic Screening, Diagnosis and Treatment (EPSDT)-eligible beneficiaries as beneficiaries who qualify for the federally mandated EPSDT program according to 42 U.S.C. § 1396 d and 42 C.F.R. Part 441.

B. Prescribed pediatric extended care (PPEC) services as medically necessary skilled nursing services and therapeutic interventions for EPSDT eligible, medically complex beneficiaries who:

1. Are medically or technologically dependent, and

2. Require continual care.

C. PPEC center as any building or buildings, or other place, whether operated for profit or nonprofit, which undertakes through its ownership or management to provide basic nonresidential services to three (3) or more medically dependent or technologically dependent children who are not related to the owner or operator by blood, marriage or adoption and who require such services.

D. Medically or technologically dependent as requiring on-going, physician prescribed, technologically-based skilled nursing supervision and/or requiring routine use of a medical device to compensate for the deficit of life-sustaining body function due to a medical condition/disability whether acute, chronic or intermittent in nature.

E. Medically complex as a medical condition that requires continual care as prescribed by the child's attending physician.

Notes

23 Miss. Code. R. 223-3.1

42 U.S.C. § 1396 d; Miss. Code Ann. §§ 41-125-3, 43-13-117, 43-13-121.

Adopted 2/1/2020