23 Miss. Code. R. 223-5.6 - Non-Covered Services
A. The Division of
Medicaid does not cover personal care services (PCS) solely for the convenience
of the child, the parents or the caregiver.
B. Non-covered PCS include, but are not
limited to:
1. Skilled nursing services
including, but not limited to:
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
f) Medication
administration, and/or
g)
Tracheostomy care.
2.
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. Services that could be
provided through the home health benefit.
C. Only one (1) service is covered if private
duty nursing (PDN) and PCS are provided at the same time to the same
beneficiary.
Notes
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