Alabama Administrative Code
Title 560 - ALABAMA MEDICAID AGENCY
Chapter 560-X-13 - DURABLE MEDICAL EQUIPMENT, SUPPLIES, APPLIANCES, PROSTHETICS, ORTHOTICS AND PEDORTHICS
Section 560-X-13-.07 - Noncovered Items And Services

Universal Citation: AL Admin Code R 560-X-13-.07

Current through Register Vol. 43, No. 02, November 27, 2024

Non-covered items and services include, but are not limited to:

(1) Items of a deluxe nature.

(2) Replacement of usable equipment.

(3) Items for use in hospitals, nursing homes, or other institutions. However, DME items may be provided in nursing homes or other institutions for children through the EPSDT Program.

(4) Items for the patient or patient's caregiver's comfort and convenience.

(5) Items not listed as covered by Medicaid.

(6) Rental of equipment, with the following exceptions:

(a) Rental for six months or less, or

(b) Medicare crossover, or

(c) Certain intravenous therapy equipment, or

(d) Short term use due to institutionalization, or

(e) Short term use due to death of a recipient.

Author: Kelli Littlejohn Newman, PharmD, Director, Clinical Services

Statutory Authority: State Plan; 42 CFR §441.15; Title XIX, Social Security Act.

Disclaimer: These regulations may not be the most recent version. Alabama may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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