A. For Division of Medicaid purposes, a
mobile medical unit is defined as a self-contained facility or unit that can be
moved, towed, or transported from one location to another and provides
prevention, screening, diagnostic, and treatment services. This rule and
definition excludes services provided in an Independent Diagnostic Treatment
Facility (IDTF). See Part 219, Rule 1.3.
B. Mobile medical units must satisfy the
following criteria:
1. Must be owned and
operated by a current Medicaid provider that has a permanent fixed office
location where healthcare services are provided during normal business hours on
a daily basis and the fixed office location is available for contact
twenty-four (24) hours a day, seven (7) days a week.
2. Must maintain fixed schedule for
locations.
3. Must have a separate
Medicaid provider number from the permanent fixed office location
4. Must have a physician, physician
assistant, dentist, certified audiologist, chiropractor, pharmacist,
optometrist, ophthalmologist, or nurse practitioner available to furnish direct
patient care services at all times during business hours.
5. Must have a written procedure that
includes emergency follow-up care for beneficiaries treated in the mobile
medical unit and arrangements for treatment in a facility which is permanently
established in the area.
6. Must
have communication capabilities which will enable the staff to contact
necessary emergency personnel in the event of an emergency.
7. Must ensure the driver of the mobile unit
possesses a valid Mississippi driver's license of the appropriate class, the
vehicle has a current Mississippi motor vehicle tag, and the vehicle has had a
current Mississippi motor vehicle inspection.
8. Must comply with all applicable federal,
state, and local laws, regulations and ordinances governing biohazard waste,
waste water (black and grey), construction, safety, sanitation, insurance, and
zoning.
9. Must be accessible in
accordance with the Americans with Disabilities Act.
10. Must have properly functioning
sterilization system for sterilizing reusable medical equipment.
11. Must have access to an adequate supply of
potable (suitable for drinking) and portable water, including hot
water.
12. Must have access to
toilets and sanitary hand washing facilities.
C. All service limits apply, and services are
subject to all rules and regulations applied by the Mississippi Division of
Medicaid for each program area.
D.
Documentation
1. Beneficiary records must be
maintained at the permanent fixed physical office location and a copy of the
beneficiary's record must be maintained in the mobile unit.
2. At a minimum, the records must contain the
following on each beneficiary:
a) Date of
service,
b) History taken on
initial visit,
c) Chief complaint
on each visit,
d) Tests,
radiographs and results. Radiographs must be legible, contain the beneficiary's
name and the date, and must be maintained on file with the beneficiary's
records,
e) Diagnosis,
f) Treatment, including
prescriptions,
g) Signature or
initials of provider after each visit, and
h) Copies of hospital and/or emergency room
records that are available.
3. Providers must maintain proper and
complete documentation to verify the services. The provider has full
responsibility for maintaining documentation to justify the services provided.
Maintenance of all records should be in compliance with Part 200, Chapter 1,
Rule 1.3.
Miss. Code Ann. §
43-13-121;
Americans with Disabilities Act