Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 203 - Physician Services
Chapter 4 - Surgery
Rule 23-203-4.15 - Keloids
Universal Citation: MS Code of Rules 23-203-4.15
Current through September 24, 2024
A. Medicaid covers the initial evaluation consultation to diagnose the condition and/or develop a plan of treatment.
B. Medicaid covers treatment only when there is medical documentation that demonstrates any of the following signs and symptoms:
1.
Pain,
2. Persistent itching and/or
burning sensation,
3. Ulceration
and bleeding,
4. Limitation of
movement of the head or a digit or extremity,
5. Obstruction of a bodily orifice,
6. Infection, or
7. Fast growth.
C. Medicaid covered Keloid treatments include the following:
1. Intralesional injection,
including cortisone injections,
2.
Topical treatment,
3. Excision
(surgery), and
4. Radiation
therapy.
D. Medicaid does not require prior approval for treatment of keloids.
1. The physician must retain all
documentation supporting medical necessity in the record.
2. Documentation must include size, location
and severity of symptoms.
3.
Photographs may also be used to support medical necessity.
Miss. Code Ann. § 43-13-121
Disclaimer: These regulations may not be the most recent version. Mississippi 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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