Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 215 - Home Health Services
Chapter 1 - Home Health Services
Rule 23-215-1.4 - Non-Covered Services

Universal Citation: MS Code of Rules 23-215-1.4

Current through September 24, 2024

The Division of Medicaid does not cover:

A. Home health services provided to a beneficiary who can receive the services in an outpatient setting including, but not limited to:

1. Outpatient hospital,

2. Free-standing clinic, or

3. Nursing facility.

B. Services that are not medically necessary.

C. Services that are not part of a written plan of care reviewed and recertified every sixty (60) days by a physician or non-physician practitioner (NPP).

D. Services provided by a home health agency that has not met the requirements for participation in Medicare.

E. Services that have not been ordered by a physician or (NPP).

F. Services provided in another state where the beneficiary has been a resident for more than thirty (30) days.

G. The following services under the home health benefit:

1. Physical therapy,

2. Occupational therapy, and/or

3. Speech-language pathology and audiology services.

42 C.F.R. § 440.70; Miss. Code Ann. §§ 43-13-117, 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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