Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 223 - Early and Periodic Screening, Diagnosis, and Treatment (EPSDT)
Chapter 4 - Private Duty Nursing
Rule 23-223-4.5 - Discontinuation of Private Duty Nursing (PDN) Services
Universal Citation: MS Code of Rules 23-223-4.5
Current through September 24, 2024
Private duty nursing (PDN) services will be discontinued when one (1) or more of the following is met:
A. When all of the following exist:
1. Beneficiary's condition is clinically
stable,
2. The licensed nurses'
skills are not required to provide ongoing nursing assessment and/or
treatment,
3. Beneficiary
demonstrates the ability to carry out self-management,
4. Caregiver(s) demonstrates the ability to
carry out management of the beneficiary's condition, and
5. When the transition is
complete.
B. The beneficiary's care and needs can be met through custodial care.
C. When home-based care is unsafe and:
1. The PDN provider immediately reports the
unsafe environment or imminent danger to the beneficiary, caregiver or provider
to the Division of Medicaid, the beneficiary's physician and all appropriate
authorities including, but not limited to:
a)
Local law enforcement,
b) The
Mississippi Department of Child Protection Services, and/or
c) Other appropriate authorities designated
in state or federal law.
2. The PDN provider has assisted the
beneficiary in transitioning to a safe environment to the extent possible
without endangering the beneficiary, caregiver or service provider.
3. The PDN provider has made every effort to
transition the beneficiary to a safer environment.
42 C.F.R. § 440.80; 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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