Current through Vol. 42, No. 7, December 16, 2024
(a) As described in
42 CFR
136.11(a), the I/T/U
services may include hospital and medical care, dental care, public health
nursing,preventive care (including immunizations).
(b) Further,
42 CFR
136.11(c) allows that the
scope and availability of I/T/U services will depend upon the resources of the
facility.
(c) I/T/U services may be
covered when furnished to a patient at the clinic or other location, including
a mobile clinic, or the patient's place of residence. Provider contracts must
meet the provider participation requirements found at OAC
317:30-5-1096.
(d) I/T/U outpatient encounters include but
are not limited to:
(1) Physicians' services
and supplies incidental to a physician's services;
(2) Within limitations as to the specific
services furnished, a doctor of dentistry or oral surgery, a doctor of
optometry, or a doctor of podiatry [Refer to Section 1861(r) of the Act for
specific limitations];
(3) Services
of advanced practice nurses (APNs), physician assistants (PAs), certified nurse
midwives (CNMs), or specialized advanced practice nurse
practitioners;
(4) Services and
supplies incidental to the services of APNs and PAs (including services
furnished by certified nurse midwives);
(5) Public health nursing services, within
the scope of their licensure, include but are not limited to services in the
following areas:
(A) Phlebotomy;
(B) Wound care;
(C) Public health education;
(D) Administration of
immunizations;
(E) Administration
of medication;
(F) Child health
screenings meeting EPSDT criteria;
(G) Smoking and Tobacco Use Cessation
Counseling;
(H) Prenatal, newborn
and postpartum assessments, including case management services for first time
mothers; and
(I) General health
assessments and management of conditions such as tuberculosis, diabetes and
hypertension.
(6)
Visiting nurse services to the homebound;
(7) Behavioral health professional services
and services and supplies incidental to the services of LBHPs; and
(8) Dental services.
(9) Pharmacists' services found in OAC
317:30-5-1226
