Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1123 - MEDICAL SUPPLIES
SCOPE OF BENEFITS
Section 1123.22 - Scope of benefits for the medically needy

Universal Citation: 55 PA Code ยง 1123.22

Current through Register Vol. 54, No. 44, November 2, 2024

Medically needy recipients are not eligible for medical supplies except for the following:

(1) Medical supplies which have been prescribed through the School Medical Program as described in § 1101.32 (relating to coverage variations).

(2) Eyeglasses which have been prescribed as treatment for individuals under 21 years of age who are enrolled in EPSDT, or which have been prior authorized by the Department as specified in § 1123.56(a)(2) (relating to vision aids).

(3) Devices which have been prescribed for the purpose of family planning.

(4) Those compensable medical supplies suitable for home use that are provided to medically needy recipients who are receiving home health agency services. The supplies include surgical supplies and durable medical equipment as defined in § 1123.2 (relating to definitions).

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