Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1249 - HOME HEALTH AGENCY SERVICES
PAYMENT FOR HOME HEALTH SERVICES
Section 1249.55 - Payment conditions for medical supplies

Universal Citation: 55 PA Code ยง 1249.55

Current through Register Vol. 54, No. 12, March 23, 2024

(a) Home health agencies are reimbursed for medical/surgical supplies listed in the MA Program Fee Schedule. These supplies shall be prescribed by the attending physician and used by the recipient on an ongoing basis.

(b) Home health agencies are not reimbursed for supplies routinely needed as part of furnishing home health care services. Payment for these supplies is included in the comprehensive fee. Examples of the supplies are:

(1) Blood pressure equipment.

(2) Tubes for blood.

(3) Enemas.

(4) Soap.

(5) Steri-towels.

(6) Gauze roll and pads.

(7) Adhesive tape.

(8) Gloves, sterile and nonsterile.

(9) Tongue depressors.

(10) Cotton balls.

The provisions of this § 1249.55 amended under sections 403(a) and (b), 443.2(2) and 509 of the Public Welfare Code (62 P. S. §§ 403(a) and (b), 443.2(2) and 509).

This section cited in 55 Pa. Code § 1249.51 (relating to general payment policy).

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