Home Health Services

(a)The following home health services shall be covered by MIP for one hundred

(100)days per year when medically necessary and ordered by a licensed physician:

(1)home health visits by licensed practitioner or home health aide;

(2)prescribed medical supplies not otherwise available over the counter; and

(3)intermittent equipment and appliances provided on a part-time or intermittent basis by a licensed home health agency within a recipient’s residence.

(4)Standard Wheelchairs;

(5)Walkers;

(6)Crutches;

(7)Standard Hospital Beds;

(8)Bedside Rails;

(9)Bedpans;

(10)Oxygen Related Equipment.

(b)Home Health Services Not Covered. The following home health agency services shall not be covered:

(1)private duty nursing, domiciliary care or rest cures; and

(2)unskilled services.

(c)Limitations and Exclusions. All home health services are subject to the stated benefit limitations and exclusions outlined in § 2912 through § 2913.