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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 53 Pa.B. 8238 (December 30, 2023).

55 Pa. Code § 1123.22. Scope of benefits for the medically needy.

§ 1123.22. Scope of benefits for the medically needy.

 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).


   The provisions of this §  1123.22 adopted May 9, 1980, effective July 1, 1980, 10 Pa.B. 1882; amended December 23, 1983, effective January 1, 1983, 13 Pa.B. 3932; amended November 30, 1984, effective December 1, 1984, 14 Pa.B. 4370, and by approval of the court of a joint motion for modification of a consent agreement dated February 11, 1985 in Turner v. Beal, et al., C.A. No. 74-1680 (E.D.Pa. 1975). Immediately preceding text appears at serial page (96091).

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