Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

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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 § 1249.22. Scope of benefits for the medically needy.

§ 1249.22. Scope of benefits for the medically needy.

 (a)  Medically needy recipients are eligible for medically necessary home health services covered by the MA Program subject to the conditions and limitations established in this chapter.

 (b)  Although medical supplies, equipment and appliances are not ordinarily included in the scope of benefits for the medically needy, medical supplies, equipment and appliances suitable for use in the home are covered for the medically needy if they are provided in conjunction with nursing or home health aide services and are part of the treatment plan of the physician. Payment for medical supplies, equipment and appliances is made only to participating medical suppliers and is subject to Chapter 1123 (relating to medical supplies).

Source

   The provisions of this §  1249.22 adopted December 6, 1980, effective December 1, 1980, 10 Pa.B. 4618.



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