Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 54 Pa.B. 1806 (March 30, 2024).

55 Pa. Code § 1249.55. Payment conditions for medical supplies.

§ 1249.55. Payment conditions for medical supplies.

 (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.

Authority

   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).

Source

   The provisions of this §  1249.55 adopted December 6, 1980, effective December 1, 1980, 10 Pa.B. 4618; amended December 23, 1983, effective January 1, 1983, 13 Pa.B. 3932; amended August 12, 1988, effective September 1, 1988, 18 Pa.B. 3571; amended September 30, 1988, effective October 1, 1988, 18 Pa.B. 4418. Immediately preceding text appears at serial pages (117531) to (117532).

Cross References

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



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