23 Miss. Code. R. 209-1.36

Current through October 31, 2024
Rule 23-209-1.36 - Pacemaker Monitor
A. Medicaid defines a pacemaker monitor as a self-contained device used in the evaluation of a pacemaker by trans-telephonic monitoring of the transmission of the generator's pulse rate.
1. By means of special equipment, the sound tone of the patient's pacemaker is transmitted over the telephone to a receiving system at a pacemaker clinic.
2. The sounds are converted into an electronic signal and permanently recorded on an ECG strip.
B. Medicaid covers pacemaker monitors for all beneficiaries with prior authorization by the Utilization Management and Quality Improvement Organization (UM/QIO), the Division of Medicaid or designated entity, for rental up to purchase amount, or purchase when indicated when ordered by a physician and all the following criteria is met:
1. The beneficiary has a pacemaker implanted for a cardiac arrhythmia.
2. The beneficiary/caregiver is capable of performing the pacemaker monitoring function.
3. The beneficiary has access to a telephone for transmission.

23 Miss. Code. R. 209-1.36

42U.S.C. § 1395m; Miss. Code Ann. §§ 43-13-117(17), 43-13-121.
Amended 9/1/2018