23 Miss. Code. R. 209-1.29

Current through December 10, 2024

Rule 23-209-1.29 - Hydraulic Lift with Seat or Sling

A. The Division of Medicaid defines a patient hydraulic lift as a device used to transfer a beneficiary between a bed, a chair, wheelchair or portable commode chair but not solely for use in the bathroom.

B. The Division of Medicaid covers hydraulic lifts for all beneficiaries when prior authorized 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 ordered by a physician and all the following criteria is met:

1. Documentation that the beneficiary's condition is such that periodic position adjustment is necessary to effect improvement or to arrest or retard deterioration in his/her condition,

2. The beneficiary is bed or chair confined, and

3. There is an available caregiver in the home trained in the safe operation of the hydraulic lift.

C. The Division of Medicaid covers the seat or sling in the initial purchase price or the monthly rental price.

D. The Division of Medicaid covers an electric lift mechanism when medically necessary, prior authorized by the Utilization Management/Quality Improvement Organization (UM/QIO), the Division of Medicaid or designated entity and when the following criteria are met:

1. An orthopedist, neurologist, physiatrist, or a physician with expertise in treating beneficiaries with disabilities and/or special needs orders the lift and documents the following:

a) Medical necessity detailing the clinical rationale for the DME, and

b) The reason a manual lift does not meet the needs of the beneficiary.

2. A Mississippi licensed occupational or physical therapist conducts an on-site evaluation of the location where the bed is to be used includes certification of the following:

a) The lift is for the exclusive use of the beneficiary,

b) The lift can be installed without structural or electrical modifications to the environment, and

c) The beneficiary and/or caregiver are trained in the use, cleaning and upkeep of the lift.

3. The lift has a full two (2)-year warranty.

4. The beneficiary has not received an electric lift mechanism within the last five (5) years.

23 Miss. Code. R. 209-1.29

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

Amended 9/1/2018

Amended 7/1/2019