Current through Register Vol. 54, No. 24, June 15, 2024
Section 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.(8) Gloves, sterile and nonsterile.The provisions of this § 1249.55 adopted December 6, 1980, effective 12/1/1980, 10 Pa.B. 4618; amended December 23, 1983, effective 1/1/1983, 13 Pa.B. 3932; amended August 12, 1988, effective 9/1/1988, 18 Pa.B. 3571; amended September 30, 1988, effective 10/1/1988, 18 Pa.B. 4418.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).
This section cited in 55 Pa. Code § 1249.51 (relating to general payment policy).