Current through Register Vol. 54, No. 24, June 15, 2024
Section 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).The provisions of this § 1249.22 adopted December 6, 1980, effective 12/1/1980, 10 Pa.B. 4618.