Items and Services Not Eligible as Supplemental Benefits

30.4 – Items and Services Not Eligible as Supplemental Benefits (Rev. 121, Issued: 04-22-16, Effective: 04-22-16, Implementation: 04-22-16) The items and services listed in this section have been previously proposed by MA plans as supplemental benefits in submitted plan benefit packages and, because they are not sufficiently health related, are not allowable supplemental benefits: • Cosmetic services, including, but not limited to beauty salon services such as pedicures and manicures; • Homemaker and maid services (when not covered by the original Medicare Home Health benefit); • A massage benefit even when furnished by a state licensed massage therapist; • Stand-alone peripherals such as hearing aid batteries and contact lens cases when not factory packaged with the hearing aids or contact lenses, respectively; • Meals not meeting the criteria specified in section 30.3 above; • Smoke detectors and fire extinguishers; • Screening Pap test/screening pelvic exams provided more frequently than every 24 months for non-high risk enrollees. This policy follows the Medicare Part B schedule; • Electronic medical records and electronic data storage devices; • Loaner DME items when the enrollee’s rented or owned DME is being repaired. Loaner DME is a required Medicare Part B service. See section 10.12 above; • A stand-alone memory fitness benefit (Note: Memory fitness activities may be offered as a component of a health education supplemental benefit); and • Case management and care coordination services because these are required activities in all coordinated care plans. Those required activities are described in section 110.5 of this chapter. Note: For information specific to Special Needs Plan benefit offerings, see chapter 16b of the MMCM, “Special Needs Plans.”