405 IAC 1-12-23
405 IAC 1-12-23 Medical or nonmedical supplies and equipment; personal care items
Cite as Ind. Admin. Code tit. 405, r. 1-12-23
Sec. 23. (a) Routine medical and nonmedical supplies and equipment are included in the provider's approved per diem rate, and the provider
shall not bill Medicaid for such items in addition to the established rate. Under no circumstances shall the routine medical and nonmedical supplies
and equipment be billed through a pharmacy or other provider. Routine supplies and equipment include those items routinely required for the care
of residents. Nonroutine medical supplies and equipment are those items for which the need must be demonstrated by the resident's particular
condition and identifiable to that resident. The medical records of each resident must indicate, by specific written physician's orders, the order for
the service or supply furnished and the dispensing of the service or supply to the resident.
(b) Personal care or comfort items include the following:
(1) Hairbrushes and combs.
(2) Dental adhesives and caps.
(3) Toothpaste.
(4) Shower caps.
(5) Nail files.
(6) Lemon glycerine swabs.
(7) Mouthwashes.
(8) Toothbrushes.
(9) Deodorants.
(10) Shampoos.
(11) Disposable tissues.
(12) Razor.
(13) Any other items or equipment covered by Medicaid and specifically requested by a resident and not routinely provided by the
provider.
These items may be included in the approved room charge. Under no circumstances shall items included as personal care or comfort be billed
through a pharmacy or other provider to Medicaid.