Oxygen and Respiratory Therapy Equipment for Institutionalized Recipients

(A) Nursing Facilities. The Division pays for the purchase, rental, and repair of oxygen and respiratory therapy equipment provided to a recipient residing in a nursing facility, subject to the limitations set forth in 130 CMR 427.000, with the following exception: the Division does not pay for oxygen or respiratory therapy equipment prescribed for standby emergency or pro re nata (PRN) use, which is covered under the nursing facility’s per diem rate. (B) Acute Inpatient Hospitals, Chronic Disease Hospitals, and Rehabilitation Hospitals. The Division does not pay for the purchase, rental, or repair of oxygen or respiratory therapy equipment furnished to a hospitalized recipient, except for oxygen and respiratory therapy equipment prescribed primarily for the home use of the recipient after discharge. (C) Intermediate Care Facilities for the Mentally Retarded (ICFs/MR) with 16 Beds or More (State Schools). The Division does not pay for the purchase, rental, or repair of oxygen or respiratory therapy equipment furnished to a recipient residing in a state school.