Hospital Beds

Hospital Beds A. The Division of Medicaid defines a hospital bed as a medical device with: 1. An articulating frame allowing adjustment of the head and foot of the bed, 2. A headboard, 3. A footboard, 4. A mattress, and 5. Side rails. B. The Division of Medicaid covers hospital beds when medically necessary, prior authorized by the Utilization Management/Quality Improvement Organization (UM/QIO), the Division of Medicaid or designated entity and ordered by a physician for purchase or rental up to the purchase amount. 1. The Division of Medicaid defines a manual fixed-height hospital bed as one with manual head and leg elevation adjustments but no height adjustment and is covered when a beneficiary meets one (1) of the following: a) Requires positioning of the body in ways not feasible with a non-hospital bed in order to alleviate pain, b) Requires the head of the bed to be elevated thirty (30) degrees or more due to a medical condition including, but not limited to, congestive heart failure, chronic pulmonary disease, or risk of aspiration, c) Has failed to achieve the desired clinical outcome, with pillows or wedges, d) Requires equipment that can only be attached to a hospital bed, e) Has a disease, injury, or condition causing paralysis, immobility, or severe malaise and weakness requiring the performance of bathing, bodily functions, and other treatment or care while in bed, or f) Is semi-comatose or comatose. 2. The Division of Medicaid defines a manual variable-height hospital bed as one with manual height, head and leg elevation adjustments and is covered when a beneficiary: a) Meets one (1) of the criteria listed in Miss. Admin. Code Part 209, Rule 1.28.B.1., and b) Requires a bed height different than a fixed height hospital bed to permit transfers to chair, wheelchair or standing position. 3. The Division of Medicaid defines a semi-electric hospital bed as one with manual height adjustment and with electric head and leg elevation adjustments and is covered when a beneficiary: a) Meets one (1) of the criteria in Miss. Admin. Code Part 209, Rule 1.28.B.1.a) through e) and B.2.b), b) Is able to operate the hospital bed controls, and c) Lives alone or with assistance of a caregiver, but without continuous twenty-four (24) hours per day caregiver support. 4. The Division of Medicaid defines bariatric hospital beds as heavy duty extra-wide and extra-heavy duty extra wide hospital beds used for beneficiaries whose weight and/or body measurements exceed the manufacturer’s limit for size or weight of a standard hospital bed and is covered when: a) The beneficiary meets one (1) of the criteria listed in Miss. Admin. Code Part 209,