23 MAC Pt. 209, R. 1.32
IV Poles
Cite as 23 Miss. Admin. Code Pt. 209, R. 1.32
IV Poles
A. Medicaid defines an IV pole as a device to suspend fluid to be administered by gravity or
pump.
B. Medicaid covers IV poles for all beneficiaries when prior authorized by the Utilization
Management and Quality Improvement Organization (UM/QIO), the Division of Medicaid or
designated entity, for rental up to purchase amount, or purchase when ordered by physician
when the beneficiary is receiving enteral or parenteral fluids or IV medications and the
beneficiary is not using an ambulatory infusion pump.