23 MAC Pt. 215, Ch. 1, R. 1.4
Non-Covered Services
Cite as 23 Miss. Admin. Code Pt. 215, Ch. 1, R. 1.4
Non-Covered Services
The Division of Medicaid does not cover:
A. Home health services provided to a beneficiary who can receive the services in an outpatient
setting including, but not limited to:
1. Outpatient hospital,
2. Free-standing clinic, or
3. Nursing facility.
B. Services that are not medically necessary.
C. Services that are not part of a written plan of care reviewed and recertified every sixty (60)
days by a physician.
D. Services provided by a home health agency that has not met the requirements for
participation in Medicare.
E. Services that have not been ordered by a physician.
F. Services provided in another state where the beneficiary has been a resident for more than
thirty (30) days.
G. The following services under the home health benefit:
1. Physical therapy,
2. Occupational therapy, and/or
3. Speech-language pathology and audiology services.