471 NAC 45-017. SPECIALIZED ADD-ON SERVICES PAYMENTS

017. SPECIALIZED ADD-ON SERVICES PAYMENTS. Specialized add-on services are paid to the provider or providers of specialized add-on services. Payments to providers for medically necessary services, including specialized add-on services in excess of limitations for covered services identified elsewhere in the state plan, or not listed as specialized add-on services according to the state plan, require pre-authorization. 017.01 SPECIALIZED ADD-ON SERVICES. Except as otherwise noted in the plan, fee schedule rates are the same for both governmental and private providers of specialized add-on services provided in the nursing facility. The Medicaid agency’s rates were set as of June 30, 2018, and are effective for dates of services provided on and after that date. 017.02 HABILITATIVE SERVICES. Except as otherwise noted in the plan, fee schedule rates are the same for both governmental and private providers of habilitative services, provided to individuals residing in a nursing facility. The rates for these specialized add-on services were established using existing developmental disabilities waiver fee schedules. The rates were set as of June 30, 2018, and are effective for dates of service provided on and after that date and updated as specified by the Department. 017.03 SUPERVISORY ACTIVITIES. Payment excludes the supervisory activities rendered as a normal part of the employment support.