048.0037.12.5

Ch. 12, § 5. Excluded Services

Last amended: 2026Length: 155 wordsOfficial source

Cite as Medicaid Rules, Ch. 12, § 5

(a) The following are not covered services: (i) Long-term custodial care; (ii) Homemaker services; (iii) Respite care; (iv) Home delivered meals; (v) Services for clients that are in a hospital or a nursing facility; (vi) Services that are not cost effective; (vii) Services where the desired outcome could be better and faster accomplished in another setting; and (viii) Any other service not included in Section 4 of this Chapter. (ix) Initial assessment or supervisory visits required at least every sixty days performed by an LPN. (b) If a service requires a client to comply to achieve measured success and the client does not comply, that service will not be a covered services for that client. (c) Breaking up personal care into multiple encounters for the convenience of the home health agency staff or due to scheduling issues with home health staff is prohibited and the services provided in that manner will not be covered services.
048.0037.12.5: Ch. 12, § 5. Excluded Services | Justis AI