Ala. Admin. Code r. 560-X-12-.06

Current through Register Vol. 42, No. 12, September 30, 2024

Section 560-X-12-.06 - Noncovered Services

(1) There is no coverage under the Medicaid Home Health care plan for visits by paramedical personnel, physical therapists, speech therapists, occupational therapists, and inhalation therapists.

(2) Sitter service, private duty nursing service, medical social workers, and dietitians are not covered by Medicaid.

(3) Supervisory visits made by a professional registered nurse to evaluate appropriateness of services being rendered to a patient by an LPN, aide, or orderly and considered as administrative cost to the agency and may not be billed as skilled nursing services.

(4) The registered nurse will provide and document in the case record on-site supervision of the LPN, home health aide, or orderly at least every 60 days. The registered nurse will conduct on-site supervision more frequently if warranted by complaints or suspicion of substandard performances by the worker.

Author: Samantha McLeod, Administrator, LTC Program Management Unit

Ala. Admin. Code r. 560-X-12-.06

Rule effective October 1, 1982. Amended: Filed November 8, 2006; effective December 13, 2006.

Statutory Authority: Title XIX, Social Security Act; 42 C.F.R. §441.15; State Plan.