Md. Code Regs. 10.67.06.05

Current through Register Vol. 51, No. 25, December 13, 2024

Section 10.67.06.05 - Benefits - Home Health Services

A. Subject to the conditions specified in §B of this regulation, an MCO shall provide to its enrollees medically necessary home health services, including:

(1) Skilled nursing services, including the supervisory visits required by §A(2) of this regulation;

(2) Home health aide services, including biweekly supervisory visits by a registered nurse in the recipient's home, every second visit of which includes observations of the delivery of services by the aide to the enrollee;

(3) Physical therapy services;

(4) Occupational therapy services;

(5) Speech pathology services; and

(6) Medical supplies that are used during a home health visit.

B. An MCO shall provide the home health services specified in §A of this regulation that are:

(1) Certified by the enrollee's PCP or by the enrollee's attending physician to be required on a part-time, intermittent basis; and

(2) Rendered in the enrollee's home.

Md. Code Regs. 10.67.06.05

Regulations .05 recodified from 10.09.67.05 effective 46:22 Md. R. 976, eff. 11/1/2019