23 Miss. Code. R. 213-3.8

Current through December 10, 2024
Rule 23-213-3.8 - Maintenance Therapy
A. Maintenance programs do not require the professional skills of a licensed therapy provider, are not considered medically necessary, and are not covered by Medicaid. Such services include, but are not limited to, the following:
1. Services related to the general welfare of the beneficiary such as exercises to promote fitness and flexibility, training or conditioning, and holistic treatments,
2. Repetitive services that are performed to maintain function, maintain gait, maintain strength and endurance that do not require the professional skills of a licensed therapy provider,
3. Therapy after the beneficiary has achieved goals outlined in the Plan of Care or where there is no meaningful progress, or
4. Exercises and range of motion exercises not related to the restoration of a specific loss of function.
B. Maintenance programs must be planned and taught before the end of active therapy treatment so that the beneficiary, family members, or other unskilled caregivers can carry out the program. Maintenance programs established after the rehabilitative program are not considered medically necessary and will not be covered.

23 Miss. Code. R. 213-3.8

Miss. Code Ann. § 43-13-121