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9505.0290 HOME HEALTH AGENCY SERVICES.

Subpart 1.

Definition.

For the purposes of this part, "home health agency services" means a medically necessary health service provided by an agency qualified under subpart 2, prescribed by a physician as part of a written plan of care, and provided under the direction of a registered nurse to a recipient at his or her residence. For the purposes of this part, "residence" is a place other than a hospital or long-term care facility.

Subp. 2.

Eligible providers.

To be eligible for participation in the medical assistance program as a home health agency, the provider must be certified to participate under title XVIII of the Social Security Act under Code of Federal Regulations, title 42, sections 405.1201 to 405.1230.

Subp. 3.

Eligible home health agency services.

The following home health agency services are eligible for medical assistance payment.

A.

Nursing service as defined by Minnesota Statutes, section 148.171, subdivision 15.

B.

Home health aide services provided under the direction of a registered nurse on the order of a physician. For the purposes of this part, "home health aide" means an employee of a home health agency who is not licensed to provide nursing services, but who has been approved by the directing nurse to perform medically oriented tasks written in the plan of care.

C.

Medical supplies and equipment ordered in writing by a physician or doctor of podiatry.

D.

Rehabilitative and therapeutic services under part 9505.0390, and including respiratory therapy under part 9505.0295, subpart 2, item E.

Subp. 4.

Payment limitation.

To be eligible for medical assistance payment, a home health agency service must be documented in the recipient's health care record. The documentation shall include the date and nature of the service provided and the names of each home health aide, if any, and the registered nurse. In addition, continuation of the service must be reviewed and approved by the physician at least every 60 days.

Subp. 5.

Excluded home health agency services.

Homemaker services, social services such as reading and recreational activities, and educational services are not eligible for payment under the medical assistance program.

Statutory Authority:

MS s 256B.04

History:

12 SR 624; 15 SR 2404; L 1999 c 172 s 18

Published Electronically:

August 12, 2008