Medical supplies covered by Medicaid; incontinence supplies: adult diapers, bladder control pads and lint-free underwear; urology supplies: catheters,. Depending on medical needs and specific state regulations, Medicaid usually pays for durable medical equipment, such as hospital beds, wheelchairs and oxygen concentrators. Necessary items related to hospital beds may include electrical controls, manual cranks, or other items related to bed use. Medicare or Medicaid can cover hospital beds and special mattresses. For those in need of Home Care near Parsippany NJ, Medicare or Medicaid may also cover necessary medical supplies and equipment.
Special sheets, such as hospital sheets, may be covered. The STAR+PLUS HCBS program will cover the cost of a Geri-chair chair if the member is alert, oriented and able to remove the tray without assistance and as desired. Otherwise, the GERI-chair chair is considered a restraint system and the HCBS STAR+PLUS program does not cover the costs of the restraint systems. Gloves can be purchased through the STAR+PLUS HCBS program to be cared for by family members or people who care for a member with incontinence or if the member has an active infectious disease that is transmitted through body fluids.
Examples of eligible active infectious diseases include methicillin-resistant Staphylococcus aureus (MRSA) and hepatitis. Gloves can be purchased for family or caregiver use to care for the wound and protect the member. The documentation of the provider hired by the MCO must support the need to leave gloves in the residence and for the exclusive use of the family or caregiver. If the member has other conditions that require frequent use of gloves, the MCO nurse must give approval.
Health First Colorado will reimburse supply providers for the rental of durable medical equipment, oxygen and bulk supplies that are sent directly to the member's home for services provided during the month of the member's death, only if the date of service on the claim is before the member's date of death. Medicaid reimburses durable medical equipment (DME) and medical supplies appropriate for use in the beneficiary's home. Supplies, such as incontinence and wound care supplies that do not cover Medicaid home health services and are needed on an ongoing basis, should be delivered so that there are no supplies left for more than three months in the member's home at the same time. All medical supplies or equipment that are required for routine medical care and that are durable are included in the GIVE ME.
With the exception of gloves, the home health care agency is responsible for providing all necessary supplies to meet the universal precautionary requirement during a visit. This service is one of the services with minimum coverage for all managed care and long-term care plans that serve Medicaid members. Adaptive aids and medical supplies can also include items necessary for life support, supplies and auxiliary equipment necessary for the proper functioning of such durable and non-durable medical items and equipment that are not available in the Texas state plan, such as modifications to vehicles, animals and service supplies, environmental adaptations, daily living aids, scoops, adapted utensils and certain types of elevators. Providers with multiple Health First Colorado provider identification numbers must submit a letter of intent for each provider identification number to bill CRT for Health First Colorado. In accordance with the HB22-1290 changes in Medicaid for wheelchair repair, the department will no longer require prior authorization (PAR) requests for repairs to complex rehabilitation technology (CRT) equipment.
In many cases, Medicaid will pay for medically essential mobility devices, such as crutches for sale, pediatric walkers and wheelchairs, when they are prescribed by a doctor.
