Sec. 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.