Long Term Care Division

1
Long Term Care Division
Alabama Medicaid Agency Long Term Care
Division Outreach and Education Unit February
2004
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P R E S E N T S

• An Overview Of
• Durable Medical Equipment

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Durable Medical Equipment
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Durable Medical Equipment

• Supplies, Appliances, and Durable Medical
  Equipment (DME) are mandatory benefits under the
  Home Health Program.
• Medicaid recipients do not have to receive Home
  Health Services to qualify for DME, but all items
  must be medically necessary and suitable for use
  in the home.

5
Durable Medical Equipment

• During FY 2002, over 752 Medicaid DME providers
  throughout the state furnished services at a cost
  of approximately 21 million.

6
Non-Covered Services

• There is no coverage under the Medicaid Home
  Health Care plan for visits by paramedical
  personnel, physical therapists, speech therapist,
  occupational therapist, and inhalation therapist.
• Sitter service, private duty nursing service,
  medical social workers and dietitians are not
  covered by Medicaid.

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Non-Covered Servicescontinued

• Supervisory visits made by a professional
  registered nurse to evaluate appropriateness of
  services being rendered to a patient by an LPN,
  aide, or orderly and considered as administrative
  cost to the agency and may not be billed as
  skilled nursing services.

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Additional Information

• If you have further questions regarding Alabama
  Medicaid Agency Long Term Care Programs, please
  contact
• Wanda Davis, Assistant Director, Long Term Care
  Division, 334-242-5018
• Email wdavis_at_medicaid.state.al.us