Chapter 514 - Nursing Facility Services - DHHR - State of West ...
Chapter 514 - Nursing Facility Services - DHHR - State of West ...
Chapter 514 - Nursing Facility Services - DHHR - State of West ...
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<strong>514</strong>.8.1 <strong>Nursing</strong> <strong>Services</strong>Covered services include general nursing and restorative nursing care such as, but not limitedto, medication administration, treatments, assessment, care planning, and restorative programs.General nursing care consists <strong>of</strong>, but is not limited to, personal care services rendered by thenursing staff and assistance with activities <strong>of</strong> daily living rendered by any staff including hair andnail hygiene, bathing and routine foot care.<strong>514</strong>.8.2 Therapy <strong>Services</strong>Covered services include physical therapy, speech-language pathology, occupational therapy,respiratory therapy, psychological and psychiatric rehabilitative services. <strong>Services</strong> must bedocumented in the resident’s physician orders and be included in the plan <strong>of</strong> care.Rehabilitative services, whether provided either directly or through qualified outside resourcesmust be designed to preserve and improve abilities for independent function, to preventprogressive disabilities, and restore maximum function.<strong>514</strong>.8.3 Non-Prescription ItemsThe nursing facility’s all-inclusive rate includes over-the-counter drugs. Additionally, all diabeticsupplies including diabetic testing supplies and syringes/needles are covered in the facility’s allinclusiverate.<strong>514</strong>.8.4 Medical Supplies, Accessories and EquipmentFacilities may not charge a resident or the Medicaid program for routine personal hygiene itemsand services required to meet the needs <strong>of</strong> resident, as this cost is included in the all-inclusiverate. These include but are not limited to; hair hygiene supplies; comb; brush; bath soap;disinfecting soaps or specialized cleansing agents when indicated to treat special skin problemsor to fight infection; razor; shaving cream; toothbrush; toothpaste; denture adhesive; denturecleaner; dental floss; moisturizing lotion; tissues; cotton balls; cotton swabs; deodorant;incontinence care and supplies; sanitary napkins and related supplies; towels; washcloths;hospital gowns; nail services including routine trimming, cleaning, filing, and care for ingrown ordamaged nails; bathing and basic personal laundry.Also included are nursing supplies including over the counter wound care items; sterile saline;pressure ulcer treatment supplies; dressings: bandages; tape and any other wound caresupplies prescribed by the physician, syringes and needles; dietary supplements; salt andsugar substitutes; tube feedings and equipment needed to deliver the feeding; disposableincontinence supplies; supplies such as catheters; colostomy and ileostomy bags and any otherincontinence supply items prescribed by a physician.Medical supplies, accessories and equipment that the nursing facility is required to haveavailable include, but are not limited to, hospital beds, standard wheelchairs, walkers,Department <strong>of</strong> Health and Human Resources <strong>Chapter</strong> <strong>514</strong>: <strong>Nursing</strong> <strong>Facility</strong> <strong>Services</strong> Page 38January 1, 2013DISCLAIMER: This manual does not address all the complexities <strong>of</strong> Medicaid policies and procedures,and must be supplemented with all <strong>State</strong> and Federal Laws and Regulations.