Oxygen and Respiratory Therapy Equipment for Institutionalized Recipients
Effective Apr 28, 2023M.G.L. c. 118E, s. 7 M.G.L. c. 118E, s. 12MassHealth
- (A) Nursing Facilities. The Division pays for the purchase, rental, and repair of oxygen and respiratory therapy equipment provided to a recipient residing in a nursing facility, subject to the limitations set forth in 130 CMR 427.000, with the following exception: the Division does not pay for oxygen or respiratory therapy equipment prescribed for standby emergency or pro re nata
- (PRN) use, which is covered under the nursing facility’s per diem rate.
- (B) Acute Inpatient Hospitals, Chronic Disease Hospitals, and Rehabilitation Hospitals. The Division does not pay for the purchase, rental, or repair of oxygen or respiratory therapy equipment furnished to a hospitalized recipient, except for oxygen and respiratory therapy equipment prescribed primarily for the home use of the recipient after discharge.
- (C) Intermediate Care Facilities for the Mentally Retarded (ICFs/MR) with 16 Beds or More (State Schools). The Division does not pay for the purchase, rental, or repair of oxygen or respiratory therapy equipment furnished to a recipient residing in a state school.