The Medical Assistance Program
(Medicaid) provides payment for receipt of documented long-term care facility
services that are determined essential based on the attending physician's s
orders and the medical and/or social needs of the resident.
All long-term care facilities
participating in the Medical Assistance Program (Medicaid) are required to
provide the following services at no additional charge as they are recognized costs
under the cost related reimbursement system.
The following is the list of supplies
and services included in the Public Aid rate', residents and families should
expect these to be supplied when necessary and appropriate:
Supplies and Services Adhesive tape
All staff, routine equipment and
supplies Administration equipment and supplies Alcohol and alcohol swabs,
wipes, sticks Antiseptics
Aspirator bulbs-used to remove mucus
from a tracheotomy (an opening in the neck or trachea) or from the throat or
nose
Atomizers Band-Aids Bandages Bedpans and
urinals Blood pressure kits Body lotion Brushes
Catheters
Combs
Comfort lotions and creams
Corn starch
Cotton and cotton balls, cotton swabs
Cushions - non-custom made
Dental floss
Denture supplies
Deodorant, anti-perspirant
Diabetic testing supplies
Diapers - disposable and/or non-disposable
Disinfectants
Disposable enemas
Drainage tubing and receptacles
Dressings
Durable equipment - non-custom (e.g., walkers, wheelchairs,
beds, etc.)
Dusting powder
Elbow and heel protectors
Emesis basins - a small bowl used for collection when
vomiting, coughing up mucus from lungs or throat
Emollients - substances used topically to soothe, soften or
protect skin or mucus membranes and also used as vehicles for other dermatology
agents
Enteral therapy equipment/supplies - equipment used when
administering feedings by a tube that is either inserted through the nose and
into the stomach
(nasogastric or NG feeding) or inserted through the
abdominal skins and into the stomach (gastrostomy feeding)
Eye patches
Food substitutes and supplements
Gauze
Germicides
Hair conditioner
Hearing aid batteries
Heat lamps
Hot water bottles
Hydrogen peroxide
Ice bags
Irrigation supplies
IV poles and supplies
Jay cushions
Laundry services
Lubricating jelly - refers to water soluble types of
lubrication used to reduce friction, e.g., KY Jelly
Mattress covers
Mouthwash
Nail care supplies
Nebulizer - a device used for treatment of residents with
breathing problems. It administers medication when breathing through a tube
Orthotics - non-custom devices to strengthen or protect a
body limb or head (e.g., helmets, elastic braces, etc.)
Oximeters and oxygen analyzers - measures the amount of
oxygen that is being used by the resident form a tank of oxygen
Oxygen and equipment and supplies necessary for its
administration
Pads - such as sheepskin, moleskin, etc.
Petroleum - any non-water soluble lubrication used to reduce
friction, for external use only (e.g., Vaseline)
Razors
Rectal tubes restraints - a type of restraint that keeps the
rectal tube from coming out by normal body function or from being pulled out
Roho cushions - a cushion shaped like a donut and used by
residents to sit on after rectal surgery or for those that experience
hemorrhoids
Room and board, supervision and oversight
Rubber gloves and finger cots
Sanitary napkins and related items
Scissors
Shampoo - non-prescription
Sharps collectors - a box with a small opening that is used
to properly dispose of needles and other sharp items that might be contaminated
with human fluid or secretions
Shaving cream
Soaps and soap substitutes Suppositories
Syringes and needles Suction catheters Suction machines
Talcum powder
TENS unit and supplies - Transcutaneous Electrical Nerve
Stimulation. A nondrug method of pain relief through electrical current
stimulating the nerves
Thermometers
Tissues
Tongue depressors
Toothbrushes
Toothpaste
Towels
Trach supplies including trach care kit - supplies needed to
take care of the type of trach a resident has and in those supplies is a
disposable care kit that is used to clean the trach. The kit contains normal
saline, container for normal saline and brushes, etc.
Underpads
Urological supplies
Ventilators
Vinegar douche
Washcloths
All other services necessary for compliance with the
requirements of the Department of Public Health as set forth in Skilled Nursing
and Intermediate Care Facilities Code, Rules and Regulations (77 III. Adm.
Code, Section 300, Chapter 1, Subchapter c).
Drugs and Medications
Over-the-counter drugs or items ordered by a physician.
These are medications which are regularly available without a prescription at a
commercial pharmacy and which may be stocked by the facility under the
Department of Public Health regulations including but not limited to the following
(excluding drugs and items reimbursed under the reimbursement system):
Acetaminophen - a pain reliever such as Tylenol
Aspirin - Buffered, Enteric to dissolve in the intestinal
tract instead of the stomach, or coated
Bicarbonate of Soda Powders
General Multivitamins
Lozenges - to be placed in the mouth to dissolve, a way to
administer some medications, e.g., Chloraseptic throat lozenges
Milk of Magnesia