Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.40 - SENIOR AND LONG TERM CARE SERVICES › Subchapter 37.40.3 - Reimbursement for Skilled Nursing and Intermediate Care Services › Rule 37.40.305 - NURSING FACILITY SERVICES: REIMBURSABLE SERVICES

Current through Register Vol. 13, July 5, 2024
(1) Nursing facility services include but are
				not limited to the following or any similar items:
(a) the practice of nursing, as defined in
				37-8-102,
				MCA, which must be rendered in conformity with the Standards of Professional
				Nursing Practice from the American Nurses Association;
(b) services necessary to provide for
				residents in a manner and in an environment that promotes maintenance or
				enhancement of each resident's quality of life;
(c) services required to attain or maintain
				the highest practicable physical, mental, and psychosocial well being of each
				Medicaid recipient who is a resident in the facility;
(d) items furnished routinely to all
				residents without charge, such as resident gowns, water pitchers, basins, and
				bed pans;
(e) items routinely
				provided to residents including but not limited to:
(i) antibacterial/bacteriostatic solutions,
				including betadine, hydrogen peroxide, 70% alcohol, merthiolate, zepherin
				solution;
(ii) cotton;
(iii) denture cups;
(iv) deodorizers (room-type);
(v) distilled water;
(vi) enema equipment and/or solutions;
(vii) facial tissues and paper
				toweling;
(viii) finger
				cots;
(ix) first aid
				supplies;
(x) foot soaks;
(xi) gloves (sterile and
				unsterile);
(xii) hot water
				bottles;
(xiii) hypodermic needles
				(disposable and nondisposable);
(xiv) ice bags;
(xv) incontinence pads;
(xvi) linens for bed and bathing;
(xvii) lotions (for general skin
				care);
(xviii)
				medication-dispensing cups and envelopes;
(xix) ointments for general protective skin
				care;
(xx) ointments
				(antibacterial);
(xxi) personal
				hygiene items and services, including but not limited to:
(A) bathing items and services, including but
				not limited to towels, washcloths, and soap;
(B) hair care and hygiene items, including
				but not limited to shampoo, brush, and comb;
(C) incontinence care and supplies
				appropriate for the resident's individual medical needs;
(D) miscellaneous items and services,
				including but not limited to cotton balls and swabs, deodorant, hospital gowns,
				sanitary napkins and related supplies, and tissues;
(E) nail care and hygiene items;
(F) shaving items, including but not limited
				to razors and shaving creme;
(G)
				skin care and hygiene items, including but not limited to bath soap,
				moisturizing lotion, and disinfecting soaps or specialized cleansing agents
				when indicated to treat special skin problems or to fight infection;
				and
(H) tooth and denture care
				items and services, including but not limited to toothpaste, toothbrush, floss,
				denture cleaner and adhesive;
(xxii) safety pins;
(xxiii) sterile water and normal saline for
				irrigating;
(xxiv) sheepskins and
				other fleece-type pads;
(xxv) soaps
				(hand or bacteriostatic);
(xxvi)
				supplies necessary to maintain infection control, including those required for
				isolation-type services;
(xxvii)
				surgical dressings;
(xxviii)
				surgical tape;
(xxix)
				over-the-counter drugs (or their equivalents), including but not limited to:
(A) acetaminophen (regular and
				extra-strength);
(B) aspirin
				(regular and extra-strength);
(C)
				cough syrups;
(D) specific
				therapeutic classes D4B (antacids), D6S (laxatives and cathartics) and Q3S
				(laxatives, local/rectal) including but not limited to:
(I) Milk of Magnesia;
(II) mineral oil;
(III) suppositories for evacuation (Dulcolax
				and glycerine);
(IV) Maalox;
				and
(V) Mylanta;
(E) nasal decongestants and
				antihistamines;
(xxx)
				straw/tubes for drinking;
(xxxi)
				suture removal kits;
(xxxii) swabs
				(including alcohol swab);
(xxxiii)
				syringes (disposable or nondisposable hypodermic; insulin;
				irrigating);
(xxxiv) thermometers,
				clinical;
(xxxv) tongue
				blades;
(xxxvi) water
				pitchers;
(xxxvii) waste
				bags;
(xxxviii) wound-cleansing
				beads or paste;
(f) items
				used by individual residents which are reusable and expected to be available,
				including but not limited to:
(i) bathtub
				accessories (seat, stool, rail);
(ii) beds, mattresses, and bedside furniture;
(iii) bedboards, foot boards,
				cradles;
(iv) bedside equipment,
				including bedpans, urinals, emesis basins, water pitchers, serving
				trays;
(v) bedside safety rails;
(vi) blood-glucose testing
				equipment;
(vii) blood pressure
				equipment, including stethoscope;
(viii) canes, crutches;
(ix) cervical collars;
(x) commode chairs;
(xi) enteral feeding pumps;
(xii) geriatric chairs;
(xiii) heat lamps, including infrared
				lamps;
(xiv) humidifiers;
(xv) isolation cart;
(xvi) IV poles;
(xvii) mattress (foam-type and
				water);
(xviii) patient lift
				apparatus;
(xix) physical
				examination equipment;
(xx)
				postural drainage board;
(xxi) room
				(private or double occupancy as provided in ARM
				37.40.331
				);
(xxii) raised toilet
				seat;
(xxiii) sitz baths;
(xxiv) suction machines;
(xxv) tourniquets;
(xxvi) traction equipment;
(xxvii) trapeze bars;
(xxviii) vaporizers, steam-type;
(xxix) walkers (regular and
				wheeled);
(xxx) wheelchairs
				(standard) in a range of sizes, weights, and accessories to meet the needs of
				nursing facility residents; and
(xxxi) whirlpool bath;
(g) laundry services whether provided by the
				facility or by a hired firm, except for residents' personal clothing which is
				dry cleaned outside of the facility; and
(h) nonemergency routine transportation as
				defined in ARM
				37.40.302(11).