5111.236 Oxygen services for "medically fragile child".
5111.236 Oxygen services for "medically fragile child".
(A) As used in this section, “medically fragile child” means an individual under eighteen years of age who requires both of the following:
(1)The services of a doctor of medicine or osteopathic medicine at least once a week due to the instability of the individual’s medical condition;
(2)The services of a registered nurse on a daily basis.
(B) The medicaid program shall cover oxygen services that a medical supplier with a valid medicaid provider agreement provides to a medicaid recipient who is a medically fragile child and resides in an intermediate care facility for the mentally retarded. The medicaid program shall cover such oxygen services regardless of any of the following:
(1)The percentage of the medicaid recipient’s arterial oxygen saturation at rest, exercise, or sleep;
(2) The type of system used in delivering the oxygen to the medicaid recipient;
(3) Whether the intermediate care facility for the mentally retarded in which the medicaid recipient resides purchases or rents the equipment used in the delivery of the oxygen to the recipient.
Added by 128th General Assembly File No. 9, HB 1, (Vetoed Provisions) §101.01, eff. 10/16/2009.