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Personal Care Assistant
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Utilization
Management
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Re-Reviewed |
11/20/2023 |
Medically necessary for a select population of patients
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Patient residence language updated in the Business Considerations section 2.A.3. to reflect that within the Minnesota Department of Health’s Provider Manual:
- Patient’s residence is not a hospital, nursing facility, intermediate care facility for persons with developmental disabilities, or a health facility that is licensed by the Minnesota Department of Health or a foster care setting licensed for more than six residents, unless DHS grants a variance that allows the foster care provider to exceed six people for a sibling group.
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Female External Urinary Catheters for Urinary Incontinence (e.g., PureWick, PrimaFit) |
Coverage |
New |
11/20/2023 |
Investigative and therefore not covered |
Not applicable. |
Wireless Capsule Endoscopy (CE) and Capsule Technology to
Verify Patency Prior to Capsule Endoscopy
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Coverage |
Re-Reviewed |
09/20/2023
Enhanced Benefit
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Covered for some indications; investigative and therefore not covered for all other indications
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Wireless capsule endoscopy is COVERED for:
- Refractory Celiac disease, and/or
- Evaluation of individuals with Celiac disease with a positive serology who are not able to undergo esophagogastroduodenoscopy (EGD) with biopsy.
All other covered and non-covered indications remain in place.
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