LD 1475
pg. 9
Page 8 of 10 An Act To Establish a Simplified Package of Health Care Insurance Affordable by... Page 10 of 10
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LR 976
Item 1

 
planning and ensuring that the covered person receives the
services ordered by the physician;

 
E.__Has under contract the services of a physician or a
physician-advisor licensed by the State;

 
F.__Conducts periodic case conferences for the purpose of
individualized patient care planning and utilization review;
and

 
G.__Maintains a complete medical record on each patient.

 
5. Home health care services. "Home health care services"
has the same meaning as set forth in section 2745, subsections 1
and 2, except that the requirements of section 2745, subsection
1, paragraph A shall not apply means those health care services
rendered in a person's place of residence on a part-time basis to
a covered person only if the plan covering the home health
services is established as prescribed in writing by a physician.

 
There is no requirement that hospitalization be an antecedent to
coverage under the policy.__"Home health care services" includes:

 
A.__Visits by a registered nurse or licensed practical nurse
to carry out treatments prescribed or supportive nursing
care and observation as indicated;

 
B.__A physician's home or office visits or both;

 
C.__Visits by a registered physical, speech, occupational,
inhalation or dietary therapist for services or for
evaluation of, consultation with and instruction of nurses
in carrying out therapy prescribed by the attending
physician, or both;

 
D.__Any prescribed laboratory tests and x-ray examination
using hospital or community facilities, drugs, dressings,
oxygen or medical appliances and equipment as prescribed by
a physician, but only to the extent that such charges would
have been covered under the contract if the covered person
had remained in the hospital; and

 
E.__Visits by persons who have completed a home health aide
training course under the supervision of a registered nurse
for the purpose of giving personal care to the patient and
performing light household tasks as required by the plan of
care, but not including services.


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