NursingandTrainedHealthCareTreatmentFAQs：护理和训练的保健治疗的常见问题.docxVIP

/pubsdoco/publications/masters-MTP/Part2/locedservnurs_o09.docNursing and Trained Health Care Treatment ServicesSafety Net Financing Division1501 Capitol Avenue, MS 4603, P.O. Box 997436Sacramento, CA 95899-7436Phone: (916) 552-9113 Fax: (916) 324-0738/**PLEASE REVIEW THE LEA MEDI-CAL BILLING OPTION PROVIDER MANUAL FOR COMPLETE LEA PROGRAM AND POLICY INFORMATION**Can nurses bill for immunizations, administration of medications, glucose monitoring or tube feeding?Nursing services include preventive and /Medicaid-CHIP-Program-Information/By-Topics/Benefits/Early-Periodic-Screening-Diagnosis-and-Treatment.htmlmedically necessary procedures provided at the school site that are authorized in the IEP/IFSP. School nurses may provide immunizations, administer medications, monitor glucose or tube feed. However, the service must be provided to a specific Medi-Cal beneficiary and take, at a minimum, at least seven or more continuous treatment minutes in order to be reimbursed by Medi-Cal as a nursing service. When these treatment services are provided to a non-IEP/IFSP student, the Free Care requirements must be met.Under nursing services, a student is often observed and monitored to determine whether they need a treatment service. After the treatment is provided, the student continues to be observed to assess whether the treatment was successful. For example, a nurse provides suctioning as authorized in the IEP/IFSP, and continues to monitor the student after the treatment. Can the observation time prior to and after the treatment be billed as part of the direct service time to meet the seven minute minimum time period? Yes. Medically necessary observation of a student as part of a direct medical service may be billed. Refer to the/pubsdoco/publications/masters-MTP/Part2/locedbil_o09.doc loc ed bil?section (page 1) in the LEA Provider Manual for the medical necessity definition. Are toileting, diapering, and lifting reimbursable under the LEA Program if those services