23 Miss. Code. R. 209-1.34 - Neuromuscular Electrical Stimulator (NMES)

A. Medicaid defines a neuromuscular electrical stimulator (NMES) as a device that transmits an electrical impulse to the skin over selected muscle groups by way of electrodes to treat disuse atrophy where the nerve supply to the muscle is intact.

B. Medicaid covers for all beneficiaries when prior authorized, for rental only, when ordered by an orthopedist, neurologist or physiatrist, a physician specialized in physical rehabilitation, and when there is a documented diagnosis of disuse atrophy and the nerve supply to the muscle is intact, including brain, spinal cord and peripheral nerves and one (1)of the following apply:

1. The beneficiary has or has had casting or splinting of a limb.

2. The beneficiary has a contracture(s) due to scarring of soft tissue as in burn lesions.

3. The beneficiary has had hip replacement surgery, until orthotic training begins.

4. The beneficiary requires one (1) of the following:

a) Relaxation of muscle spasms,

b) Prevention or retardation of disuse atrophy,

c) Re-education of muscle,

d) Increasing of local blood circulation, or

e) Maintenance or increasing of range of motion.

C. The beneficiary and/or caregiver must be able to demonstrate proper use and care of equipment.

Notes

23 Miss. Code. R. 209-1.34

Miss. Code Ann. § 43-13-121; 43-13-117(17); Social Security Act § 1834