The Medically Indigent Program does not cover the following services: (a) voluntary abortions, abortions and interrupted pregnancy that are not medically necessary; (b) elective cosmetic surgery, except as provided for in the Women’s Health Act; (c) custodial care, domiciliary care, private duty nursing services or rest cures, except as provided for in hospices; (d) personal comfort or convenience items; (e) any service not medically necessary for the diagnosis or treatment of a disease, injury or condition; (f) non-emergency use of Emergency Room; (g) over-the-counter drugs not listed in the Drug Formulary; (h) drugs not listed in the Drug Formulary, unless otherwise provided in this Act;
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(i) experimental drugs, experimental and palliative treatments or procedures, unless approved by the Administrator; (j) fertility procedures, reversal of sterilization and services related to artificial conception; (k) treatment, services and supplies related to sexual dysfunction; (l) trans-sexual surgery and related services; (m) motorized limbs; (n) services for any incarcerated person; (o) care or services furnished by immediate relatives or members of the patient’s household, unless rendered as a duly licensed medical practitioner employed by a health care Provider; (p) health care services, which are provided and reimbursed by other local or Federal programs, MIP is the payer of last resort; (q) speech and language therapy; (r) tissue and organ transplants, and any other related hospital, surgical drug, radiology, laboratory or other medical services before, during and after transplant; (s) treatment and services for artificial weight reduction, including gastric bypass stapling or reversal, or liposuction; (t) treatment by any method for temporomandibular joint disorders, including, but not limited to, crowning, wiring or repositioning of teeth; (u) treatment for injuries sustained in the commission of an illegal or criminal act, including driving under the influence; (v) any work-related injury, subject to compensation pursuant to the Workers Compensation Law; (w) care for military service connected disabilities to which the patient is legally entitled to government benefits or care; (x) orthopedic footwear, unless attached to an artificial foot or unless attached as a permanent part of a leg brace; and (y) benefits and services not specifically listed as covered. SOURCE: Added by P.L. 25-163:1 (Sept. 21, 2000), repealed/reenacted by P.L. 27-030:2 (Sept. 30, 2003).