Prisoner Health Care Standards

I. Reasonable and Medically Necessary Care

II. Conditions Requiring Treatment

III.  Non-authorized Medical Interventions/ Procedures

IV. Appeals/Denials Process

The following medical interventions and procedures are not authorized for payment by the USMS, unless ordered by the court:

W. OTHER – NOT COVERED

Acupuncture

Air purifiers, air conditioners, heating pads, whirlpool bathing equipment, sun and heat lamps, and exercise devices, even if ordered by a physician or mid-level provider

Apnea monitor

Assembly and operation of pump with oxygenator or heat exchanger

Bereavement counseling

Biofeedback training

Care or treatment not provided in accordance with accepted professional medical standards in the United States

Chiropractic services

Clinical ecology and environmental medicine

Communication equipment including computer “story boards” or “light talkers”

Extracorporeal Membrane Oxygenation (ECMO)

Fabrication of athletic mouth guards

Financial legal counseling

Hypothermia

Naturopathy

Outpatient consultations by medical specialists, unless ordered by a physician or mid-level provider or mid-level provider

Pastoral counseling

Personal comfort items during hospitalization such as radio, television, telephone, guest beds, admission kits, or other comfort items

Podiatric services, including foot orthotics and the removal of corns or calluses or trimming of nails unless clinically indicated (e.g. diabetic, infected ingrown toenail)

Private-duty nursing

Procedures, services, and supplies for weight control

Services and supplies not reasonably necessary for the diagnosis and treatment of an illness or injury

Services and supplies for cosmetic purposes

Wigs