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23 Miss. Admin. Code Pt. 208, R. 5.9 - Medication Management and Medical Treatment (ID/DD Waiver)

MississippiregulationMississippi Division of Medicaid

What this rule requires your agency to do

  • 1The provider must maintain written policies addressing the frequency of monitoring for behavior, medication administration, and adverse reactions. (23 Miss. Admin. Code Pt. 208, R. 5.9(E))(23 Miss. Admin. Code Pt. 208, R. 5.9 - Medication Management and Medical Treatment (ID/DD Waiver))
  • 2The provider must ensure licensed nurses provide physician-ordered treatments with documented assessments, and that only RNs teach participants or guardians to self-administer treatments. (23 Miss. Admin. Code Pt. 208, R. 5.9(D))(23 Miss. Admin. Code Pt. 208, R. 5.9 - Medication Management and Medical Treatment (ID/DD Waiver))
  • 3The provider must document all medications, record whether the guardian or participant self-administers, assess for side effects, and establish monitoring responsibilities. (23 Miss. Admin. Code Pt. 208, R. 5.9(B))(23 Miss. Admin. Code Pt. 208, R. 5.9 - Medication Management and Medical Treatment (ID/DD Waiver))
  • 4The provider must ensure nurses employed by the ID/DD Waiver agency practice within the current guidelines of the Mississippi Nurse Practice Act and applicable state and federal laws, regardless of setting. (23 Miss. Admin. Code Pt. 208, R. 5.9(A))(23 Miss. Admin. Code Pt. 208, R. 5.9 - Medication Management and Medical Treatment (ID/DD Waiver))
  • 5The provider must store medications in their original containers and prevent unlicensed staff from preparing medication planners. (23 Miss. Admin. Code Pt. 208, R. 5.9(B))(23 Miss. Admin. Code Pt. 208, R. 5.9 - Medication Management and Medical Treatment (ID/DD Waiver))
  • 6The provider must ensure that, if a participant cannot self-administer medications and the guardian or legal representative is unavailable, only a licensed nurse, nurse practitioner, physician, physician assistant, or dentist administers or oversees administration of medications in community or home settings. (23 Miss. Admin. Code Pt. 208, R. 5.9(A)(3))(23 Miss. Admin. Code Pt. 208, R. 5.9 - Medication Management and Medical Treatment (ID/DD Waiver))

Applies to: home care / HCBS in-home and community waiver settings (medication management by waiver provider staff and nurses)

Mississippi Medicaid Title 23, Part 208, Rule 5.9 governs medication management and medical treatment for ID/DD Waiver providers delivering services in the home and community. It restricts who may administer medications when a participant cannot self-administer, requires nurse practice within the Nurse Practice Act, and imposes health-and-safety documentation and storage requirements.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.