Or. Admin. Code § 411-016-0200 - Special Medical Equipment and Supplies
(1) Individuals may be eligible for
specialized or durable medical equipment and medical supplies if no other payer
such as Medicare, Medicaid medical benefits or other insurance is paying for
the equipment or supplies.
(2)
Special medical equipment or supplies must be necessary to support the
consumer's health or well-being. Special medical equipment is not assistive
technology as defined in OAR
411-016-0005 and is not a
replacement or substitute for caregiver or unpaid caregiver services.
(3) Special medical equipment or supplies
must be prior authorized in accordance with OAR
411-035-0015 (2-6).
(4) To be considered an eligible request,
when possible, three bids are required from providers. Consumers should work
with their Services Case Manager to obtain bids. Bids may not include
comparative pricing done through the internet.
(5) Special medical equipment or supplies
must be approved by Central Office.
(6) No monetary funds shall be released for
installation of special medical equipment or supplies to the provider until the
work is finished and is functioning as expected.
(7) Upon delivery, providers must ensure:
(a) The product is functioning
correctly;
(b) The product properly
fits the consumer; and
(c) If
applicable, the individual is given adequate instruction on the product's
use.
(8) Providers must
supply a revised bid when requested by designated Central Office
staff.
(9) Providers must submit
the final invoice for payment within one year of the date of service.
Notes
Statutory/Other Authority: ORS 410.070
Statutes/Other Implemented: ORS 410.020 & 410.070
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