Regulation .17 Billing Procedures for Durable Goods and Equipment.
Regulation .17 Billing Procedures for Durable Goods and Equipment.LinkCopy Citation
A.
The durable goods and equipment providers shall comply with all procedures listed in Regulation .13 of this chapter.
B.
A provider shall charge the CMS Program the usual and customary charge to the general public for similar durable goods and equipment.
C.
The CMS Program shall:
(1)
Pay for covered services which are the least expensive, except for those described in §B of this regulation;
(2)
Determine, based upon expected duration of medical needs, whether durable medical equipment will be purchased or rented; and
(3)
Pay for repairs to purchased durable medical equipment and disposable medical supplies according to the Medical Assistance reimbursement rate for charges.
D.
The ownership of equipment shall remain with the CMS Program and shall be recovered at the option of the CMS Program.