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(4) comply, throughout enrollment, with federal certification standards found in 42 C.F.R. 424.57(c), adopted by reference in 7 AAC 160.900(b); and

(5) notify the department in writing not later than 30 days after the provider has a change in status of any of the requirements of this subsection; the department may sanction or disenroll under 7 AAC 105.400 — 7 AAC 105.490 a provider for failing to continuously meet the requirements of enrollment under this section. (b) Subject to the applicable provisions of 7 AAC 120.200 — 7 AAC 120.399, a provider enrolled under 7 AAC 105.210 as a durable medical equipment provider may request payment for medically necessary durable medical equipment, medical supplies, prefabricated off-the-shelf orthotics, or related items and services under (a)(2) of this section that the provider furnished to a recipient, if

(1) the item or service is

(A) prescribed by a physician, physician assistant, or advanced practice registered nurse who is enrolled under 7 AAC 105.210 and acting within the scope of that person’s license;

(B) appropriate for use in the recipient’s home, school, or community;

(C) not provided by, or under arrangements made by, a home health agency; and

(D) dispensed or provided under a valid prescription order from an individual under (A) of this paragraph; if a current piece of durable medical equipment needs to be repaired, each of the following must be met:

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(4) comply, throughout enrollment, with federal certification standards found in 42 C.F.R. 424.57(c), adopted by reference in 7 AAC 160.900(b); and

(5) notify the department in writing not later than 30 days after the provider has a change in status of any of the requirements of this subsection; the department may sanction or disenroll under 7 AAC 105.400 — 7 AAC 105.490 a provider for failing to continuously meet the requirements of enrollment under this section. (b) Subject to the applicable provisions of 7 AAC 120.200 — 7 AAC 120.399, a provider enrolled under 7 AAC 105.210 as a durable medical equipment provider may request payment for medically necessary durable medical equipment, medical supplies, prefabricated off-the-shelf orthotics, or related items and services under (a)(2) of this section that the provider furnished to a recipient, if

(1) the item or service is

(A) prescribed by a physician, physician assistant, or advanced practice registered nurse who is enrolled under 7 AAC 105.210 and acting within the scope of that person’s license;

(B) appropriate for use in the recipient’s home, school, or community;

(C) not provided by, or under arrangements made by, a home health agency; and

(D) dispensed or provided under a valid prescription order from an individual under (A) of this paragraph; if a current piece of durable medical equipment needs to be repaired, each of the following must be met:

(i)all applicable warranties are expired;#

(i) all applicable warranties are expired;

(ii)the cost of the repair is less than 50 percent of the…#

(ii) the cost of the repair is less than 50 percent of the cost of a new piece of durable medical equipment, and the provider has submitted supporting documentation;

(iii) the repair has a warranty for a minimum of 30 days;

(iv) repair parts are dispensed or provided under a valid prescription order from an individual under (A) of this paragraph;

(2) the provider furnishes orientation and training to the recipient regarding the proper use of the item, and includes proof of compliance with this paragraph in its records; the provider shall submit this proof to the department upon request; and

(3) service authorization, if required under 7 AAC 120.210, is obtained from the department. (c) Subject to the applicable provisions of 7 AAC 120.200 — 7 AAC 120.399, a provider enrolled under 7 AAC 105.210 as a durable medical equipment provider may request payment for continuous oxygen used by a recipient in a skilled nursing facility or intermediate care facility if the skilled nursing facility or intermediate care facility has not been authorized to provide continuous oxygen under 7 AAC 140.580.