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(2) customized or optimally configured durable medical equipment; and

(3) items listed in (c)(3) of this section; a service authorization request for those items must also include the product code and national drug code (NDC), when applicable. (Eff. 2/1/2010, Register 193; am 6/2/2019, Register 230) Statutory Authority: Authority: AS 47.05.010 AS 47.07.030 AS 47.07.040 Editor’s note: The certificate of medical necessity form referred to in 7 AAC 120.210(a) and (c) may be obtained from the Department of Health, Division of Health Care Services, 4501 Business Park Boulevard, Suite 24, Anchorage, Alaska 99503-7167. The United States Food and Drug Administration, Center for Drug Evaluation and Research’s national drug code directory referred to in 7 AAC 120.210(d) is available at the following Internet address: https://www.fda.gov/Drugs/InformationOnDrugs/ucm142438.htm. The incontinence prescription form and the incontinence certificate of medical necessity form referred to in 7 AAC 120.210(c)(4) may be obtained from the Department of Health, Division of Health Care Services, 4501 Business Park Boulevard, Suite 24, Anchorage, Alaska 99503. The department’s Alaska Medicaid DMEPOS Interim Fee Schedule, referenced in 7 AAC 145.210(b), may be obtained from the Department of Health, Division of Health Care Services, 4501 Business Park Boulevard, Building L, Anchorage, Alaska 99503-7167, or at http://www.medicaidalaska.com/providers/FeeSchedule.asp. 7 AAC 120.215. Purchase of items. (a) The department may authorize the purchase of new or used durable medical equipment, medical supplies, prefabricated off-the-shelf orthotics, or related items and services under 7 AAC 120.200(a)(2). The item or service becomes the property of the recipient for whom it is purchased. The enrolled provider shall

(1) transfer ownership of the item, including a warranty, to the recipient; and

(2) assure compliance with (j) of this section if the item was previously used.