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(1) the provider must have the recipient acknowledge in writing, and must maintain the written acknowledgment, that the recipient is receiving used or refurbished equipment;

(2) the provider must bill with the appropriate modifier that distinguishes used or refurbished equipment from new equipment;

(3) the used or refurbished equipment provided must be clean and sanitized;

(4) the product serial number of the used or refurbished equipment must be retained in the dispensing record and provided to the department upon request; and

(5) the used or refurbished equipment provided must meet the current needs of the recipient, must be close to the manufacturer’s suggested specifications for a newly purchased piece of equipment, and must be able to withstand at least three years of use; if the equipment supplied does not meet current replacement standards of three years of use and the item needs to be replaced before the standard replacement limit has been met, the provider must replace the item with a new or used piece of equipment at no charge to the department or the recipient except under 7 AAC 120.220. (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 7 AAC 120.220. Replacement of items. Subject to applicable requirements 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 a payment and the department may pay for the purchase or rental of replacement durable medical equipment, medical supplies, prefabricated off-the-shelf orthotics, or related items and services under 7 AAC 120.200(a)(2) if the

(1) replacement is necessary to replace an item that has been in continuous use by the recipient for the item’s reasonable useful lifetime;

(2) department determines that the item is lost or irreparably damaged;

(3) recipient has not required replacement of the product within the immediate three years due to abuse or neglect of the product;

(4) item is not covered by a manufacturer’s warranty; and

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Official source

(1) the provider must have the recipient acknowledge in writing, and must maintain the written acknowledgment, that the recipient is receiving used or refurbished equipment;

(2) the provider must bill with the appropriate modifier that distinguishes used or refurbished equipment from new equipment;

(3) the used or refurbished equipment provided must be clean and sanitized;

(4) the product serial number of the used or refurbished equipment must be retained in the dispensing record and provided to the department upon request; and

(1) replacement is necessary to replace an item that has been in continuous use by the recipient for the item’s reasonable useful lifetime;

(2) department determines that the item is lost or irreparably damaged;

(3) recipient has not required replacement of the product within the immediate three years due to abuse or neglect of the product;

(4) item is not covered by a manufacturer’s warranty; and