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

(4) dispensed in compliance with a valid prescription order from an individual under (1) of this subsection; if a current prosthesis needs to be repaired or modified, each of the following must be met:

(A) all applicable warranties are expired;

(B) the cost of the repair or modification is less than 50 percent of the cost of a new prosthesis and the provider has submitted supporting documentation; and

(1) ensure that the recipient is eligible to receive the product;

(2) maintain proof of receipt for items supplied to recipients consistent with 7 AAC 105.230 and submit the proof of receipt to the department upon request; and

(3) accept the return of a substandard item. (d) Due to the complexity of the information required for prosthetics and custom fabricated orthotics, a certificate of medical necessity may be prepared by the prosthetics and orthotics provider if

(1) the prosthetic or custom fabricated orthotic is prescribed by the recipient’s physician, physician assistant, or advanced practice registered nurse before the completion of the certificate of medical necessity by the prosthetics and orthotics provider;

(2) the certificate of medical necessity is reviewed and signed by the recipient’s prescribing physician, physician assistant, or advanced practice registered nurse, acknowledging concurrence with the treatment plan; and

(3) documentation of the certificate of medical necessity is maintained in the recipient’s medical record by the recipient’s prescribing physician, physician assistant, or advanced practice registered nurse. (e) A prescription order for a prosthetic or orthotic device or service must contain the

(1) recipient’s name and date of birth;

(2) item or service being prescribed;

(3) diagnosis;

(4) international classification of disease code;

(5) quantity of the item or service being prescribed;

(6) duration or estimated length of need for the item; and

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

(A) all applicable warranties are expired;

(B) the cost of the repair or modification is less than 50 percent of the cost of a new prosthesis and the provider has submitted supporting documentation; and

(1) ensure that the recipient is eligible to receive the product;

(2) maintain proof of receipt for items supplied to recipients consistent with 7 AAC 105.230 and submit the proof of receipt to the department upon request; and

(1) recipient’s name and date of birth;

(2) item or service being prescribed;

(3) diagnosis;

(4) international classification of disease code;

(5) quantity of the item or service being prescribed;

(6) duration or estimated length of need for the item; and