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(3) “customized or optimally configured durable medical equipment” means durable medical equipment that is uniquely constructed or substantially modified for a specific recipient in accordance with the description and orders of a physician, a physician assistant, or an advanced practice registered nurse, and that is so different from another item used for the same purpose that the two items cannot be grouped together for pricing purposes;
(4) “durable medical equipment” means equipment that
(A) can withstand repeated use;
(B) is primarily and customarily used to serve a medical purpose;
(C) generally is not useful to an individual in the absence of an illness or injury; and
(D) is appropriate for use in the home, school, or community;
(5) “manual wheelchair” means a federally approved, nonmotorized wheelchair that is capable of being independently propelled and fits one of the following categories:
(A) standard, as follows:
(i)usually is not capable of being modified;#
(i) usually is not capable of being modified;
(ii)accommodates a person weighing up to 250 pounds; and#
(ii) accommodates a person weighing up to 250 pounds; and
(iii) has a warranty period of at least one year;
(B) lightweight, as follows:
(i) composed of lightweight materials;
(ii) is capable of being modified;
(iii) accommodates a person weighing up to 250 pounds;
(iv) usually has a warranty period of at least three years; and
(v) when applicable, the recliner option has an adjustable, reclining back to facilitate weight shifts and provide support to the upper body and head;
(C) high-strength lightweight, as follows:
(i) is usually made of a composite material;
(ii) is capable of being modified;
(iii) accommodates a person weighing up to 250 pounds;
(iv) has an extended warranty period of over three years;
(v) accommodates the very active person; and