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UNOFFICIAL 1737-79 am 12/26/05 ] (Auth: HRS §346-14) (Imp: 42 C.F.R. §440.120; P. L. No. 103-66; 42 U.S.C. §§ 1396r(8)(d)(4) and (5), 1927(d)(2), 1935(d)(2))
§17-1737-71.1 Supplemental rebate agreement for a drug. (a) The department may enter into an agreement with a pharmaceutical manufacturer to obtain a rebate(s) in addition to the rebates pursuant to 42 U.S.C. Section 1396r-8(a). (b) Participation by a pharmaceutical manufacturer in a supplemental rebate agreement with the department is voluntary. (c) A supplemental rebate agreement may be a factor in the placement of a drug on a preferred drug list pursuant to section 17-1739.1-4.1(b). [Eff 03/11/04 ] (Auth: HRS §346-14) (Imp: 42 C.F.R. §440.120; 42 U.S.C. §1396r(8))
§17-1737-72 Durable medical equipment. (a) Durable medical equipment means equipment prescribed by a licensed physician to meet the medical equipment needs of a patient. Durable medical equipment includes, but is not limited to, wheelchairs, walkers, crutches, canes, hospital beds, side rails, respirators, and oxygen equipment.
(b) Durable medical equipment may be provided if it is: (1) A medically necessary modality in the treatment of a medical condition; (2) Necessary to assist the recipient in meeting or improving activities of daily living; (3) Recommended by the attending physician for medical care of a patient; or (4) Suitable for use in the recipient's place of residence. (c) Ramps for wheelchairs may be provided with prior authorization when necessary to accomplish activities of daily living. (d) Not more than one wheelchair of any kind is allowed, unless there is a significant change in the recipient’s condition that justifies another wheelchair. (e) Medical equipment or appliances, when not available in the department's inventory, may be provided through rental or purchase, depending on the physician's opinion about the length of time the recipient will require use of the equipment.