Page 80
UNOFFICIAL 1737-80
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UNOFFICIAL 1737-80
(f) Rental payment for durable medical equipment or appliances shall cease and the item will have been purchased by the state when rental payments become equal to the purchase price.
(g) When an item is purchased during a rental period but before the rental paid equals the purchase price, all rental payments will be credited toward the purchase price of that item.
(h) Durable medical equipment shall not be provided to recipients who are patients in acute hospitals or long-term care facilities. (i) Medical authorization shall be required for the purchase, cumulative rental, or repair of durable medical equipment when the cost to the program exceeds $50 per month.
(j) The following items shall not be covered by the medical assistance program: (1) Books; (2) Air conditioners; (3) Television sets; (4) Massagers; (4) Household items and furnishings including standard, orthopedic, or water beds; (5) Fans; (7) Air purifiers or air filters; (8) Computers; (9) Telephones; (10) DME modifications to the house, which may include, but is not limited to, ceiling lifts, wheelchair lifts, elevators, and stair climbers; (11) Feeder chairs when the recipient has another seating system, such as a wheelchair; (12) Car seats and booster seats for individuals of all ages; (13) Infant or child strollers; (14) High chairs or chairs used for feeding; and (15) Other items not generally used primarily for health care.
(k) The medical consultant may change a request for durable medical equipment to a less expensive make or model when the basic functions of the desired equipment are met.
(l) Durable medical equipment purchased by the Medicaid program may be re-claimed by the department when no longer useful to the client. (m) Medicare’s criteria is followed for the coverage of durable medical equipment unless specifically stated elsewhere. This provision also