new text begin Equipment and supply documentation requirements. new text end

new text begin (a) In addition to the requirements in subdivision 12, an equipment and supply services provider must for each documentation of the provision of a service include: new text end

new text begin (1) the recipient's assessed need for the equipment or supply; new text end

new text begin (2) the reason the equipment or supply is not covered by the Medicaid state plan; new text end

new text begin (3) the type and brand name of the equipment or supply delivered to or purchased by the recipient, including whether the equipment or supply was rented or purchased; new text end

new text begin (4) the quantity of the equipment or supply delivered or purchased; and new text end

new text begin (5) the cost of the equipment or supply if the amount paid for the service depends on the cost. new text end

new text begin (b) A provider must maintain a copy of the shipping invoice or a delivery service tracking log or other documentation showing the date of delivery that proves the equipment or supply was delivered to the recipient or a receipt if the equipment or supply was purchased by the recipient. new text end