The department shall promulgate rules and other policies for use of complex rehabilitation technology by recipients of Medical Assistance. The department shall include in the rules all of the following: 1.
(1)#
Designation of billing codes as complex rehabilitation technology including creation of new billing codes or modification of existing billing codes. The department shall include provisions allowing quarterly updates to the designations under this subdivision.
(2)#
Establishment of specific supplier standards for companies or entities that provide complex rehabilitation technology and limiting reimbursement only to suppliers that are qualified complex rehabilitation technology suppliers.
(3)#
A requirement that Medical Assistance recipients who need a complex rehabilitation manual wheelchair, complex rehabilitation power wheelchair, or other complex rehabilitation seating component to be evaluated by all of the following: a. A qualified health care professional who does not have a financial relationship with a qualified complex rehabilitation technology supplier. b. A qualified complex rehabilitation technology professional.
(3)(a)#
A qualified health care professional who does not have a financial relationship with a qualified complex rehabilitation technology supplier.
(3)(b)#
A qualified complex rehabilitation technology professional.
(4)#
Establishment and maintenance of payment rates for complex rehabilitation technology that are adequate to ensure complex needs patients have access to complex rehabilitation technology, taking into account the significant resources, infrastructure, and staff needed to appropriately provide complex rehabilitation technology to meet the unique needs of complex needs patients.
(5)#
A requirement for contracts with the department that managed care plans providing services to Medical Assistance recipients comply with this subsection and the rules promulgated under this subsection.
(6)#
Protection of access to complex rehabilitation technology for complex needs patients.