Ala. Admin. Code r. 560-X-13-.16

Current through Register Vol. 42, No. 11, August 30, 2024

Section 560-X-13-.16 - External Breast Prostheses

(1) External breast prostheses following mastectomy for breast cancer are covered for all Medicaid-eligible recipients meeting the criteria. Please refer to Chapter 14, DME, or the Medicaid Provider Manual published on Medicaid's website

(2) Providers of external breast prostheses devices for adults must be enrolled as a Medicaid provider and Mastectomy Fitters must be licensed by the Alabama Board of Prosthetics, Orthotics and Pedorthics.

Ala. Admin. Code r. 560-X-13-.16

New Rule: Filed October 12, 2001; effective November 16, 2001. Amended: Filed August 11, 2004; effective September 15, 2004. Amended: Filed May 11, 2012; effective June 15, 2012. Amended: Filed April 11, 2014; effective May 16, 2014.

Amended by Alabama Administrative Monthly Volume XXXIV, Issue No. 04, January 29, 2016, eff. 2/25/2016.

Author: Kellie Littlejohn Newman, PharmD, Director, Clinical Services

Statutory Authority: State Plan; 42 CFR, Section 440.70 ; Title XIX, Social Security Act.