Section 7 AAC 130.305 - Specialized medical equipment(a) The department will pay for specialized medical equipment that (1) is supported by a prescription or other written documentation required by the department's Specialized Medical Equipment Fee Schedule, adopted by reference in 7 AAC 160.900, (A) from an individual with an active license under AS 08 to practice as (i) a physician, including an osteopath;(ii) a physician assistant;(iii) an advanced practice regsitered nurse;(iv) an occupational therapist; or(v) a physical therapist; and(B) stating that the specific item requested is appropriate for the recipient and consistent with the support plan;(2) is supported by a written cost estimate;(3) is approved under 7 AAC 130.217 and 7 AAC 130.218 as part of the recipient's support plan; and(4) receives prior authorization.(b) The department will consider an item to be specialized medical equipment if that item is (1) a device, control, or appliance that increases the recipient's ability to perform activities of daily living described in 7 AAC 125.030(b) or to perceive, control, or communicate with the environment in which the recipient lives, or is equipment necessary for the proper functioning of that item; and(2) identified in the department's Specialized Medical Equipment Fee Schedule, adopted by reference in 7 AAC 160.900.(c) The department will pay under this section subject to the following: (1) the unit cost of equipment is determined by including the cost of (A) training in the equipment's proper use; and(B) routine fitting of and maintenance on the equipment necessary to meet applicable standards of manufacture, design, and installation;(2) the department will not pay, as a home and community-based waiver service, the cost of any medical equipment or supplies payable under 7 AAC 120.200 - 7 AAC 120.399(3) specialized medical equipment and supplies shall be rented if the equipment is a personal emergency response system or if the department determines that renting the equipment is more cost-effective than purchasing it;(4) once purchased, specialized medical equipment become the property of the recipient;(5) the department will not give prior authorization to replace specialized medical equipment before the expiration of the time period identified in the department's Specialized Medical Equipment Fee Schedule, adopted by reference in 7 AAC 160.900, unless the department determines that replacement is more cost-effective than repairing that equipment.Eff. 2/1/2010, Register 193; am 3/1/2011, Register 197; am 7/1/2013, Register 206; am 11/5/2017, Register 224, January 2018; am 6/2/2019, Register 230, May 2019; am 4/24/2020, Register 234, April 2020; am 3/3/2021, Register 238, July 2021 Authority:AS 47.05.010
AS 47.07.030
AS 47.07.040