Dmepos: Procedural Requirements

01. Orders. (7-1-26) a. All equipment and medical supplies must be ordered by a provider within the scope of their licensure. Orders must meet the requirements in the CMS/Medicare DME coverage manual, be kept on file with the DME provider, and include: (7-1-26) i. The medical diagnosis requiring the use of the item; and (7-1-26) IDAHO ADMINISTRATIVE CODE IDAPA 16.03.26 Department of Health & Welfare Medicaid Plan Benefits Section 275 Page 76 ii. How long the item will be necessary and frequency of use, and for pro re nata (PRN) orders the conditions for use. (7-1-26) b. Medical equipment and supplies must be reordered at least annually. (7-1-26) c. Not more than ninety (90) days may elapse between the order date and date of a PA request. (7-1-26) 02. Rental Procedures. When specified by the Department, equipment must be rented. (7-1-26) a. Rental payments, including intermittent payments, are applied to the purchase of the equipment. (7-1-26) b. The Department may choose to rent equipment without purchasing it. (7-1-26) c. The monthly rental payment will be one-tenth (1/10) of the purchase price. (7-1-26) 274. (RESERVED)