Provider Responsibility

(A) The provider must ensure that all prosthetic equipment and supplies are: (1) clean (sterilized when appropriate); (2) in proper working condition; (3) functional; (4) free from defects; and (5) new and unused at the time of purchase. (B) The provider must ensure that all prosthetic services are the most cost effective, given the medical need for which they are prescribed and the member's physical limitations. (C) The provider must make a reasonable effort to purchase the item from the least costly reliable source by comparing prices charged by different suppliers for comparable items.