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, and b) Documentation includes current weight and body measurements that exceed the manufacturer’s limit for size and weight of a standard hospital bed which is obtained within thirty (30) days of request. C. The Division of Medicaid covers total electric hospital beds when medically necessary, prior authorized by the Utilization Management/Quality Improvement Organization (UM/QIO), the Division of Medicaid or designated entity and when the following criteria are met: 1. An orthopedist, neurologist, physiatrist, or a physician with expertise in treating beneficiaries with disabilities and/or special needs orders the hospital bed and documents the following: a) Medical necessity detailing the clinical rationale for the hospital bed, b) The number of hours and times of the day the beneficiary is expected to be in the hospital bed, and c) The reason a lower cost hospital bed does not meet the needs of the beneficiary. 2. A Mississippi licensed occupational or physical therapist conducts an on-site evaluation of the location where the hospital bed is to be used includes certification of the following: a) The hospital bed is for the exclusive use of the beneficiary, b) The hospital bed can be installed without structural or electrical modifications to the environment, and c) The beneficiary and/or caregiver are trained in the use, cleaning and care of the hospital bed. 3. The hospital bed has a full two (2) year warranty. 4. The beneficiary has not received a total electric hospital bed within the last five (5) years.