Minnesota Administrative Rules
Agency 196 - Human Services Department
Chapter 9505 - HEALTH CARE PROGRAMS
MEDICAL ASSISTANCE PAYMENTS
Part 9505.0365 - PROSTHETIC AND ORTHOTIC DEVICES
Current through Register Vol. 48, No. 39, March 25, 2024
Subpart 1. Definitions.
The terms used in this part have the meanings given them.
Subp. 2. Eligible providers; medical supply agreement.
To be eligible for medical assistance payment, a supplier of a prosthetic or orthotic device must sign a performance agreement as defined in part 9505.0175, subpart 32.
Subp. 3. Payment limitation; ambulatory aid.
To be eligible for medical assistance payment, an ambulatory aid must be prescribed by a physician who is knowledgeable in orthopedics or physiatrics or by a physician in consultation with an orthopedist, physiatrist, physical therapist, or occupational therapist, or by a podiatrist.
Prior authorization of an ambulatory aid is required for an aid that costs in excess of the limits specified in the provider's performance agreement.
Subp. 4. [Repealed, 17 SR 2042]
Subp. 5. Payment limitation; general.
The cost of repair to a prosthetic or orthotic device that is rented or purchased by the medical assistance program under a warranty is not eligible for medical assistance payment if the repair is covered by warranty.
Subp. 6. Excluded prosthetic and orthotic devices.
The prosthetic and orthotic devices in items A to J are not eligible for medical assistance payment:
Statutory Authority: MS s 256B.04