Section 427.424 - Rental of Oxygen and Respiratory Therapy Equipment(A) The monthly rental payment to a provider for respiratory therapy equipment shall be the lowest of: (1) 1/6 of the adjusted acquisition cost of the equipment for the first six months and 1/12 of the adjusted acquisition cost of the equipment for each month after the first six months;(2) the provider's usual and customary rental charge to the general public for one month; or(3) the fee set forth in the applicable fee schedule of the Division of Health Care Finance and Policy.(B) The monthly rental payment to a provider for oxygen-generating and delivery devices shall be the lowest of: (1) the provider's usual and customary charge to the general public; or(2) the fee set forth in the applicable fee schedule of the Division of Health Care Finance and Policy.(C) Payment for accessory equipment necessary for the proper functioning of the rented equipment shall be included in the fee calculated in accordance with 130 CMR 427.424(A) and (B). Accessory equipment includes but is not limited to: (5) walker, stand, or cart; and(6) backup gaseous oxygen and delivery systems (when use of an oxygen-generating device is prescribed).(D) Payment for disposable items necessary for the proper functioning of the rented equipment shall be included in the fee calculated in accordance with 130 CMR 427.424(A) and (B). Accessory equipment includes but is not limited to:(2) humidification devices;(E) Payment for the maintenance, cleaning, and inspection of the rented equipment shall be included in the fee calculated in accordance with 130 CMR 427.424(A) and (B). This includes the replacement of disposable parts periodically or as needed.(F) Payment for repairs necessary to ensure the proper functioning of rented equipment shall b e included in the fee calculated in accordance with 130 CMR 427.424(A) and (B). This includes the replacement of defective parts and the loan of replacement equipment while rented equipment is being repaired.(G) Payment for delivery to and installation at the site where the equipment will be used shall be included in the fee calculated in accordance with 130 CMR 427.424(A) and (B).(H) Payment for instruction of the recipient in the proper use of the equipment shall be included in the fee calculated in accordance with 130 CMR 427.424(A) and (B).(I) Rented oxygen and respiratory therapy equipment must be in proper working order. Equipment must be clean and, when appropriate, sterilized at the time of rented.