Current through Register 1536, December 6, 2024
Section 427.426 - Repair of Oxygen and Respiratory Therapy Equipment Purchased by the Division(A) Prior authorization is required for all repair services costing more than $35. Prior authorization requests for repair services must be submitted in accordance with the instructions in Subchapter 5 of the Oxygen and Respiratory Therapy Equipment Manual.(B) All claims for repair services costing $35 or less must be accompanied by a service report written on the provider's business stationary. The report must include the following information:(1) the name of the person who requested the service and the date of the request;(2) a specific description of the equipment malfunction that was repaired;(3) a list of procedures and parts furnished to complete the repair; and(4) the cost of each procedure and part furnished and the time required to complete the repair.(C) If equipment cannot be repaired immediately at the recipient's place of residence, the provider must supply on a rental basis comparable equipment for the recipient's use during the time that the purchased equipment is being repaired. The daily rental fee shall be 1/30 of the monthly rental fee calculated in accordance with 130 CMR 427.424(A) and (B). No payment for the rental of substitute equipment shall be made for any day following the fifth business day after the date of removal of the equipment from the residence unless the provider obtains prior authorization from the Division.(D) The provider of repair services is responsible for the quality of the workmanship and parts and for ensuring that repaired equipment is in proper working condition.(E) The Division does not pay for repairs or damage resulting from abuse or misuse of equipment.(F) The Division does not pay for the repair of oxygen or respiratory therapy equipment if a repair or replacement of the item was performed within the preceding 12 months.