Section 428.409 - Prescription Requirements(A) The purchase of prosthetic equipment requires a written prescription signed by a licensed physician or an independent nurse practitioner. The prescription must be written on the prescriber's prescription form and must include the following information:(1) the member's name and address;(2) the member's MassHealth identification number;(3) specific identification of the prescribed item;(4) medical justification for the use of the item, including the member's diagnosis;(5) the prescriber's address and telephone number; and(6) the date on which the prescription was signed by the prescriber.(B) The provider must keep the prescription on file for the period of time required by 130 CMR 450.205: Recordkeeping and Disclosure.Amended by Mass Register Issue 1354, eff. 12/15/2017.Amended by Mass Register Issue 1494, eff. 4/28/2023.