justicedao/ipfs_state_laws huggingface dataset:
410-122-0040 Prior Authorization (1) Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) providers shall obtain prior authorization (PA) for Healthcare Common Procedure Coding System (HCPCS) Level II codes as specified in rule, unless otherwise noted. (a) Providers shall request PA as follows: (A) For Medically Fragile Children’s Unit (MFCU) clients, from the Department of Human Services (Department) MFCU; (B) For clients enrolled in a Coordinated Care Organization (CCO), from the CCO; (C) For clients enrolled in a prepaid health plan (PHP), from the PHP; (D) For all other clients, from the Health Systems Division. (b) For DMEPOS provided after normal working hours, providers must submit PA requests within five working days from the initiation of service. (c) See OAR 410-120-1320 for more information about PA. (2) Effective January 1, 2026, the Division shall provide notice of determination no later than 72 hours following receipt of PA requests for costs to repair complex rehabilitation technology as defined in Section 2 of Enrolled SB 549 (2025). The 72-hour period of time shall be determined by the time and date stamp on the receipt of request. Statutory/Other Authority: ORS 414.065 & SB 549 (2025) Statutes/Other Implemented: ORS 414.065 History: DMAP 87-2025, amend filed 12/09/2025, effective 12/09/2025 DMAP 58-2023, minor correction filed 08/11/2023, effective 08/11/2023 DMAP 61-2015, f. 10-29-15, cert. ef. 11-1-15 DMAP 13-2010, f. 6-10-10, cert. ef. 7-1-10 DMAP 34-2008, f. 11-26-08, cert. ef. 12-1-08 OMAP 25-2006, f. 6-14-06, cert. ef. 7-1-06 OMAP 11-2005, f. 3-9-05, cert. ef. 4-1-05 OMAP 44-2004, f. & cert. ef. 7-1-04 OMAP 26-2004, f. 4-15-04 cert. ef. 5-1-04 OMAP 25-2004, f. & cert. ef. 4-1-04 OMAP 20-2004(Temp), f. & cert. ef. 3-15-04 thru 4-30-04 OMAP 6-2004, f. 2-10-04 cert. ef. 3-15-04 OMAP 47-2002, f. & cert. ef. 10-1-02 OMAP 32-2001, f. 9-24-01, cert. ef. 10-1-01 OMAP 37-2000, f. 9-29-00, cert. ef. 10-1-00 OMAP 1-2000, f. 3-31-00, cert. ef. 4-1-00 OMAP 13-1999, f. & cert. ef. 4-1-99 OMAP 11-1998, f. & cert. ef. 4-1-98 HR 17-1996, f. & cert. ef. 8-1-96 HR 41-1994, f. 12-30-94, cert. ef. 1-1-95 HR 10-1994, f. & cert. ef. 2-15-94 HR 9-1993, f. & cert. ef. 4-1-93 HR 10-1992, f. & cert. ef. 4-1-92 HR 13-1991, f. & cert. ef. 3-1-91, Renumbered from 461-024-0010 AFS 48-1989, f. & cert. ef. 8-24-89 AFS 6-1989(Temp), f. 2-9-89, cert. ef. 3-1-89 AFS 40-1984, f. 9-18-84, ef. 10-1-84 AFS 22-1984(Temp), f. & ef. 5-1-84 AFS 14-1984(Temp), f. & ef. 4-2-84 AFS 3-1982, f. 1-20-82, ef. 2-1-82
410-122-0090 Face-to-Face Encounter Requirements (for Fee-For-Service Clients) (1) For initial ordering of DME items identified in section (9) of this rule and for those DME items identified as requiring a face-to-face visit in Division 122 rules, an in-person or telehealth face-to-face encounter that is related to the primary reason the client requires the medical equipment or supplies must occur no more than six (6) months prior to the start of services. (2) Telehealth encounters used to satisfy the face-to-face encounter requirement for a DMEPOS item must meet the requirements outlined in the Prioritized List of Health Services Telehealth, Teleconsultations, and Online/Telephonic Services Ancillary Guideline Note. (3) The face-to-face encounter shall be conducted and documented by one of the following practitioners: (a) A physician; (b) A nurse practitioner or clinical nurse specialist, as authorized by State law; (c) A physician associate, as authorized by and in accordance with State law; (d) A licensed practitioner of the healing arts acting within the scope of practice authorized under State law; (4) The practitioner responsible for ordering the services must document the face-to-face encounter and clinical findings supporting that the client was evaluated or treated for a condition that supports the need for the DME items ordered within six months prior to completing the written order; (5) If a dually eligible client is evaluated for medical equipment or supplies under Medicare and transitions to Medicaid, the Medicare face-to-face encounter documentation shall meet the Medicaid face-to-face requirement. (6) The DME supplier shall maintain and provide documentation of the qualifying face-to-face encounter, written order/prescription, and the supporting documentation when the item requires prior authorization or at the Division’s request. (7) The supporting documentation shall include subjective and objective client-specific information used for diagnosing, treating, and managing a clinical condition for which the DMEPOS is ordered. (8) The DME supplier shall have documentation on file that supports all coverage criteria in the DMEPOS rules are met. (9) The list of required DME items subject to face-to-face requirements is posted and maintained by CMS. Please refer to the CMS.gov website for an active link to this list. Statutory/Other Authority: ORS 413.042 & 414.065 Statutes/Other Implemented: 414.065 History: DMAP 87-2025, amend filed 12/09/2025, effective 12/09/2025 DMAP 7-2025, minor correction filed 01/09/2025, effective 01/09/2025 DMAP 101-2023, amend filed 12/29/2023, effective 01/01/2024 DMAP 12-2018, adopt filed 03/07/2018, effective 03/08/2018 DMAP 36-2017(Temp), f. 9-14-17, cert. ef. 9-15-17 thru 3-13-18
410-122-0182 Legend This rule is retroactive and applies to services rendered on or after January 1, 2009. (1) The Division uses abbreviations in the tables within this division. (2) This rule explains the meaning of these abbreviations. (3) PA — Prior authorization (PA): “PA” indicates that PA is required, even if the client has private insurance. See OAR 410-122-0040 for more information about PA requirements. (4) PC — Purchase: “PC” indicates that purchase of this item is covered for payment by the Division. (5) RT — Rent: “RT” indicates that the rental of this item is covered for payment by the Division. (6) MR — Months Rented: (a) “13” — Indicates up to 13 consecutive months of continuous rental, unless otherwise noted in Division 122 rules, and determined when either the Division fee schedule purchase price is met for the item, when the usual purchase price is reached, or the actual charge is met (whichever is lowest); at which time, the equipment is considered paid for and owned by the client. The provider must then transfer title of the equipment to the client; (b) For any other rental situation where the Division fee schedule lists a purchase price and this purchase price is met for the item, when the usual purchase price is reached or the actual charge is met (whichever is lowest), the equipment is considered paid for and owned by the client. The provider must then transfer title of the equipment to the client. (7) RP — Repair: “RP” indicates that repair of this item is covered for payment by the Division. (8) NF — Nursing Facility: “NF” indicates that this procedure code is covered for payment by the Division when the client is a resident of a nursing facility. Statutory/Other Authority: ORS 413.042 & 414.065 Statutes/Other Implemented: ORS 414.065 History: DMAP 87-2025, amend filed 12/09/2025, effective 12/09/2025 DMAP 40-2009, f. 12-15-09, cert. ef. 1-1-10 DMAP 37-2008, f. 12-11-08, cert. ef. 1-1-09 OMAP 47-2006, f. 12-15-06, cert. ef. 1-1-07 OMAP 44-2004, f. & cert. ef. 7-1-04
410-122-0188 DMEPOS Rebate Agreements (1) The Health Systems Division has a Centers for Medicare and Medicaid Services (CMS) approved DMEPOS Rebate Agreement. (2) The Division negotiates DMEPOS Rebate Agreements for specific products through the Sovereign States Drug Consortium (SSDC) multi-state pool and DMEPOS manufacturers. Negotiations are confidential, and shall not be disclosed, except in connection with an agreement/contract or as may be required by law. Confidentiality is required of any third party involved in administration of the agreement/contract. (3) Manufacturers may submit rebate offers for consideration to include their product(s) on the Preferred DME List (PDMEL), after gaining access to the SSDC secure web-based offer entry system. (4) Manufacturers must abide by requirements of the SSDC. (5) The PDMEL shall consist of DMEPOS that the Food and Drug Administration (FDA) has determined to be safe and effective (6) Upon acceptance of the offer: (a) The SSDC will notify manufacturers of the status of their offer(s); (b) Supplemental Agreements will be executed after signed by all parties, approved by CMS if required, and products may be added to the PDMEL; (c) The Division may contract for the functions of tracking utilization, invoicing, and dispute resolution for rebate products. (7) The division will develop a PDMEL, however specific items may be categorized together to create specific lists such as, but not limited to the Preferred Diabetic Supply List (PDSL). Statutory/Other Authority: ORS 413.042 & 414.065 Statutes/Other Implemented: ORS 414.065 History: DMAP 59-2023, minor correction filed 08/11/2023, effective 08/11/2023 DMAP 42-2011, f. 12-21-11, cert. ef. 1-1-12
410-122-0206 Intermittent Positive Pressure Breathing E0500, IPPB machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source the Division will rent. Covered if medically appropriate for the following indications: (1) Clients at risk of respiratory failure because of decreased respiratory function secondary to kyphoscoliosis or neuromuscular disorders. (2) Clients with severe bronchospasm or exacerbated chronic obstructive pulmonary disease (COPD) who fail to respond to standard therapy. (3) The management of atelectasis that has not improved with simple therapy. Statutory/Other Authority: ORS 413.042 & 414.065 Statutes/Other Implemented: ORS 414.065 History: OMAP 44-2004, f. & cert. ef. 7-1-04 OMAP 32-2001, f. 9-24-01, cert. ef. 10-1-01 OMAP 37-2000, f. 9-29-00, cert. ef. 10-1-00
410-122-0207 Respiratory Supplies Table 122-0207. [ED. NOTE: Tables referenced are available from the agency.] [ED. NOTE: To view attachments referenced in rule text, click here to view rule.] Statutory/Other Authority: ORS 413.042 & 414.065 Statutes/Other Implemented: ORS 414.065 History: DMAP 13-2010, f. 6-10-10, cert. ef. 7-1-10 OMAP 47-2006, f. 12-15-06, cert. ef. 1-1-07 OMAP 94-2004, f. 12-30-04, cert. ef. 1-1-05 OMAP 44-2004, f. & cert. ef. 7-1-04 OMAP 21-2003, f. 3-26-03, cert. ef. 4-1-03 OMAP 8-2002, f. & cert. ef. 4-1-02 OMAP 32-2001, f. 9-24-01, cert. ef. 10-1-01 OMAP 4-2001, f. 3-30-01, cert. ef. 4-1-01 OMAP 37-2000, f. 9-29-00, cert. ef. 10-1-00
410-122-0209 Tracheostomy Care Supplies (1) Indications and Coverage: For a client following an open surgical tracheostomy that has been open or is expected to remain open for at least three months: (a) Standard tracheostomy supplies, including tracheostomy tubes (A7520, A7521), do not require prior authorization; (b) Custom/Specialized tracheostomy tubes must be a device that requires the manufacturer to complete substantive customization or modification for a specific individual’s medical need; (c) Custom/Specialized tracheostomy tubes require prior authorization and shall be approved with clinical documentation supporting the medical appropriateness and a statement from the prescribing practitioner explaining why a standard or off-the-shelf tracheostomy tube will not meet the client’s medical needs. (2) Documentation: (a) A prescription for tracheal equipment that is signed by the prescribing practitioner shall be kept on file by the DMEPOS provider. The prescribing practitioner’s records shall contain information that supports the medical appropriateness of the item ordered; (b) Custom/Specialized tracheostomy tubes require an assessment every six months indicating a standard tracheostomy tube does not currently meet the medical needs of the client. Documentation shall be submitted to the Division at the time of request. (3) Billing: (a) Custom/Specialized tracheostomy tubes shall be billed using the correct HCPCS code and modifier 22; (b) Custom/Specialized tracheostomy tubes shall be reimbursed following the payment methodology outlined in OAR 410-122-0186 for manually priced items. (4) Procedure Codes – Table 122-0209. [ED. NOTE: Tables referenced are available from the agency.] [ED. NOTE: To view attachments referenced in rule text, click here to view rule.] Statutory/Other Authority: ORS 413.042 & 414.065 Statutes/Other Implemented: ORS 414.065 History: DMAP 9-2015, f. 2-26-15, cert. ef. 3-1-15 OMAP 47-2006, f. 12-15-06, cert. ef. 1-1-07 OMAP 11-2005, f. 3-9-05, cert. ef. 4-1-05 OMAP 44-2004, f. & cert. ef. 7-1-04 OMAP 25-2004, f. & cert. ef. 4-1-04 OMAP 21-2003, f. 3-26-03, cert. ef. 4-1-03 OMAP 32-2001, f. 9-24-01, cert. ef. 10-1-01 OMAP 4-2001, f. 3-30-01, cert. ef. 4-1-01 OMAP 37-2000, f. 9-29-00, cert. ef. 10-1-00 OMAP 1-2000, f. 3-31-00, cert. ef. 4-1-00 OMAP 13-1999, f. & cert. ef. 4-1-99 HR 7-1997, f. 2-28-97, cert. ef. 3-1-97 HR 17-1996, f. & cert. ef. 8-1-96 HR 41-1994, f. 12-30-94, cert. ef. 1-1-95 HR 10-1994, f. & cert. ef. 2-15-94 HR 9-1993, f. & cert. ef. 4-1-93 HR 32-1992, f. & cert. ef. 10-1-92 HR 10-1992, f. & cert. ef. 4-1-92
410-122-0220 Pacemaker Monitor (1) E0610 — Pacemaker monitor, self-contained, checks battery depletion, includes audible and visible check systems: (a) The Division will purchase; (b) Also covered for payment by the Division when client is a resident of a nursing facility. (2) E0615 — Pacemaker monitor, self-contained, checks battery depletion and other pacemaker components, includes digital/visible check systems: (a) The Division will purchase; (b) Also covered for payment by the Division when client is a resident of a nursing facility. Statutory/Other Authority: ORS 413.042 Statutes/Other Implemented: ORS 414.065 History: OMAP 44-2004, f. & cert. ef. 7-1-04 OMAP 32-2001, f. 9-24-01, cert. ef. 10-1-01 HR 9-1993, f. & cert. ef. 4-1-93 HR 13-1991, f. & cert. ef. 3-1-91
410-122-0260 Home Uterine Monitoring (1) Home uterine monitoring (S9001) requires prior authorization (PA) and may be approved for the following conditions: (a) Pre-term labor with one or more of the following complications: (A) Incompetent cervix; (B) Cervical cerclage; (C) Polyhydramnios; (D) Anomalies of the uterus; (E) History of cone biopsy; (F) Cervical dilation or effacement; (G) Unknown etiology. (b) History of pre-term labor and delivery; (c) Multiple gestation. (2) Uterine monitoring will only be approved for the above conditions between the 24th and through the completion of the 36th week of pregnancy. (3) The Division will provide coverage for rental only. The allowable rental fee for the uterine monitor includes all equipment, supplies, services, and nursing visits necessary for the effective use of the monitor. This does not include medications or prescribing practitioner’s professional services. (4) The client must have landline telephone or reasonable access to one. The Division will not be responsible for providing the landline telephone or landline access. Statutory/Other Authority: ORS 413.042 & 414.065 Statutes/Other Implemented: ORS 414.065 History: DMAP 61-2014, f. 10-3-14, cert. ef. 10-7-14 OMAP 44-2004, f. & cert. ef. 7-1-04 OMAP 32-2001, f. 9-24-01, cert. ef. 10-1-01 OMAP 37-2000, f. 9-29-00, cert. ef. 10-1-00 OMAP 1-2000, f. 3-31-00, cert. ef. 4-1-00 OMAP 13-1999, f. & cert. ef. 4-1-99 OMAP 11-1998, f. & cert. ef. 4-1-98 HR 17-1996, f. & cert. ef. 8-1-96 HR 41-1994, f. 12-30-94, cert. ef. 1-1-95 HR 9-1993, f. & cert. ef. 4-1-93 HR 10-1992, f. & cert. ef. 4-1-92 HR 13-1991, f. & cert. ef. 3-1-91
410-122-0280 Heating/Cooling Accessories Procedure Codes for Heating/Cooling Accessories: Table 122-0280. [ED. NOTE: Tables referenced are available from the agency.] [ED. NOTE: To view attachments referenced in rule text, click here to view rule.] Statutory/Other Authority: ORS 413.042 & 414.065 Statutes/Other Implemented: ORS 414.065 History: DMAP 13-2010, f. 6-10-10, cert. ef. 7-1-10 OMAP 47-2006, f. 12-15-06, cert. ef. 1-1-07 OMAP 44-2004, f. & cert. ef. 7-1-04 OMAP 32-2001, f. 9-24-01, cert. ef. 10-1-01 OMAP 37-2000, f. 9-29-00, cert. ef. 10-1-00 HR 7-1997, f. 2-28-97, cert. ef. 3-1-97 HR 17-1996, f. & cert. ef. 8-1-96 HR 9-1993, f. & cert. ef. 4-1-93 HR 13-1991, f. & cert. ef. 3-1-91
410-122-0360 Canes and Crutches (1) Indications and Coverage: When prescribed by a practitioner for a client with a condition causing impaired ambulation and there is a potential for ambulation. (2) A white cane for a visually impaired client is considered to be a self-help item and is not covered by the Division. (3) Table 122-0360. [ED. NOTE: Tables referenced are available from the agency.] [ED. NOTE: To view attachments referenced in rule text, click here to view rule.] Statutory/Other Authority: ORS 413.042 & 414.065 Statutes/Other Implemented: ORS 414.065 History: DMAP 11-2024, minor correction filed 01/04/2024, effective 01/04/2024 DMAP 101-2023, amend filed 12/29/2023, effective 01/01/2024 DMAP 11-2016, f. 2-24-16, cert. ef. 3-1-16 OMAP 47-2006, f. 12-15-06, cert. ef. 1-1-07 OMAP 44-2004, f. & cert. ef. 7-1-04 OMAP 21-2003, f. 3-26-03, cert. ef. 4-1-03 OMAP 47-2002, f. & cert. ef. 10-1-02 OMAP 32-2001, f. 9-24-01, cert. ef. 10-1-01 OMAP 37-2000, f. 9-29-00, cert. ef. 10-1-00 OMAP 1-2000, f. 3-31-00, cert. ef. 4-1-00 OMAP 13-1999, f. & cert. ef. 4-1-99 OMAP 11-1998, f. & cert. ef. 4-1-98 HR 7-1997, f. 2-28-97, cert. ef. 3-1-97 HR 17-1996, f. & cert. ef. 8-1-96 HR 41-1994, f. 12-30-94, cert. ef. 1-1-95 HR 26-1994, f. & cert. ef. 7-1-94 HR 10-1994, f. & cert. ef. 2-15-94 HR 9-1993, f. & cert. ef. 4-1-93 HR 32-1992, f. & cert. ef. 10-1-92 HR 13-1991, f. & cert. ef. 3-1-91
410-122-0420 Hospital Bed Accessories (1) Table 122-0420, Hospital Bed Accessories Procedure codes — Trapeze Bars: (a) Indications and coverage: Trapeze bars are indicated when a client needs this device to sit up because of respiratory condition, to change body position for other medical reasons, or to get in or out of bed; (b) The Division may consider coverage for bariatric trapeze bars only coded as E1399 (durable medical equipment, miscellaneous) for a client residing in a nursing facility), subject to service limitations of Division rules, only when the following requirements are met: (A) The client meets the conditions of coverage as specified in this rule; and (B) The bariatric trapeze bar has been assigned code E1399 by the Medicare Pricing, Data Analysis and Coding (PDAC) contractor; (C) Supporting documentation has been submitted to the appropriate authorizing authority for prior authorization; (c) Documentation of medical appropriateness which has been reviewed and signed by the prescribing practitioner must be kept on file by the DME provider; (2) See Table 122-0420 for procedure codes. [ED. NOTE: Tables referenced are available from the agency.] [ED. NOTE: To view attachments referenced in rule text, click here to view rule.] Statutory/Other Authority: ORS 413.042 & 414.065 Statutes/Other Implemented: ORS 414.065 History: DMAP 15-2009, f. 6-12-09, cert. ef. 7-1-09 OMAP 47-2006, f. 12-15-06, cert. ef. 1-1-07 OMAP 11-2005, f. 3-9-05, cert. ef. 4-1-05 OMAP 44-2004, f. & cert. ef. 7-1-04 OMAP 21-2003, f. 3-26-03, cert. ef. 4-1-03 OMAP 32-2001, f. 9-24-01, cert. ef. 10-1-01 OMAP 4-2001, f. 3-30-01, cert. ef. 4-1-01 OMAP 37-2000, f. 9-29-00, cert. ef. 10-1-00 HR 17-1996, f. & cert. ef. 8-1-96 HR 10-1994, f. & cert. ef. 2-15-94 HR 9-1993, f. & cert. ef. 4-1-93 HR 10-1992, f. & cert. ef. 4-1-92 HR 13-1991, f. & cert. ef. 3-1-91
410-122-0475 Therapeutic Shoes for Diabetics (1) Indications and Coverage: (a) For each client, coverage of the footwear and inserts is limited to one of the following within one calendar year: (A) One pair of custom-molded shoes (including inserts provided with such shoes) and two additional pair of inserts; or (B) One pair of extra-depth shoes (not including inserts provided with such shoes) and three pairs of inserts. (b) An individual may substitute modification of custom molded or extra-depth shoes instead of obtaining one pair of inserts, other than the initial pair of inserts. The most common shoe modifications are: (A) Rigid rocker bottoms; (B) Roller bottoms; (C) Metatarsal bars; (D) Wedges; (E) Offset heels. (c) Payment for any expenses for the fitting of such footwear is included in the fee; (d) Payment for the certification of the need for therapeutic shoes and for the prescription of the shoes (by a different practitioner from the one who certifies the need for the shoes) is considered to be included in the visit or consultation in which these services are provided; (e) Following certification by the practitioner managing the client’s systemic diabetic condition, a podiatrist or other qualified practitioner knowledgeable in the fitting of the therapeutic shoes and inserts may prescribe the particular type of footwear necessary. (2) Documentation: (a) The practitioner who is managing the individual’s systemic diabetic condition documents that the client has diabetes and one or more of the following conditions: (A) Previous amputation of the other foot or part of either foot; (B) History of previous foot ulceration of either foot; (C) History of pre-ulcerative calluses of either foot; (D) Peripheral neuropathy with evidence of callus formation of either foot; (E) Foot deformity of either foot; or (F) Poor circulation in either foot; and (G) Certifies that the client is being treated under a comprehensive plan of care for his or her diabetes and that he or she needs therapeutic shoes; (b) Documentation of the above criteria may be completed by the prescribing practitioner or supplier but shall be reviewed for accuracy and signed and dated by the certifying practitioner to indicate agreement and shall be kept on file by the DME supplier. (3) Table 122-0475. [ED. NOTE: Tables referenced are available from the agency.] [ED. NOTE: To view attachments referenced in rule text, click here to view rule.] Statutory/Other Authority: ORS 413.042 & 414.065 Statutes/Other Implemented: ORS 414.065 History: DMAP 16-2024, minor correction filed 01/04/2024, effective 01/04/2024 DMAP 101-2023, amend filed 12/29/2023, effective 01/01/2024 DMAP 62-2023, minor correction filed 08/11/2023, effective 08/11/2023 DMAP 11-2016, f. 2-24-16, cert. ef. 3-1-16 DMAP 17-2008, f. 6-13-08, cert. ef. 7-1-08 OMAP 94-2004, f. 12-30-04, cert. ef. 1-1-05 OMAP 44-2004, f. & cert. ef. 7-1-04 OMAP 47-2002, f. & cert. ef. 10-1-02 OMAP 8-2002, f. & cert. ef. 4-1-02 OMAP 32-2001, f. 9-24-01, cert. ef. 10-1-01 OMAP 37-2000, f. 9-29-00, cert. ef. 10-1-00
410-122-0590 Patient Lifts (1) Indications and coverage — A lift is covered if transfer between bed and a chair, wheelchair, or commode requires the assistance of more than one person and, without the use of a lift, the client would be bed confined. (2) The areas within the client’s residence where the lift will be utilized must be able to accommodate and allow for the effective use of the lift. The Division does not reimburse for adapting the living quarters. (3) A sling or seat for a client lift may be covered as an accessory when ordered as a replacement for the original equipment item. (4) E0621 is included in the allowance for E0630 when provided at the same time. (5) E0635 may be covered only when a client weighs 450 pounds or more; (6) Procedure codes: (a) E0621 — Sling or seat, client lift, canvas or nylon — Purchase — Prior authorization (PA) required; (b) E0630 — Client lift, hydraulic with seat or sling (considered purchased after 10 months of rental) — Purchase, rent or repair — PA required; (c) E0635 — Client lift, electric, with seat or sling — Rent only. This item is a capped rental and becomes the property of the client after 10 months of continuous rental or when the usual purchase price is reached, whichever is lesser. May be covered for a nursing facility client — PA required. Statutory/Other Authority: ORS 413.042 & 414.065 Statutes/Other Implemented: ORS 414.065 History: DMAP 101-2023, amend filed 12/29/2023, effective 01/01/2024 DMAP 69-2023, minor correction filed 08/19/2023, effective 08/19/2023 DMAP 15-2009, f. 6-12-09, cert. ef. 7-1-09 DMAP 12-2007, f. 6-29-07, cert. ef. 7-1-07 OMAP 11-2005, f. 3-9-05, cert. ef. 4-1-05 OMAP 44-2004, f. & cert. ef. 7-1-04 OMAP 47-2002, f. & cert. ef. 10-1-02 OMAP 32-2001, f. 9-24-01, cert. ef. 10-1-01