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26.2.3 Prescription Shoes and Lifts
The CSHCN Services Program may authorize prescription shoes (corrective/orthopedic shoes) for eligible clients when prescribed by a licensed physician or podiatrist. An approved orthotist may supply shoes. For consideration of coverage, corrective shoes must be one of the following:
• Permanently attached to a brace
•Custom modified by an orthotist or prosthetist at the direction of the prescribing physician
•Necessary to hold surgical correction or casting (does not have to be attached to a brace); may be authorized up to 1 year post procedure
•Documented by physician as to specific medical rationale
Note: Lifts for unequal leg length greater than ½ inch are a benefit with documentation of medical need.
Medical justification is required if the primary diagnosis is one of the following:
Prescription shoes are limited to one pair every 3 months. Two pairs may be purchased at the same time, but they cannot be replaced until after 6 months.
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