CSHCN 2009 > Orthotic and Prosthetic Devices > Documentation of Receipt

26.3 Documentation of Receipt

When the orthosis or prosthesis is delivered, providers must have the client or the client's representative complete the CSHCN Services Program Documentation of Receipt form on page B-100 or the CSHCN Services Program Documentation of Receipt (Spanish) form on page B-101. The date of delivery on the form is the date of service that should appear on the claim. The provider should retain this form and not submit it with the claim.

Providers must maintain a copy of this form in their files for the life of the piece of equipment or until the equipment is authorized for replacement.