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3.7.2 Services/Benefits and Limitations
Orthotics and prosthetics are a covered benefit of CCP for clients who require medically necessary orthotics or prosthetics that are prescribed by a physician (MD or DO) or a podiatrist (for ankle and foot orthotics). Orthotic devices, provided to ICF-MR clients and clients who reside in a nursing facility, are a benefit of CCP. Payment is made directly to the vendor. The equipment belongs to the client or family. Non-orthotic devices, such as a knee immobilizer, are not a benefit for nursing facility residents and ICF-MR clients.
Orthoses and prostheses must be dispensed, fabricated, and modified by an approved orthotist or orthotist/prosthetist.
Other orthoses and prostheses devices and services not listed in this section may be covered.
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