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2.5.11.2.3 Repair or Replacement
Repairs require replacement of components that are no longer functional. Technician fees are considered to be part of the cost of the repair.
Repairs to client-owned equipment may be considered with documentation of medical necessity.
Providers are responsible for maintaining documentation in the client's medical record specifying the repairs and supporting medical necessity.
Rental equipment may be considered during the period of repair. Routine maintenance of rented equipment is the provider's responsibility.
Pediatric hospital cribs and beds, enclosed beds, and safety enclosure frames/canopies/bubble tops that have been purchased are anticipated to last a minimum of five years.
Prior authorization for replacement may be considered within five years of purchase if one of the following occurs:
• There has been a significant change in the client's condition such that the current equipment no longer meets the client's needs.
•The equipment is no longer functional and cannot be repaired or it is not cost effective to repair.
Replacement equipment may also be considered if loss or irreparable damage has occurred. A copy of the police or fire report, when appropriate, and the measures to be taken to prevent reoccurrence must be submitted.
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