Support Services for Adults with Developmental ... - DHS home
Support Services for Adults with Developmental ... - DHS home
Support Services for Adults with Developmental ... - DHS home
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(j) Special diets. Special diets may not provide or replace the<br />
nutritional equivalent of meals and snacks normally required<br />
regardless of developmental disability.<br />
(k) Specialized medical equipment and supplies as well as the<br />
following provisions:<br />
(A) When specialized medical equipment and supplies are<br />
primarily and customarily used to serve a medical purpose, the<br />
purchase, rental, or repair of specialized medical equipment<br />
and supplies <strong>with</strong> support services funds must be limited to the<br />
types of equipment and supplies permitted under the State<br />
Medicaid Plan and specifically those that are not excluded<br />
under OAR 410-122-0080.<br />
(B) <strong>Support</strong> services funds may be used to purchase more of<br />
an item than the number allowed under the State Medicaid Plan<br />
after the limits specified in the State Medicaid Plan have been<br />
reached, requests <strong>for</strong> purchases have been denied by the State<br />
Medicaid Plan or private insurance, and the denial has been<br />
upheld in an applicable hearing or private insurance benefit<br />
appeals process.<br />
(C) Devices, aids, controls, supplies, or appliances primarily<br />
and customarily used to enable an individual to increase the<br />
individual's abilities to per<strong>for</strong>m ADLs or to perceive, control, or<br />
communicate <strong>with</strong> the environment in which the individual lives,<br />
may be purchased <strong>with</strong> support services funds when the<br />
individual's developmental disability otherwise prevents or limits<br />
the individual's independence in these areas. Equipment and<br />
supplies that may be purchased <strong>for</strong> this purpose must be of<br />
direct benefit to the individual and include:<br />
(i) Adaptive equipment <strong>for</strong> eating, (i.e., utensils, trays,<br />
cups, bowls that are specially designed to assist an<br />
individual to feed him or herself);<br />
(ii) Positioning devices;<br />
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