Common use of Durable Medical Equipment (DME), Medical Supplies, Prosthetic Clause in Contracts

Durable Medical Equipment (DME), Medical Supplies, Prosthetic. Devices, Enteral Formula or Food, and Hair Prosthesis (Wigs)  Items typically found in the home that do not need a prescription and are easily obtainable such as, but not limited to: o adhesive bandages; o elastic bandages; o gauze pads; and o alcohol swabs.  DME and medical supplies prescribed primarily for the convenience of the member or the member’s family, including but not limited to, duplicate DME or medical supplies for use in multiple locations or any DME or medical supplies used primarily to assist a caregiver.  Non-wearable automatic external defibrillators.  Replacement of durable medical equipment and prosthetic devices prescribed because of a desire for new equipment or new technology.  Equipment that does not meet the basic functional need of the average person.  DME that does not directly improve the function of the member.  Medical supplies provided during an office visit.  Pillows or batteries, except when used for the operation of a covered prosthetic device, or items for which the sole function is to improve the quality of life or mental wellbeing.  Repair or replacement of DME when the equipment is under warranty, covered by the manufacturer, or during the rental period.  Infant formula, nutritional supplements and food, or food products, whether or not prescribed, unless required by R.I. Law §27-20-56 for Enteral Nutrition Products, or delivered through a feeding tube as the sole source of nutrition.  Corrective or orthopedic shoes and orthotic devices used in connection with footwear, unless for the treatment of diabetes. Experimental or Investigational Services  Treatments, procedures, facilities, equipment, drugs, devices, supplies, or services that are experimental or investigational except as described in Section 3. Gender Reassignment Services  Reversal of gender reassignment surgery.

Durable Medical Equipment (DME), Medical Supplies, Prosthetic. Devices, Enteral Formula or Food, and Hair Prosthesis (Wigs)  • Items typically found in the home that do not need a prescription and are easily obtainable such as, but not limited to: o adhesive bandages; o elastic bandages; o gauze pads; and o alcohol swabs.  • DME and medical supplies prescribed primarily for the convenience of the member or the member’s familym e m b e far m’ ilys, including but not limited to, duplicate DME or medical supplies for use in multiple locations or any DME or medical supplies used primarily to assist a caregiver.  • Non-wearable automatic external defibrillators.  • Replacement of durable medical equipment and prosthetic devices prescribed because of a desire for new equipment or new technology.  • Equipment that does not meet the basic functional need of the average person.  • DME that does not directly improve the function of the member.  • Medical supplies provided during an office visit.  • Pillows or batteries, except when used for the operation of a covered prosthetic device, or items for which the sole function is to improve the quality of life or mental wellbeing.  • Repair or replacement of DME when the equipment is under warranty, covered by the manufacturer, or during the rental period.  • Infant formula, nutritional supplements and food, or food products, whether or not prescribed, unless required by R.I. Law §27-20-56 for Enteral Nutrition Products, or delivered through a feeding tube as the sole source of nutrition.  • Corrective or orthopedic shoes and orthotic devices used in connection with footwear, unless for the treatment of diabetes. Experimental or Investigational Services  • Treatments, procedures, facilities, equipment, drugs, devices, supplies, or services that are experimental or investigational except as described in Section 3. Gender Reassignment Services  • Reversal of gender reassignment surgery.

Durable Medical Equipment (DME), Medical Supplies, Prosthetic. Devices, Enteral Formula or Food, and Hair Prosthesis (Wigs)  Wigs)‌ • Items typically found in the home that do not need a prescription and are easily obtainable such as, but not limited to: o adhesive bandages; o elastic bandages; o gauze pads; and o alcohol swabs.  • DME and medical supplies prescribed primarily for the convenience of the member or the member’s family, including but not limited to, duplicate DME or medical supplies for use in multiple locations or any DME or medical supplies used primarily to assist a caregiver.  • Non-wearable automatic external defibrillators.  • Replacement of durable medical equipment and prosthetic devices prescribed because of a desire for new equipment or new technology.  • Equipment that does not meet the basic functional need of the average person.  • DME that does not directly improve the function of the member.  • Medical supplies provided during an office visit.  • Pillows or batteries, except when used for the operation of a covered prosthetic device, or items for which the sole function is to improve the quality of life or mental wellbeing.  • Repair or replacement of DME when the equipment is under warranty, covered by the manufacturer, or during the rental period.  • Infant formula, nutritional supplements and food, or food products, whether or not prescribed, unless required by R.I. Law §27-20-56 for Enteral Nutrition Products, or delivered through a feeding tube as the sole source of nutrition.  • Corrective or orthopedic shoes and orthotic devices used in connection with footwear, unless for the treatment of diabetes. Experimental or Investigational Services  Services‌ • Treatments, procedures, facilities, equipment, drugs, devices, supplies, or services that are experimental or investigational except as described in Section 3. Gender Reassignment Services  Services‌ • Reversal of gender reassignment surgery. Hearing Services‌ • Repairs, modifications, cords, batteries, and other assistive listening devices. Home Health Care‌ • Homemaking, companion, chronic, or custodial care services. • Services of a personal care attendant.