Durable Medical Equipment

 

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STATE OF NEVADA
DIVISION FOR AGING SERVICES

SERVICE SPECIFICATIONS

DURABLE MEDICAL EQUIPMENT AND HEALTH CARE PRODUCTS
(Revise
d
5/04)

Any exception to these Service Specifications must be requested in advance in writing and approved by the Administrator.  

SERVICE DEFINITION:  

This service provides eligible seniors with access to durable medical equipment, emergency prescriptions, diabetic supplies and liquid nutritional products.  

SERVICE CATEGORIES AND UNIT MEASURES:  

Durable Medical Equipment and Health Care Products:  A service for older individuals that:  

A.                 Provides individuals with current information about medical care products available within their communities.  

B.                 Provides wheelchairs, walkers, shower benches and other needed medical equipment to eligible individuals free of charge. The grantee may contract with a pharmacy and pay for emergency prescriptions, nutritional products and diabetic supplies based on a doctor’s order.  

One unit equals one adaptive device or one health care product. (An individual may receive several devices and/or products. Each is counted as one unit of service). 

SPECIFICATIONS:  

1.                  Required Services:  

1.1             When other resources such as public or private medical insurance are not available, clients will be loaned or given medical equipment such as wheelchairs, walkers and shower benches. The grantee may contract with a pharmacy and pay for emergency prescriptions, doctor ordered diabetic supplies such as test strips and insulin, and nutritional products.  

1.2             Equipment shall be clean and in good repair.  

1.3             Supplies and nutritional products shall be distributed and used before the expiration date, if applicable.  

2.                  Eligibility  

2.1             Eligibility is determined by the client’s household income, lack of insurance and/or inability to pay insurance co-payments.  

3.                  Service Prohibitions:  

3.1             Staff shall not accept tips, gifts, fees or loans from clients.  

3.2          Staff must refer suspected elder abuse to the appropriate agency within 24 hours.  

4.                  Documentation Requirements:  

4.1             Maintain individual client records which document:  

4.1.a         Summary of the client's problem or need;  

4.1.b         A chronological summary of actions taken to assist the client, including information, referral and/or product (s) provided; 

4.1.c          When appropriate, conduct follow-up to determine how the program assisted seniors to avoid acute health care situations, emergency room visits or long-term care.  

5.                  Operating Procedures:  

5.1             Establish a procedure to accept requests for assistance in-person or by phone.  

5.2             Establish a procedure to accept referrals from physicians.  

5.3             Establish a written action plan to process client requests.  

5.4             Establish a written medical equipment loan procedure.  

5.5             Establish a written procedure to pay for medical products purchased through pharmacies.  

5.6             A waiting list is to be established only after all measures for improving the efficiency of the service delivery system have been examined and, when feasible, implemented. Grantees are required to establish a waiting list policy that will be activated in the event that demand for service exceeds the program's capacity. Waiting list documentation must include at a minimum:  

5.6.a       Client’s name, address, and telephone number;  

5.6.b       Date the client was placed on the waiting list; and  

5.6.c       Description of each client’s need for service.  

5.6.d       Clients with the greatest needs are to receive priority consideration. The program will define “greatest need.”  The program must establish a procedure for updating the continued service needs of clients placed on the waiting list.

6.                  Quality Improvement:  

6.1             The program shall establish an annual method to determine consumer satisfaction with service through questionnaires or some other means. The results of the quality improvement review must document any program deficiencies and contain a plan of correction.  

7.                  Special Compliance Requirements:  

7.1             The agency must have sufficient liability coverage for the equipment loan program.

8.                  Program Reporting Requirements:  

8.1      The grantee must submit Quarterly Program and Financial Reports (DAS-200 and DAS-200F) as prescribed in the DAS-200 reporting instructions. The reports are due the 15th of the month following the end of each quarter.

 

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Last Updated: 09/18/08

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