OAR 410-122-0580
Bath Supplies


(1)

Indications and limitations of coverage and medical appropriateness

(a)

The Division may cover bath supplies when medically appropriate and cost-effective including a rehab shower/commode chair when all of the following criteria are met:

(A)

Client is unable to use a standard shower chair/bench due to a musculoskeletal condition;

(B)

Client has positioning, trunk stability or neck support needs that a standard shower chair/bench cannot provide;

(C)

The home (shower) can accommodate a rehab/shower chair;

(D)

Less costly alternatives have been considered or tried and ruled out;

(E)

The rehab shower/commode chair meets the following specifications and standard features as a minimum:
(i)
Constructed specifically for use as a rehab shower/commode chair (corrosive resistant);
(ii)
Swing-away or detachable arms;
(iii)
Removable commode pan holder and pan;
(iv)
Adjustable removable footrests;
(v)
Wheel lock system;

(F)

The rehab shower/commode chair must be supplied by a durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) provider that employs a Rehabilitation Engineering and Assistive Technology Society of North America (RESNA)-certified Assistive Technology Professional (ATP) who specializes in wheelchairs and who has direct, in-person involvement in the rehab shower/commode chair selection for the client;

(b)

Verification of the healthcare common procedure coding system (HCPCS) code assignment by the Medicare Pricing, Data Analysis and Coding (PDAC) contractor is not required for a rehab shower/commode chair;

(c)

Use E1399 for a rehab shower/commode chair.

(2)

Documentation requirements:

(a)

The practitioner’s order and medical justification for the equipment must be kept on file by the DMEPOS provider. The client’s medical records must contain information which supports the medical appropriateness of the item ordered;

(b)

For a rehab shower/commode chair, submit documentation which supports conditions of coverage in this rule are met.

(3)

Table 122-0580 Bath Supplies.
[ED. NOTE: Tables referenced are available from the agency.]
[ED. NOTE: To view attachments referenced in rule text, click here to view rule.]
410–122–0010
Definitions
410–122–0020
Orders
410–122–0040
Prior Authorization
410–122–0080
Conditions of Coverage, Limitations, and Restrictions
410–122–0090
Face-to-Face Encounter Requirements (for Fee-For-Service Clients)
410–122–0180
Healthcare Common Procedure Coding System Level II Coding
410–122–0182
Legend
410–122–0184
Repairs, Servicing, Replacement, Delivery, and Dispensing
410–122–0186
Payment Methodology
410–122–0188
DMEPOS Rebate Agreements
410–122–0200
Pulse Oximeter for Home Use
410–122–0202
Positive Airway Pressure (PAP) Devices for Adult Obstructive Sleep Apnea
410–122–0203
Oxygen and Oxygen Equipment
410–122–0204
Nebulizer
410–122–0205
Respiratory Assist Devices
410–122–0206
Intermittent Positive Pressure Breathing
410–122–0207
Respiratory Supplies
410–122–0208
Suction Pumps
410–122–0209
Tracheostomy Care Supplies
410–122–0210
Ventilators
410–122–0211
Cough Stimulating Device
410–122–0220
Pacemaker Monitor
410–122–0240
Apnea Monitors for Infants
410–122–0250
Breast Pumps
410–122–0260
Home Uterine Monitoring
410–122–0280
Heating/Cooling Accessories
410–122–0300
Light Therapy
410–122–0320
Manual Wheelchair Base
410–122–0325
Power Wheelchair Base
410–122–0330
Power-Operated Vehicle
410–122–0340
Wheelchair Options/Accessories
410–122–0360
Canes and Crutches
410–122–0365
Standing and Positioning Aids
410–122–0375
Walkers
410–122–0380
Hospital Beds
410–122–0400
Pressure Reducing Support Surfaces
410–122–0420
Hospital Bed Accessories
410–122–0475
Therapeutic Shoes for Diabetics
410–122–0510
Osteogenesis Stimulator
410–122–0515
Neuromuscular Electrical Stimulator (NMES)
410–122–0520
Glucose Monitors and Diabetic Supplies
410–122–0525
External Insulin Infusion Pump
410–122–0540
Ostomy Supplies
410–122–0560
Urological Supplies
410–122–0580
Bath Supplies
410–122–0590
Patient Lifts
410–122–0600
Toilet Supplies
410–122–0620
Miscellaneous Supplies
410–122–0625
Surgical Dressing
410–122–0630
Incontinent Supplies
410–122–0640
Eye Prostheses
410–122–0655
External Breast Prostheses
410–122–0658
Gradient Compression Stockings/Sleeves
410–122–0660
Orthotics and Prosthetics
410–122–0662
Ankle-Foot Orthoses and Knee-Ankle-Foot Orthoses
410–122–0678
Dynamic Adjustable Extension/Flexion Device
410–122–0680
Facial Prostheses
410–122–0700
Negative Pressure Wound Therapy Pumps
410–122–0720
Pediatric Wheelchairs
Last Updated

Jun. 8, 2021

Rule 410-122-0580’s source at or​.us