R414-70-2. Definitions

  As used in this rule:

  (1) "Durable medical equipment" or "DME" means equipment that:

  (a) can withstand repeated use;

  (b) is primarily and customarily used to serve a medical purpose; and

  (c) generally is not useful to a person in the absence of an illness or injury.

  (2) "Entitled to nursing facility services" means an individual who:

  (a) is in a nursing facility and whose nursing facility stay is covered by Medicaid; or

  (b) is receiving services in a waiver program for individuals who require nursing facility level of care.

  (3) "Individual eligible for optional services" means an individual who is not entitled to nursing facility services.

  (4) "Individual entitled to mandatory services" means an individual who is entitled to nursing facility services.

  (5) "Medical supplies" means items for medical use that are disposable or semi-disposable and are non-reusable.

  (6) "Medical Supplies and Durable Medical Equipment Manual" means services described in the Utah Medicaid Provider Manual, Section 2, Medical Supplies and Durable Medical Equipment, as incorporated in Section R414-1-5.

  (7) "Prosthetic device" means replacement, corrective, or supportive devices such as braces, orthoses, or prosthetic limbs prescribed by a physician or other licensed practitioner of the healing arts within the scope of his or her practice as defined by state law to:

  (a) artificially replace a missing portion of the body;

  (b) prevent or correct physical deformities or malfunction; or

  (c) support a weak or deformed portion of the body.