1. (a)

   1. (1) Prosthetics are artificial appliances used for functional or corrective reasons, or both.
   2. (2) Orthotics means an orthopedic appliance or apparatus used to support, align, prevent, or correct deformities or to improve the function of movable parts of the body.
   3. (3) For an original or first device, the purchase must be based on the recommendation of a specialist in the appropriate field.
2. (b) In cases of replacement and repair of devices, for individuals with a history of satisfactory device use, and which the basic examination report indicated no pathological change, this report may be sufficient medical basis for rendering their service.

3. (c)

   1. (1) All new or initial wearers and individuals who have had difficulty wearing a limb may be referred to the Access and Accommodations Section for evaluation.
   2. (2) See Appendix C.

4. (d)

   1. (1) Arkansas Rehabilitation Services will purchase prosthetic and orthotic devices from certified professionals in the area of expertise by the American Board for Certification in Orthotics, Prosthetics, and Pedorthics in accordance with informed choice.
   2. (2) Artificial arms, legs, and components must be purchased through prosthetics certified by the American Board for Certification in Orthotics, Prosthetics, and Pedorthics.
   3. (3) A list of approved vendors will be maintained.
   4. (4) Payments will be made according to the established Arkansas Rehabilitation Services fee schedule.

5. (e) In selecting the vendor, the counselor will consider:

   1. (1) The individual’s informed choice;

   2. (2)

      1. (A) The proximity of the vendor to the individual.
      2. (B) The vendor should be accessible to the individual for:

6. (i) Measurements;

   1. (ii) Fittings;

      1. (iii) Adjustments;

         1. (iv) Maintenance; and
         2. (v) Repair; and
   2. (3) The referral source, if the source is an appropriate vendor.

7. (f) Procedures — Prosthetic and orthotic devices.

   1. (1) Check for appropriate status in the current case management system.
   2. (2) Documentation of the action to be taken will be made in the case note.

   3. (3)

      1. (A) Complete referral procedures for Access and Accommodations.
      2. (B) See Forms, Appendix E, and Special Programs, Appendix B.
   4. (4) Counselor will meet with individual to discuss findings of Access and Accommodations in accordance with informed choice with similar benefits.
   5. (5) Medical consultant’s review is required and in the ECF.
   6. (6) Refer to the Arkansas Rehabilitation Services vendor list or secure W-9 from new vendor.
   7. (7) Key required information into the case management system for Arkansas Rehabilitation Services purchase authorization.

   8. (8)

      1. (A) When device/service is received, verify the individual received device/service and can use device.
      2. (B) Document in the ECF.

   9. (9)

      1. (A) When billing statement is received, key required information into the case management system for payment.
      2. (B) Support staff will be responsible for making payments.
      3. (C) Payment will not be processed without an attached bill from the vendor.
   10. (10) University of Arkansas for Medical Sciences requires special payment.
   11. (11) Refer to out-of-state policy limitations, if necessary.

Codification Notes: “ECF” means electronic case file.