Contractor must be able to evaluate medical and DME requirements, deliver, set-up, install, modify, and provide education and training on use of the DME’s. The DME’s provided must be medically necessary for individuals with TBI or TSCI or both based upon comprehensive assessments, treatment goals and outcomes in compliance with regulatory requirements pursuant to Title 25 of the Texas Administrative Code Part 1, Chapter 229, Subchapter X, Rule § 229.432. All Services must be coordinated by the Interdisciplinary Team (IDT) and included in an Individual Performance Plan (IPP). All requests for DME’s must have prescriptions and a Service Authorization by CRS DME Coordinator prior to order and delivery. Contractor must meet all applicable specifications, submit all requested information and demonstrate the ability to provide including but not limited to the following: a. Contractor will provide client specific or custom DME Goods and Services to CRS clients in DME Service Areas or Statewide; b. Contractor will provide DME’s covered under the Eligible Person’s health plan; c. Contractor must supply DME including accessories that are new, unused and in the original package unless otherwise specified. Ordered items must be new and in the original form and cannot be refurbished, reconditioned or previously used; d. Contractor must adhere to guidelines set by the Centers for Medicare & Medicaid Services (CMS), Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) quality standards and the Texas Medicaid Provider Procedures Manual - Durable Medical Equipment, Medical Supplies, and Nutritional Products Handbook; e. Contractor must be enrolled as a Medicare/Medicaid provider to bill CMS for services; f. Contractor must possess the ability to set and adhere to delivery, Service and other quality requirements set forth in this Solicitation; g. Contractors must adhere to all policy and procedures outlined in the CRS Standards for Providers.
