CMS Pub. 100-04, ch. 20, § 40.2

For capped rental items furnished before January 1, 2006, which have reached the 13-month rental cap, A/B MACs (HHH) and DME MACs pay claims for maintenance and

servicing fees after 6 months have passed from the end of the final paid rental month or

from the end of the period the item is no longer covered under the supplier's or

manufacturer's warranty, whichever is later.

The maintenance and servicing fee for capped rental items furnished before January 1,

2006, may be paid only once every 6 months. However, in the event the beneficiary

elected to purchase the equipment, maintenance and servicing are paid in accordance

with the instructions in §40.1.

For capped rental items furnished on or after January 1, 2006, A/B MACs (HHH) and

DME MACs shall pay for reasonable and necessary maintenance and servicing of

beneficiary-owned equipment following 13 months of continuous use or, in the case of

complex rehabilitative power wheelchairs, are acquired on a lump sum purchase basis. In

addition, in cases where one or more rental payments have been made for a capped rental

item, and the supplier transfers title to the equipment prior to the end of a 13 month

period of continuous use, A/B MACs (HHH) and DME MACs can pay for reasonable

and necessary maintenance and servicing of the beneficiary-owned equipment.