N.D. Admin Code 92-01-02-29.3 - Motor vehicle purchase and modification
1. An injured employee must obtain a primary
health care provider's order of medical necessity supported by objective
medical findings before the purchase of a specially equipped motor vehicle or
modification of a vehicle may be approved. The primary health care provider's
order must contain the following:
a.
Patient's name;
b. Date of
patient's face-to-face examination;
c. Pertinent diagnosis or conditions that
relate to the need for device or modification;
d. Description of what is ordered;
e. Length of need;
f. Primary health care provider's signature;
and
g. Date of primary health care
provider's signature.
2.
The organization may require assessments to determine the functional levels of
an injured worker who is being considered for a specially equipped motor
vehicle or vehicle modification and to determine what modifications are
medically necessary.
3. If an
existing vehicle cannot be repaired or modified, the organization, in its sole
discretion, may approve the purchase of a specially equipped motor
vehicle.
4. A minimum of two
itemized cost quotes may be requested by the organization. The organization may
decrease or add the number of cost quotes needed accordingly.
5. Actual vehicle or modification purchase
may not occur until the organization reviews the request and issues
recommendations or decisions as to whether eligible for the benefit.
6. Cost quotes must be itemized.
7. Any available vehicle rebates or tax
exemptions shall be applied back to the lifetime benefit amount as provided in
subsection 5 of North Dakota Century Code section 65-05-07.
8. Any appeal of a decision under this
section shall be adjudicated pursuant to North Dakota Century Code section
65-02-20.
Notes
General Authority: NDCC 65-02-08
Law Implemented: NDCC 65-05-07(5)(b)
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