Continuous Passive Motion and Mechanical Stretching Devices - MEDICAID - KENTUCKY

This Kentucky Medicaid policy addresses coverage of continuous passive motion (CPM) and mechanical stretching devices — including dynamic adjustable, static progressive stretch (SPS), patient‑actuated serial stretch (PASS), and low‑load prolonged stretch (LLPS) devices (various HCPCS codes listed). Although these devices are intended to aid recovery after joint surgery or injury, the excerpt lists no specific covered indications and identifies many device types and named products (eg, LLPS, PASS, SPS, DeROM, ERMI, JAS, Dynasplint) as experimental/investigational or not eligible for coverage under the plan.

"L1970 Ankle-foot orthosis (AFO), plastic with ankle joint, custom fabricated"

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