Prisoner Health Care Standards

I. Reasonable and Medically Necessary Care

II. Conditions Requiring Treatment

III.  Non-authorized Medical Interventions/ Procedures

IV. Appeals/Denials Process

The following medical interventions and procedures are not authorized for payment by the USMS, unless ordered by the court:

R. PROSTHESES - NOT COVERED

Prosthetic devices, except in cases in which the detainee was taken into custody with a functional prosthesis, and it is broken or lost while he or she is in custody

Auricular prosthesis

Auricular prosthesis, replacement

Cranial prosthesis

Facial augmentation implant prosthesis

Facial prosthesis

Impression/custom preparation of prosthesis

Mandibular resection prosthesis

Nasal prosthesis

Nasal septal prosthesis

Obturator prosthesis

Ocular prosthesis, interim, unless clinically indicated

Ocular prosthesis, unless clinically indicated

Orbital prosthesis

Palatal augmentation prosthesis

Palatal lift prosthesis

Penile prosthesis

Procedures, services, and supplies related to sex transformations

Radiation carrier

Radiation cone locator

Radiation shield

Speech aid prosthesis

Treatment for temporomandibular joint dysfunction and disorders,
including surgery and appliances

Trismus appliance (not for TMD treatment)