DHHS Commissioner Brenda Harvey ruled that MaineCare must pay for a computer assisted prosthetic leg (referred to as a C-leg) for an individual with an amputation.  DRC represented the individual in an appeal of MaineCare's initial decision to deny payment.

The C-Leg is a microprocessor-controlled knee prosthesis that enables amputees to vary walking speeds and travel over changes in terrain.  MaineCare had purchased the individual his first C-leg four years earlier but initially refused to replace it after its normal useful life had expired.  MaineCare denied the request, arguing that because the C-leg uses a microprocessor and is considered an aesthetic or deluxe piece of equipment, it should not be reimbursed.  The Commissioner reversed this decision based on the fact that the Department had previously paid for a C-leg. 

The C-leg provides stability and coordination of movement that a hydraulic prosthesis knee does not provide.  Following an automobile accident, the individual had an above the knee amputation and had a brain injury that affected his ability to coordinate his movement, which the microprocessor helps correct.