Durable medical equipment policy and procedure manual

This chapter provides general instructions on billing and claims processing for durable medical equipment (DME), prosthetics and orthotics (PO), parenteral and enteral nutrition (PEN), and supplies. Coverage requirements are in the Medicare Benefit Policy Manual and the National Coverage Determinations Manual. medical policy. DME, when eligible for coverage, is covered under the Durable Medical Equipment provision of the member benefit. The DME supplier must meet eligibility and/or credentialing requirements as defined by the Plan to be eligible for reimbursement. When Durable Medical Equipment and Services are covered. Handbook for Medical Equipment and Supplies Chapter M – Policy and Procedures HFS M (v) Foreword Purpose This handbook has been prepared for the information and guidance of durable medical equipment and supplies (DME) providers that provide items or services to participants in the department’s Medical Programs.

Durable Medical Equipment (DME) is covered when medical necessity criteria are met for use as part of the medical care of a. Equipment and supplies which are payable under beneficiary Louisiana Medicaid require prior authorization (PA) by the Prior Authorization Unit (PAU). Refer to section for more information on PA. Handbook for Medical Equipment and Supplies Chapter M – Policy and Procedures HFS M (i) Chapter M Durable Medical Equipment and Supplies Table of Contents Foreword M Basic Provisions M Provider Enrollment Enrollment Requirements Durable Medical Equipment, Prosthetics, Orthotics, and Supplies. Medical Management Policy: A Page 3 of 17 Durable Medical Equipment Reference List DME Coverage Status Air-Fluidized Beds (See Air-Fluidized Beds, § of the NCD Manual.) Alternating Pressure Pads, Mattresses and Lamb’s Wool Pads Covered if patient has, or is highly susceptible to, decubitus ulcers and the patient’s.

Oct policies for services provided by Durable Medical Equipment, all the complexities of Medicaid policies and procedures, and must be. Durable medical equipment (DME) is defined as equipment that can stand repeated use, is Policy formatted to Corporate clinical policy template. The DME supplier must implement and maintain a policy and procedures manual that is easily accessible to all applicable staff members, in written or electronic.