Durable medical equipment manual policy guidelines

choosing to sell or rent equipment that fall into the categories of life sustaining equipment, technologically sophisticated equipment, or other equipment as defined therein, effective Septem. Chapter also specifies exemptions from this requirement for certain DME providers.  · Section Coverage Guidelines for Durable Medical Equipment Section Face-to-Face (F2F) Encounter Requirements Section Coverage for Medical Supplies Section Non-Covered Services Policy Manual Wheelchairs and Other Considerations Policy Diabetes Management.  · Durable medical equipment is considered medically necessary when all of the Medicare Benefit Policy Manual. Clinical guidelines approved by the Medical Policy Technology Assessment Committee are available for general adoption by plans or lines of business for consistent review of the medical necessity of services related to the.

Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Procedure Codes and Coverage Guidelines. Version (7/1/) 8 • Have a comfort cushion and spring or similar for easier hand pumping. • Include breast flanges that are either adjustable/flexible or come in at least two (2) sizes to accommodate different. Durable Medical Equipment includes equipment such as wheelchairs, hospital beds, traction equipment, canes, crutches, walkers, ventilators, oxygen, prosthetic and orthotic devices and other medically needed items. If you have questions about policies and procedures, please contact the SCDHHS Provider Service. DME policy manuals are sometimes written by the staff and management of an organization. Other times, home medical equipment organizations will purchase a template, which uses boilerplate policies and procedures. Both can be used effectively.

Medical Policies are developed to provide guidance for members and providers regarding coverage in accordance with contract terms. Benefit determinations are. 1 SCDHHS policy below describes DME-covered supplies and equipment. At least one of the following criteria must be met in addition to ALL. Utah Medicaid Provider Manual. Medical Supplies and Requirements for Obtaining Medical Supplies or DME. indicated in the coverage policy.