Medicaid provides for specific medically necessary services and supplies.
Requests for durable medical equipment can be made via form MAD-303 or, in the event of a short-term, immediate need (such as imminent discharge from the hospital), by telephone. All requests must include the service(s) requested and the appropriate HIPAA-compliant code(s). Additional documentation to justify the requested equipment may be required. Medical justification forms are available for a number of services; these justification forms are based on clinical criteria.
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