MO HealthNet requires pre-certification for standard walkers, walkers with trunk support, walkers with variable wheel resistance, and heavy duty walkers. However, MO HealthNet does not cover rollator walkers. Therefore, rollator walkers cannot be billed to MO HealthNet under HCPCS E0143 or E0149.
MO HealthNet has updated the Durable Medical Equipment (DME) Provider Manual to clarify policy related to the physician face-to-face evaluation when providing custom and power wheelchairs in a skilled nursing facility. The policy clarification can be found in Section 13.18.C of the manual located here.
On June 14, 2021, Philips issued a recall notification for specific affected Continuous Positive Airway Pressure (CPAP), BiLevel Positive Airway Pressure (BiLevel PAP) devices, and Mechanical Ventilators.
Please contact Philips for recall information and repair/replacement process. MO HealthNet is not responsible for replacing items related to the recall.
https://www.usa.philips.com/healthcare/e/sleep/communications/src-update
Durable Medical Equipment (DME) providers are required to obtain prior authorization (PA) for certain services before delivery of the services. The prior authorization (PA) process is a paper process. Providers are encouraged to submit their PA requests by facsimile (fax) to 573-659-0207. The following criteria apply when submitting PA requests by fax:
