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Durable Medical Equipment (DME)
14.1 Enrollment 14-3
14.1.1 Custom DME Requirements 14-4
14.2 Reimbursement 14-4
14.3 Benefits and Limitations 14-5
14.3.1 Custom DME 14-6
14.3.2 Standard DME 14-6
14.4 Adaptive Strollers 14-6
14.5 Ambulation Aids 14-7
14.5.1 Crutches, Walkers, Gait/Ambulation Belts, and Canes 14-7
14.5.2 Transfer Boards 14-7
14.6 Blood Pressure Devices 14-7
14.7 Burn Care Garments 14-12
14.8 Cochlear Implant Device 14-12
14.9 Enuresis Alarms 14-12
14.10 External Insulin Pump 14-13
14.11 Gait Trainers (Supported or Sling Walkers) 14-13
14.12 Gastrostomy Devices 14-13
14.12.1 Nonobturated Gastrostomy Devices 14-13
14.12.2 Obturated Gastrostomy Devices 14-14
14.13 Glucose Monitors 14-14
14.14 Hospital Beds (Manual and Electric) 14-14
14.14.1 Pressure Reducing Pads 14-15
14.15 Hospital Cribs and Enclosed Beds 14-15
14.16 Hygiene Equipment 14-16
14.16.1 Adaptive Feeder Seats 14-16
14.16.2 Commode Chair 14-16
14.17 Infusion Pumps 14-17
14.18 Portable Paraffin Units 14-17
14.19 Special Needs Car Seats and Travel Restraints 14-17
14.19.1 Car Seats 14-17
14.19.2 Documentation for Authorization of Car Seats 14-18
14.19.3 Travel Restraints 14-18
14.20 Standers, Prone or Supine 14-18
14.21 TENS Units 14-19
14.22 Travel Chairs 14-19
14.23 Wheelchairs 14-19
14.23.1 Wheelchair Assessment Forms 14-19
14.23.2 Manual Wheelchairs 14-20
14.23.3 Custom Manual Wheelchairs 14-20
14.23.4 Power Wheelchairs 14-20
14.23.5 Approval Criteria for Power Wheelchairs 14-20
14.23.6 Wheelchair Positioning Equipment 14-21
14.24 Portable Wheelchair Ramps 14-21
14.25 Noncovered Rehabilitative and Therapeutic DME 14-21
14.26 Modifier Requirements 14-22
14.27 Claims Information 14-22
14.28 TMHP-CSHCN Services Program Contact Center 14-22
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