Table of Contents Previous Next Index

2012 Texas Medicaid Provider Procedures Manual

Durable Medical Equipment, Medical Supplies, and Nutritional Products Handbook : 2. Texas Medicaid (Title XIX) Home Health Services : 2.2 Services, Benefits, Limitations and Prior Authorization : 2.2.12 Incontinence Supplies : 2.2.12.8 Documentation Requirements

2.2.12.8
To request prior authorization for incontinence supplies and equipment, the following documentation must be provided:
Diagnostic information pertaining to the underlying diagnosis or condition, the diagnosis causing incontinence, and any other medical diagnoses or conditions, including the client's overall health status
Additional information may be requested to clarify or complete a request for the supplies.

Texas Medicaid & Healthcare Partnership
CPT only copyright 2011 American Medical Association. All rights reserved.