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2012 Texas Medicaid Provider Procedures Manual

Durable Medical Equipment, Medical Supplies, and Nutritional Products Handbook : Index

Index
A
ACD systems
accessories DM-22
items not covered DM-23
prior authorization DM-24
replacement DM-23
B
Bathroom equipment DM-27
documentation requirements DM-32
hand-held shower wand DM-25
payable procedure codes DM-31
prior authorization DM-31
Benefits and limitations
home health services (DME) DM-10
Bilevel positive airway pressure system
BiPAP S
prior authorization DM-103
BiPAP ST
prior authorization DM-103
with backup (such as BiPAP ST) DM-103
without backup (such as BiPAP S) DM-102
Blood pressure devices DM-32
prior authorization DM-33
Breast pumps DM-33
prior authorization DM-34
C
Chest physiotherapy devices DM-99
Claims filing
durable medical equipment (DME) DM-126
home health services DM-126
Claims filing instructions
home health services DM-126
Claims Resources DM-128
Contact TMHP DM-129
Continuous passive motion device
prior authorization DM-34
Continuous positive airway pressure (CPAP) DM-101
CPAP
prior authorization DM-102
prior authorization renewal DM-102
D
DME benefits for Medicare/Medicaid clients DM-125
DME home health services
augmentative communication device (ACD) system DM-20
benefits limitations prior authorization DM-10
prior authorization DM-16
supply procedure codes DM-19
DME medical supplier
cancellation DM-20
Durable medical equipment (DME)
bath and bathroom equipment DM-25
blood pressure devices DM-32
Breast pumps DM-33
claims filing DM-126
cochlear implants DM-34
continuous passive motion device DM-34
E
Electrical percussor DM-99
prior authorization DM-99
Enrollment
see Provider enrollment
F
Forms
DME Certification and Receipt Form DM-130
External Insulin Pump DM-134
Home Health
Addendum to Home Health Services (Title XIX) DME/Medical Supplies Physician Order Form DM-138
Home Health Services (Title XIX) DME/Medical Supplies Physician Order Form DM-137
Home Health Services (Title XIX) DME/Medical Supplies Physician Order Form Instructions DM-135
Home Health Services Plan of Care (POC) DM-140
Plan of Care DM-139
Prior Authorization Checklist DM-141
Medicaid Certificate of Medical Necessity for Chest Physiotherapy Devices
Extended Request DM-143
Initial Request DM-142
Medicaid Certificate of Medical Necessity for CPAP/BiPAP or Oxygen Therapy DM-144
Pulse Oximeter Form DM-145
Statement for Initial Wound Therapy System In-Home Use DM-146
Ventilator Service Agreement DM-150
Wheelchair Seating Assessment Form DM-151
Wound Therapy System In-Home Use
Recertification DM-148
H
HFCWCS DM-99
documentation requirements DM-100
Home health (DME)
reimbursement DM-126
Home health services
benefit period DM-11
catheters DM-49
certification DM-10
change of address/telephone number DM-10
claim form example
DME/medical supplies DM-159
claims information DM-126
benefit code DM-126
DME modifications, adjustments, and repairs DM-15
durable medical equipment (DME) DM-13
enrollment DM-9
exclusions DM-123
group 1 support surfaces DM-42
group 2 support surfaces DM-43
group 3 support surfaces DM-44
hospital beds and equipment procedure code DM-46
incontinence supplies DM-47
intravenous (IV) therapy equipment and supplies DM-55
medical supplies DM-18
mobility aids DM-58
mobility aids that are not a benefit DM-89
nutritional (enteral) products, supplies, and equipment DM-89
possible Medicare clients DM-124
prior authorization DM-12
prohibition of Medicaid payment DM-127
respiratory equipment and supplies
procedure codes and limitations DM-108
Home mechanical ventilation equipment DM-103
Home oxygen therapy
documentation requirements DM-107
Humidification Units DM-97
I
Incontinence
procedure codes with limitations DM-50
supplies
documentation requirements DM-50
prior authorization DM-50
Injection port
prior authorization DM-111
IPPB devices
prior authorization DM-98
IV equipment
prior authorization DM-56
IV supplies
documentation requirements DM-57
M
Medicaid relationship to Medicare DM-124
Medical supplies
prior authorization DM-19
Medicare and Medicaid DME prior authorization DM-125
Medicare and Medicaid Prior Authorization DM-125
Mobility aids
not a benefit DM-89
procedure codes and limitations DM-81
Mucous clearance valve
reimbursement DM-98
N
Nebulizers DM-96
prior authorization DM-97
Negative pressure ventilators DM-104
prior authorization DM-105
NPWT wound care system DM-116
O
Osteogenic stimulation DM-92
documentation requirements DM-94
invasive electrical osteogenic stimulator DM-94
noninvasive electrical osteogenic stimulator DM-93
prior authorization DM-93
professional services DM-93
ultrasound osteogenic stimulator DM-94
Oxygen therapy DM-105
home delivery system types DM-106
prior authorization DM-106
recertification DM-107
P
Phototherapy devices DM-95
Positive airway pressure system devices DM-101
Prior authorization
forms
Addendum to Home Health Services (Title XIX) DME/Medical Supplies Physician Order Form DM-138
External Insulin Pump DM-134
Home Health Services (Title XIX) DME/Medical Supplies Physician Order Form DM-137
Home Health Services (Title XIX) DME/Medical Supplies Physician Order Form Instructions DM-135
Home Health Services Plan of Care (POC) DM-140
Home Health Services Plan of Care (POC) Instructions DM-139
Home Health Services Prior Authorization Checklist DM-141
Medicaid Certificate of Medical Necessity for Chest Physiotherapy Devices
Extended Request DM-143
Initial Request DM-142
Medicaid Certificate of Medical Necessity for CPAP/BiPAP or Oxygen Therapy DM-144
Pulse Oximeter Form DM-145
home health services (DME) DM-10
Provider enrollment
DME home health services DM-9
Pulsatile jet irrigation wound care system DM-117
Pulse oximeter
prior authorization DM-108
Pulse oximetry DM-108
Q
Qualified Medicare Beneficiary (QMB) DM-125
R
Reimbursement DM-126
Respiratory equipment
prior authorization DM-96
Respiratory equipment and supplies DM-96
S
Secretion clearance devices DM-98
Special needs car seats DM-111
Special needs travel restraints DM-111
Subcutaneous injection port
documentation requirements DM-112
prior authorization DM-111
Subcutaneous injection ports DM-111
T
Total Parenteral Nutrition (TPN) Solutions DM-113
TPN
documentation requirements DM-114
prior authorization DM-114
Tracheostomy Tubes DM-108
Tracheostomy tubes
prior authorization DM-108
V
Vaporizers DM-97
prior authorization DM-97
Ventilator service agreement DM-105
documentation requirements DM-105
prior authorization DM-105
Ventilators
prior authorization DM-104
Volume ventilators DM-104
prior authorization DM-104
W
Wound DM-119
Wound care DM-114
noncovered services DM-117
prior authorization DM-117
procedures and limitations DM-120
supplies DM-116
documentation requirements DM-119
prior authorization DM-117
systems DM-116
documentation requirements DM-119
NPWT system DM-116
prior authorization DM-118
pulsatile jet irrigation DM-117
 

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