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December 2016 Texas Medicaid Provider Procedures Manual

Children’s Services Handbook : 2 Medicaid Children’s Services Comprehensive Care Program (CCP) : 2.6 Durable Medical Equipment (DME) Supplier (CCP) : 2.6.3 Prior Authorization and Documentation Requirements : 2.6.3.3 Equipment Adjustments

2.6.3.3
Adjustments do not require supplies.
Labor for adjustments within the first six months after delivery are not prior authorized because these are considered part of the purchase price.
Up to one hour of labor for adjustments may be considered for reimbursement with prior authorization through CCP as needed after the first six months. Providers must use procedure code K0739 for adjustments.

Texas Medicaid & Healthcare Partnership
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