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December 2016 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 : 2.2.13 Incontinence Supplies : 2.2.13.7 Prior Authorization

2.2.13.7
Prior authorization is required for incontinence supplies if amounts greater than the maximum limits are medically necessary.

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