Glucose testing equipment and supplies no longer require a signed Home Health Services (Title XIX) DME/Medical Supplies Physician Order Form and may be provided based on a detailed written order. In the absence of a detailed written order, durable medical equipment (DME) providers may dispense glucose testing equipment and supplies based on preliminary verbal or written order; however, providers may not submit claims until they have received the detailed written order.

Preliminary Verbal and Written Orders

If the written orders do not contain all of the information required for detailed written orders or if the orders are verbal, DME providers may dispense glucose testing equipment and supplies as long as the prescribing provider’s written, fax, electronic, or verbal order includes at least the following information:

·         A description of the item(s).

·         The client’s name.

·         The name of the physician or authorized prescribing provider.

·         The date of the order.

Before submitting a claim to Texas Medicaid, DME providers must have on file a detailed written order with the required information. No other documentation is required.

Detailed Written Orders

A completed detailed written order must be signed and dated by the authorized prescribing provider. All signatures and dates must be current, unaltered, original, and either handwritten or electronic.  Stamped signatures and dates will not be accepted.

Note: An authorized prescribing provider for glucose testing equipment and supplies includes physician, physician assistant, nurse practitioner, or clinical nurse specialist.

A detailed written order must contain all the following information:

·         Client’s name.

·         The date of the preliminary verbal or written order if different from the date the prescribing provider signed the detailed written order.

·         Description of the item(s) to be provided.

·         Quantity to dispense (quantity required per day or month).

The detailed written order must be received by the DME supplier within 90 days from the date of the prescribing provider’s signature.

Detailed written orders are valid for 6 months as follows:

·         For initial orders, the detailed written order is valid for 6 months from the date of the order or the date of the prescribing provider’s signature, whichever occurs first.

·         For renewal orders, the detailed written order is valid for 6 months from the renewal start date. In absence of a renewal start date, the date of the authorized prescribing provider’s signature is the beginning date of service.

The prescribing provider must retain a copy of the signed and dated order in the client’s medical record. The DME provider must retain the faxed, photocopied, electronic, or pen-and-ink signed and dated detailed written order in the client’s medical record.

For more information, call the TMHP Contact Center at 1-800-925-9126.