Ohio Medicaid
Ohio's Medicaid Program > Providers > HME/DME
Information for Home and Durable Medical Equipment Providers
| Helpful Hints & Highlights |
- For all Pediatric and/or Healthchek PA requests, please indicate "CHILD" on the top of Form JFS 03142.
- When submitting PA requests for wheelchair repairs, look at the warranty to determine if it is a covered repair. Providers cannot bill Medicaid for covered repairs.
- To maintain HIPAA compliance, always refer to SADMERC when selecting codes for all DME. The use of incorrect codes will result in denials.
- When requesting Enteral Nutrition products remember: 1) one unit equals 100 calories and 2) deduct the amount provided by WIC.
- Remember, Miscellaneous Codes (e.g., E1399, K0108) are for truly unique items for which there is no applicable or available HCPCS code.
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Prior Authorization Reviews as of February 15, 2007 turn around time for:
|
| General DME |
13 working days |
| Enteral Nutrition |
6 working days |
| Wheelchairs (including repairs) |
33 working days |
| Oxygen, TENS, hearing aids |
current |
| Hospital beds |
15 working days | |
Disclaimer: The total turn around time for PA request processing is based on receipt of accurately completed, legible ODJFS PA Request Form # 03142, including all appropriate documentation and required Certificates of Medical Necessity. PA Requests are reviewed on a First-in/First-out basis, according to the date received by Prior Authorization Unit. |
HME/DME Providers Helpful Links |
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Medicaid IVR System
Fee Schedules and Rates
Provider Handbooks, Manuals and Forms |