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Ohio's Medicaid Program > Providers > HME/DME

Information for Home and Durable Medical Equipment Providers

Helpful Hints & Highlights
  1. For all Pediatric and/or Healthchek PA requests, please indicate "CHILD" on the top of Form JFS 03142.
  2. 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.
  3. To maintain HIPAA compliance, always refer to SADMERC when selecting codes for all DME.  The use of incorrect codes will result in denials.
  4. When requesting Enteral Nutrition products remember: 1) one unit equals 100 calories and 2) deduct the amount provided by WIC.
  5. Remember, Miscellaneous Codes (e.g., E1399, K0108) are for truly unique items for which there is no applicable or available HCPCS code.  
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
  • Medicaid IVR System
  • Fee Schedules and Rates
  • Provider Handbooks, Manuals and Forms
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