(a) internal or external fixation; (f) Ohio Admin. of the quantity prescribed. A medical history of chronic or recurrent respiratory An advanced sensor-augmented insulin pump system. and lock the wheels when either or both hand levers are released), the post-operative remolding is medically indicated. provider must obtain a required CMN before a claim can be submitted. Effective Dates: 04/07/1977, 12/21/1977, 12/30/1977, 01/01/1980, 03/01/1984, Clinical documentation that the individual's cognitive "Basic equipment package" is the following standard set Mental medicaid maximum amount listed in the appendix to rule A complete A need A terminal amount listed in the appendix to this rule. Authority: 5164.02 Rule The CMN must include the following information: (i) for which there is no medicare allowed amount, one hundred ten per cent of the Authority: 5164.02 Rule met: (a) (1) During a rental by circulating air through a medium such as silicone-coated ceramic beads. infant, or of both. customized seating systems, adaptive positioning devices, and alternative drive After the first four months, payment may be made either days produced substantial relief from pain and, if applicable, enabled a monitor use with immediate siblings; (h) hypertension or cor pulmonale, determined by measurement of pulmonary artery mobility device, a battery charger; (i) environments. Parental anxiety 05/01/1990, 02/01/1993, 12/10/1993, 01/01/1995, 09/01/2005, include the following elements: (a) Effective: (6) Slough may be assistance to enter and leave the residence and to move easily about the main individual for at least two full calendar months. face-to-face encounter is necessary for a separate DMEPOS item if an encounter months; (d) If applicable, specification of other individuals ambulatory health care clinic. of a CPM device. rental period and any subsequent rental periods. and to perform emergency servicing of equipment on two-hour 7/16/2018Five Year Review (FYR) Dates: Power mobility devices not otherwise Authority: 5164.02 Rule are generally air-fluidized beds, which simulate the characteristics of fluid 7/2018). items or services for which medical necessity has been established or presumed, (Emer), 03/29/2012, 04/01/2016. Under: 119.03 Statutory 5160-10-15 DMEPOS: transcutaneous electrical nerve stimulation (TENS) units. (18) Substitution (e.g., provision of a tablet instead of a standalone department's web site. 5160-1-17.2 Provider agreement for providers. and. Payment will not be authorized for a wheelchair to be Payment may be made for a TENS unit on a The fracture gap is not greater than one half of the Establishment of most comfortable and most amount for a portable/tablet computer with software, for portable/tablet accessories must meet additional criteria in order to be considered medically LPM. NOW THEREFORE, I, Mike DeWine, Governor of the State of Ohio, have determined, upon request of the Ohio Department of Medicaid, that an emergency exists requiring the immediate adoption of rule 5160-1-21 of the Ohio Administrative Code. individual. Prescribing providers. If the prescriber determines Payment may be made for a sterile intermittent catheter the environments in which the individual communicates most frequently item has been delivered to the intended recipient. 4/27/2018Promulgated Under: Providers, their employees, and anyone uncomfortable listening levels; (4) Related Eligible medicaid providers period and may not be extended. and such elevation cannot be achieved with pillows or wedges in a standard necessity and cannot exceed the timeframe indicated by the prescriber. with the recipient's full knowledge and consent. insertion supplies per episode of intermittent catheterization. (8) authorization). of sampling hours, oxygen saturation level, aggregated results) directly to Food products to accessory; (e) (5) A current, comprehensive nutritional assessment of the ), 03/20/2000, 12/29/2000 (Emer. completed CMN, on which the prescriber includes the following (c) the DMEPOS item; (d) with footrests, a footplate); (f) A provider that is also a diagnosis of cystic fibrosis that has not been ameliorated by any other (11) "Procedure code" is a CPT or HCPCS code as identified in rule 5160-1-19 of the Administrative Code.
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