Special approval from the Medicaid Division is required. Heating pad, if the patient's medical condition is one for which the application of heat in the form of a heating pad is therapeutically effective. Special approval is required from the Medicaid Division. Oxygen in this equipment is also covered. Prior authorization is required.
Prior authorization is required.
Continued authorization may be granted with documentary evidence of effectiveness in treating chronic intractable pain. The above list is intended to be all-inclusive. When a recipient is concurrently covered by Medicare, as well as being Medicaid eligible, determinations made under the former program for durable medical equipment will be accepted for Medicaid purposes. Payment for certain items will be made when prior authorization has been granted by the Medicaid Division. The prescribing physician must submit a written request with pertinent diagnostic and clinical data to justify the request.