No additional information will be required for the processing of these claims. When items requested require prior authorization by the Department a copy of the CMN must be attached to the authorization request and the original must be kept on file in your office. The authorization that is issued will reflect the length of time the Department will pay for that specific item. Items that have restrictions the CMN must be updated annually. Pull up undergarments require yearly documentation of a toilet training program.
Nutritional supplements require the yearly renewal of their nutritional history.
The CMN must be updated annually with the required documentation. The CMN must reflect the changes and needs for the medical equipment, supplies, or oxygen being billed to the Department on behalf of the client. Random Audits will be conducted by the Department to review supplier billing practices. Original hard copy CMNs to support claims submissions. Remember Medicaid clients are deemed eligible on a month to month basis.