Update: Durable Medical Equipment Authorization Requirements
2024/10/7
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Posted by Provider Relations
To streamline the authorization process and expedite member care, the following Durable Medical Equipment (DME) codes no longer require prior authorization.
Effective immediately, the following codes no longer require prior authorization for Medicaid, CHP, and HARP products:
| A4239 | SUPPLY ALLOWANCE FOR ADJUNCTIVE, NON IMPLANTED CGM |
| A6540 | GRADIENT COMPRESSION STOCKING, WAIST LEN |
| E0562 | HUMIDIFIER, HEATED, USED WITH POSITIVE A |
| E0601 | CONTINUOUS AIRWAY PRESSURE (CPAP) DEVICE |
| E1390 | OXYGEN CONCENTRATOR, SINGLE DELIVERY POR |
| L0642 | LUMBAR ORTHOSIS, SAGITTAL CONTROL, WITH |
For additional questions, or if we can be of assistance in any way, please contact your Fidelis Care Provider Engagement Account Manager. To find your designated representative, please click here.