Expediting Non-Invasive Ventilator E0466 Prior Authorization
Expediting Non-Invasive Ventilator E0466 Prior Authorization
January 28, 2025
To expedite a non-invasive ventilator (E0466) prior authorization request for a participant being discharged from the hospital, please submit the completed prior authorization request form to mhd.dme@dss.mo.gov.
Knee Scooter Coverage
Knee Scooter Coverage
Healthcare Common Procedure Coding System (HCPCS) code E0118 (Crutch Substitute, Lower Leg Platform With or Without Wheels) is covered by MO HealthNet as a purchase item for all age participants with no restrictions. The reimbursement rate is $72.64.
Automatic External Defibrillator Garment Pre-Certification Requests
Automatic External Defibrillator Garment Pre-Certification Requests
On May 24, 2024, MO HealthNet issued a bulletin announcing coverage of automatic external defibrillator garments through the Durable Medical Equipment (DME) pre-certification process for all eligible participants.
Durable Medical Equipment (DME) Pre-Certification Requests from Third Party Vendors
Durable Medical Equipment (DME) Pre-Certification Requests from Third Party Vendors
MO HealthNet does not accept Durable Medical Equipment (DME) pre-certification requests from third-party vendors. Pre-certification of DME is a two-step process:
1. The MO HealthNet enrolled physician who prescribed the item must initiate the request for pre-certification.
2. The enrolled DME provider dispensing the item must access the pre-certification initiated by the physician.