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L Yes Excessive daytime sleepiness impaired cognition mood disorders or insomnia OR. l Yes T he AHI or RDI is greater than or equal to 5 and less than or equal to 14 events per hour with a minimum of 10 events documentation of Hypertension ischemic heart disease or history of stroke. L Yes Objective evidence of adherence to use of the CPAP device by treating physician. l Yes 831-00057-25 02/14 2014 Security Health Plan of Wisconsin Inc. Expires 1/2015 Does the member meet all of the...
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