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Michigan Department of Health and Human Services Complex Seating and Mobility Device Prior Approval Request/Authorization Completion Instructions MSA1653D must be used by Medicaid enrolled DME Providers.
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What is Complex Seating and Mobility Device Prior Approval - Request/Authorization template Form?

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Complex seating and mobility refers to specialized equipment and devices designed to provide individuals with limited mobility the support and positioning necessary for optimal function and independence.
Healthcare professionals such as physical therapists, occupational therapists, and physicians are typically responsible for evaluating and prescribing complex seating and mobility devices for individuals with mobility impairments.
To fill out complex seating and mobility forms, healthcare professionals must assess the individual's specific mobility needs, gather relevant medical information, determine the appropriate equipment, and complete the required paperwork to obtain authorization for the devices.
The purpose of complex seating and mobility is to enhance the quality of life and independence of individuals with mobility impairments by providing them with customized equipment that meets their specific needs and improves their functional capabilities.
The information reported on complex seating and mobility forms typically includes the individual's medical history, current physical limitations, functional goals, equipment recommendations, and justification for the prescribed devices.
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