
Get the free Medi-Cal Certified Mastectomy Fitter Provider Application (31enrollmentDHCS6211) - f...
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State of California
Health and Human Services AgencyDepartment of Health Care ServicesINSTRUCTIONS FOR COMPLETION OF THE
MEDICAL CERTIFIED MASTECTOMY FITTER PROVIDER APPLICATION
DO NOT USE staples
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How to fill out medi-cal certified mastectomy fitter

How to fill out medi-cal certified mastectomy fitter
01
First, gather all the necessary documents, such as your Medi-Cal insurance card and any medical records or prescriptions related to your mastectomy.
02
Research and find a certified mastectomy fitter who accepts Medi-Cal insurance. You can do this by contacting your insurance provider or conducting an online search.
03
Make an appointment with the certified mastectomy fitter. During the appointment, they will take measurements and discuss your needs and preferences.
04
Bring your insurance information and any relevant documents to the appointment. The certified mastectomy fitter will help you complete any necessary paperwork.
05
The certified mastectomy fitter will then assist you in selecting the appropriate breast forms or prostheses, bras, and other necessary garments or accessories.
06
Once the fitting is complete, the certified mastectomy fitter will ensure everything fits properly and provide any necessary adjustments.
07
If necessary, the certified mastectomy fitter can also show you how to properly care for and maintain your breast forms, prostheses, and other items.
08
After the fitting, your certified mastectomy fitter will submit the necessary paperwork to Medi-Cal for reimbursement, if applicable.
09
Follow up with your certified mastectomy fitter as needed for any further assistance or adjustments.
10
Finally, keep all your paperwork and receipt for future reference and insurance purposes.
Who needs medi-cal certified mastectomy fitter?
01
Anyone who has undergone a mastectomy or breast surgery may benefit from a Medi-Cal certified mastectomy fitter.
02
Medi-Cal insurance covers the cost of breast forms, prostheses, bras, and related garments for individuals who have had a medically necessary mastectomy.
03
Therefore, individuals who have Medi-Cal insurance and require mastectomy-related products can use the services of a certified mastectomy fitter.
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What is medi-cal certified mastectomy fitter?
Medi-Cal certified mastectomy fitters are professionals who are trained to provide specialized post-mastectomy products and services, such as breast prostheses, bras, and other related items, to individuals who have undergone mastectomies or other breast surgeries.
Who is required to file medi-cal certified mastectomy fitter?
Medi-Cal certified mastectomy fitters are required to file documentation with the appropriate authorities in order to be recognized as certified providers of post-mastectomy products and services.
How to fill out medi-cal certified mastectomy fitter?
To fill out the medi-cal certified mastectomy fitter documentation, providers must include specific information about their training, experience, and qualifications in providing post-mastectomy products and services.
What is the purpose of medi-cal certified mastectomy fitter?
The purpose of the medi-cal certified mastectomy fitter program is to ensure that individuals who have undergone mastectomies or other breast surgeries have access to high-quality post-mastectomy products and services that meet their specific needs.
What information must be reported on medi-cal certified mastectomy fitter?
The information that must be reported on the medi-cal certified mastectomy fitter documentation includes details about the provider's training, certification, and experience in providing post-mastectomy products and services.
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