Get the free Medi-Cal Durable Medical Equipment Provider Application (04enrollment DHCS6201) - fi...

State of California--Health and Human Services Agency Department of Health Care Services TOBY DOUGLAS DIRECTOR EDMUND G. BROWN JR. GOVERNOR Dear Durable Medical Equipment Applicant: Thank you for

How to fill out medi-cal durable medical equipment

How to fill out medi-cal durable medical equipment:

1. Gather necessary information: Collect all required personal and medical details, such as name, date of birth, address, contact information, and Medi-Cal identification number.
2. Obtain a prescription: Consult with your healthcare provider to determine the specific equipment needed and obtain a written prescription.
3. Contact a supplier: Reach out to a Medi-Cal-approved durable medical equipment supplier to inquire about the availability, cost, and options for the required equipment.
4. Complete necessary paperwork: Fill out the required forms provided by the supplier, ensuring accuracy and completeness. These forms may include personal information, prescription details, and any supporting documents as required.
5. Submit the application: Submit the completed paperwork to the supplier, either in person, via mail, or electronically as instructed.
6. Follow up: Stay in touch with the supplier to ensure the processing of your application and to address any further requirements or inquiries.

Who needs Medi-Cal durable medical equipment?

1. Individuals with chronic illnesses or physical disabilities that require the use of specialized medical equipment to maintain or improve their health condition.
2. Patients recovering from surgeries or injuries who need temporary assistance with mobility or other medical needs.
3. People with certain medical conditions that necessitate the use of specific equipment for daily living activities, such as diabetes management or respiratory support.
4. Medi-Cal beneficiaries who have received a prescription for durable medical equipment from a healthcare provider as part of their treatment plan.

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What is medi-cal durable medical equipment?

Medi-Cal durable medical equipment refers to medical equipment, supplies, and devices that are used to assist patients with medical conditions or disabilities in their daily activities. These items are prescribed by a healthcare professional and are meant to be used over an extended period of time.

Who is required to file medi-cal durable medical equipment?

Providers and suppliers of durable medical equipment who participate in the Medi-Cal program are required to file claims for reimbursement.

How to fill out medi-cal durable medical equipment?

To fill out a Medi-Cal durable medical equipment claim, providers and suppliers must include the required information such as patient information, description of equipment, medical necessity documentation, and billing codes.

What is the purpose of medi-cal durable medical equipment?

The purpose of Medi-Cal durable medical equipment is to provide necessary medical equipment and supplies to eligible patients, improve their mobility and quality of life, and facilitate their recovery or management of medical conditions.

What information must be reported on medi-cal durable medical equipment?

Providers and suppliers must report information such as patient demographics, description of the equipment, medical necessity documentation, billing codes, and any supporting documentation as required by the Medi-Cal program.