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DEPARTMENT OF SOCIAL SERVICES DIVISION OF MEDICAL SERVICES 700 GOVERNORS DRIVE PIERRE, SD 575012291 EMAIL: DSSMedicaidPA@state.sd.us PHONE: 605773 3495 Webs: DSS.SD.durable MEDICAL EQUIPMENT PRIOR
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How to fill out durable medical equipment prior

01
Gather all necessary information and documents needed for the durable medical equipment application.
02
Contact the healthcare provider or durable medical equipment supplier for guidance and support in filling out the application.
03
Read the instructions on the application form carefully and ensure all sections are completed accurately.
04
Provide detailed information about the specific durable medical equipment required, including the make, model, and any additional specifications.
05
Include any relevant medical diagnoses and supporting documentation from healthcare professionals.
06
If necessary, provide information about insurance coverage or funding options for the durable medical equipment.
07
Double-check the application form for any errors or missing information before submitting it.
08
Submit the completed application form to the appropriate department or organization responsible for processing durable medical equipment prior authorizations.
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Follow up with the healthcare provider or supplier to ensure the application is received and processed in a timely manner.
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Keep copies of all submitted documents and correspondence related to the durable medical equipment application for future reference.

Who needs durable medical equipment prior?

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Individuals who require durable medical equipment prior include:
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- Patients with chronic illnesses or disabilities that necessitate the use of specialized medical equipment
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- Individuals recovering from surgery or injuries who need assistive devices or aids for mobility and rehabilitation
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- Elderly individuals who may benefit from home medical equipment to support their daily living and healthcare needs
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- Individuals with respiratory conditions or sleep disorders who require respiratory devices or sleep apnea equipment
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- Patients with physical impairments or limitations that can be aided by orthotic or prosthetic devices
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- Individuals with certain medical conditions or disabilities that require the use of wheelchairs, walkers, canes, or crutches for mobility
08
- Those in need of durable medical equipment for pain management, wound care, or other medical treatments
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Durable medical equipment prior authorization is the process of obtaining approval from a health insurance provider before receiving certain types of medical equipment or supplies that are considered necessary for a patient's care.
Healthcare providers or suppliers who prescribe, order, or supply durable medical equipment are required to file for prior authorization from the patient's insurance provider.
To fill out durable medical equipment prior authorization, healthcare providers must complete the necessary forms provided by the patient's insurance company and submit all required documentation, including medical records and justification for the equipment.
The purpose of durable medical equipment prior authorization is to ensure that the equipment or supplies being requested are medically necessary and appropriate for the patient's condition, while also helping to manage healthcare costs and prevent unnecessary or inappropriate use.
The information that must be reported on durable medical equipment prior authorization forms typically includes the patient's medical history, diagnosis, prognosis, reasons for the requested equipment, and any other relevant clinical information.
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