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TO:                  Durable Medical Equipment (DME) Providers

 

FROM:            Paul Swatsenbarg, Deputy Administrator          

    

Effective for dates of service on or after April 01, 2002, the Department now requires prior authorization for HCPCS code E0147, Heavy duty, multiple breaking system, variable wheel resistance walker. “Medicare covers “safety roller” walkers only in patients with severe neurological disorder or restricted use of one hand.  In some cases, coverage will be extended to patients with a weight exceeding the limits of a standard wheeled walker.” (HCPCS Level II Expert 2002)

 

The Department currently follows the 2001 CIGNA Medicare DMERC guidelines. Please refer to these guidelines for additional information.  All prior authorization requests should be faxed to 1-800-352-6044, DME Prior Authorization Unit.

 

Please refer all questions regarding this information to Colleen Osborn (208) 334-5795, ext. 16.  For questions regarding a prior authorization, please contact the DME Prior Authorization Unit, 1-866-205-7403.

 

Thank you for your continued participation in the Idaho Medicaid program.

 

PS/co