Durable Medical Equipment
Prior Authorization Guidelines
Durable Medical Equipment
- ABI Vest/High Frequency Chest Wall Oscillation Device Guideline
- Alarm for Primary Nocturnal Enuresis Guideline
- Apnea Monitor Guidelines
- Automated External Defibrillator (AED) Guideline
- Bathroom Equipment Guideline (Updated 6/21/24)
- CGM - Continuous Glucose Monitor
- Cough Assist Device Guideline
- CPM Guideline
- Cranial Orthosis Guideline
- DME Replacement Guideline
- Donor Human Breast Milk
- Gradient Compression Garment Guideline
- Group 2 Pressure Reducing Support Surfaces PA Overview
- Home Exercise Equipment Guideline
- Home Mechanical Ventilation (Updated 6/2/23)
- Insulin Pump Guideline
- Oxygen and Supplies Guidelines
- PAP - Positive Airway Pressure Guideline
- Peristeen Anal Irrigation System Guideline
- Phototherapy Guidelines
- Pulse Oximeter Guideline
- Sleep Positioning Systems Guideline
- Walkers-Standers-Gait Trainers Guideline
- Wheeled Mobility PA Overview
Incontinence Supplies
Nutritional Services
- Enteral Nutrition Guidelines (Updated 12/1/24)
- Enzyme Cartridge Guidelines (Updated 3/4/24)
- Parenteral Nutrition Guidelines
Vision
Accreditation
Coding
Complex Rehab Technology
For DME Suppliers currently contracted with SoonerCare seeking to obtain CRT Provider Specialty please read over the CRT packet then submit the completed addendum along with the required supporting documentation via fax to 405-530-3261.
Pricing
Resources
Utilization Worksheets
