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Provider Update: June 14, 2018

Revision in Authorization of Incontinence Supplies and Home Delivered Meals

The Medicaid Services Unit – ADvantage Administration (MSU-AA) is modifying the processes for authorization of the above services for ADvantage Members. These changes in authorization will be effective Monday, June 18, 2018. The revised document required to support requests are attached. Case Managers should begin using this document on Monday, June 18, 2018 to avoid authorization issues.

Incontinence Supplies.

Requests for incontinence products are increased to a maximum quantity of 180 per month, whether for a single product type or in combination, without a prescription.

Up to 300 products may be authorized with documented need on the Medical Order for Incontinence Supplies.

In the rare event that more than 300 products are required monthly, the prescriber may include supporting documentation to exceed the maximum limit.

The Request for Incontinence Supplies form is no longer required.

Home Delivered Meals.

Home delivered meals are being authorized in accordance with Title III Nutrition Program eligibility requirements, and are based on Member need as supported by the UCAT III - Activities of Daily Living domain.

The Request for Home Delivered Meals form is no longer required.

If you have any questions regarding the information provided above, please feel free to contact us via SmarterMail at: 

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