Durable Medical Equipment (DME)

If your client is covered by a managed care organization such as:

Contact the plan directly for program benefits.

Provider guides

Limitation extension

WAC 182-501-0169 allows clients receiving any of these services to request an exception to the limits if their healthcare needs are not being met.

Did you know?

You can contact the client's case worker to get assistance with the required documentation. You can do this at any time during the DME authorization process.

Patient specific information must be sent via secure email to protect patient privacy and comply with HIPPA regulations. 

When sending emails, we suggest the following subject lines to help expedite response time.

  • Expedite for D/C (discharge within one week)
  • Expedite: client safety concerns
  • Rates Request (the rate does not cover the cost of the item)
  • Limitation extension
  • When Medicare is primary payer, but client does not meet Medicare medically necessary criteria, enter "Does not meet Medicare MN criteria"

Resources

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