Facsimile: DME required documentation can be faxed to 866-663-7740. ... Applicable Certificate of Medical Necessity (CMN) Form(s) Electronic requests for ...
Ankle-Foot/Knee-Ankle-Foot Orthoses - Policy Article (A52457)
For a custom-fabricated orthosis, there must be documentation in the supplier's records to support the medical necessity of that type device rather than a ...
016.06.05 Ark. Code R. § 041 - Prosthetics Update #67 | State ...
Documentation to reflect that necessary training and orientation has been provided ... certification of medical necessity, prescribe prosthetics services.