Oakland Southfield Physicians

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MDHHS Announces Reversal of Temporary COVID-19 Durable Medical Equipment, Prosthetics, Orthotics and Medical Supplies Policies

Posted: 11/08/2022

Effective December 1, 2022, Michigan Department of Health and Human Services (MDHHS) will end portions of temporary policies prior to the end of the PHE. 

MDHHS indicated in the bulletin that the implementation of the reversals will begin in the following stages:

Stage 1 – Effective December 1, 2022

  • Pre-pandemic documentation requirements restored (e.g., certificates of medical necessity, documentation timelines, lab tests, etc.).
  • Restore prior authorization of walking boots, wheelchair batteries, blood pressure monitors, enteral formula and supplies, parenteral formula and supplies, home infusion and supplies, incontinence products, catheters and ostomy products.
    • Providers will no longer submit invoices for manually priced items through the Document Management Portal. Submit invoices to the Program Review Division or the Telephone Prior Authorization Contractor, as applicable (refer to the MDHHS Medicaid Provider Manual).
    • Temporary fees applied during the PHE will revert to pre-PHE rates (e.g., labor units will be removed from the wheelchair battery Healthcare Common Procedure Coding System codes).
  • Restore PA for replacement of DMEPOS items.
  • End coverage of hand sanitizer (HCPCS A9286). Due to the high volume of recalls and counterfeit products identified by the U.S. Food & Drug Administration regarding hand sanitizer and the continued suggestion from the Centers for Disease Control and Prevention that washing hands with soap and water is the most effective means to prevent the spread of contaminants, MDHHS is ending coverage of hand sanitizers.

Click here to read the full announcement from Blue Cross Complete.

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