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To streamline the authorization process and expedite member care, the following Durable Medical Equipment (DME) codes no longer require prior authorization.
Effective immediately, the following codes no longer require prior authorization for Medicaid, CHP, and HARP products:
A4239
SUPPLY ALLOWANCE FOR ADJUNCTIVE, NON IMPLANTED CGM
A6540
GRADIENT COMPRESSION STOCKING, WAIST LEN
E0562
HUMIDIFIER, HEATED, USED WITH POSITIVE A
E0601
CONTINUOUS AIRWAY PRESSURE (CPAP) DEVICE
E1390
OXYGEN CONCENTRATOR, SINGLE DELIVERY POR
L0642
LUMBAR ORTHOSIS, SAGITTAL CONTROL, WITH
For additional questions, or if we can be of assistance in any way, please contact your Fidelis Care Provider Engagement Account Manager. To find your designated representative, please click here.