Important notice: all prior authorization request forms must now contain the provider's NPI number.

• Prior Authorization Request Form for DME/O&P Items and Services
• Coverage and Purchasing Guidelines
• For further information, refer to the NHIC website http://www.medicarenhic.com/index.shtml
  

Durable Medical Equipment/Orthotics and Prosthetics Code Lists

Prior Authorization Code List Prior Authorization Code List with Descriptions
DME Communications
Single Point of Contact Letter, December 2009 Podiatry Letter, December 2009 Provider Letter - Changes to DME (dispensed by providers in the Rochester region), December 2009 FastFax #112 - One Point of Contact, December 2009 FastFax #61 - Fax Numbers for DME Prior Authorization Requests, July 9, 2009 FastFax #60 - Oxygen Rental Cap Removed, July 7, 2009 FastFax - One Point of Contact for DME Reviews, June 1, 2009 Point of Contact Letter, June 1, 2009 Point of Contact Letter, May 1, 2009