State & FederalMedicare AdvantageJuly 31, 2018

DME providers and physicians: important wheelchair prior authorization information

To help our members receive the DME equipment they need and help ensure no disruption in care, it is important to document that the physician, nurse practitioner, physician assistant or clinical nurse specialist has had a face-to-face encounter with the patient. Additional details on this requirement and other information that will help ensure that your prior authorization request for a wheelchair is processed efficiently will be available at Important Medicare Advantage Updates at bcbsga.com/medicareprovider.