October 17, 2018
Changes to Home Health and DME prescriptions effective 10/15/2018
Please be aware that starting October 15, 2018, Health Partners (Medicaid) will follow a Department of Human Services (DHS) regulation that requires all covered home health services be prescribed by a physician. This includes certain durable medical equipment (DME), appliances and medical supply items. Examples can include occupational therapy, IV antibiotic therapy, CPAP devices, crutches, walking boots, canes, walkers, etc.
After October 15, 2018, non-physicians* cannot prescribe home health services for Health Partners (Medicaid) members, and all claims and prior authorization requests for home health, DME, and medical supplies submitted with non-physician’s prescriptions will be denied.
Please talk with your Primary Care Physician to make sure your home health and DME needs are being met.
We apologize for any inconvenience this may cause.
If you have questions or concerns, please contact Health Partners Member Relations at 1-800-553-0784 (TTY/PA RELAY 711).
*Examples of providers defined by DHS as “non-physicians” include podiatrists, physician assistants (PAs), certified registered nurse practitioners (CRNPs), certified nurse midwives (CNMs) and clinical nurse specialists (CNSs).