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Missouri Department of Social Services
MO HealthNet Division

DME Pre-Certification Criteria Documents

Issue Date DME Pre-Certification Criteria Documents
Jan 08, 2008 CPAP — Rental
Jan 08, 2008 CPAP Humidifier — Purchase
Mar 03, 2008 Diabetic Shoe Inserts
Mar 03, 2008 Diabetic Shoe Modifications
Mar 03, 2008 Diabetic Shoes
Aug 08, 2007 DME Nebulizer E0570, Small Volume
Oct 23, 2007 DME Nebulizer, Large Volume
Apr 11, 2008 DME Respiratory Assist Device (RAD) With Back-Up Rate, months 4-12, E0471 (KJRR)
Apr 11, 2008 DME Respiratory Assist Device (RAD) With Back-Up Rate, months 1-3, E0471 (RR)
Apr 11, 2008 DME Respiratory Assist Device (RAD) Without Back-Up Rate, months 4-12, E0470 (KJRR)
Apr 11, 2008 DME Respiratory Assist Device (RAD) Without Back-Up Rate, months 1-3, E0470 (RR)
Feb 19, 2008 DME Ultrasonic Osteogenesis Stimulator (E0760 NU)
Jul 02, 2008 High Frequency Chest Wall Oscillation Air-pulse Generator System– E0483 EPRR
Jan 03, 2008 Hospital Beds
Jul 03, 2008 Oxygen
Jan 03, 2008 Semi-Electric Hospital Beds

7/3/08

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Missouri Department of Social Services
221 West High Street • P.O. Box 1527
Jefferson City, MO 65102-1527

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