This is a legal form that was released by the Ohio Department of Medicaid - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form ODM01905?
A: Form ODM01905 is the Certificate of Medical Necessity specifically for Compression Garments in the state of Ohio.
Q: What is a Certificate of Medical Necessity?
A: A Certificate of Medical Necessity is a document that verifies the medical need for a specific treatment or device.
Q: When is Form ODM01905 used?
A: Form ODM01905 is used when a patient in Ohio requires compression garments for medical reasons.
Q: Who needs to fill out Form ODM01905?
A: The healthcare provider responsible for prescribing the compression garments needs to fill out Form ODM01905.
Q: What information is required on Form ODM01905?
A: Form ODM01905 requires information about the patient, their condition, the prescribed compression garments, and the healthcare provider's information.
Q: Do I need to submit Form ODM01905 to my insurance?
A: Yes, you will need to submit Form ODM01905 to your insurance company to verify the medical necessity of the compression garments.
Q: What happens if Form ODM01905 is not approved?
A: If Form ODM01905 is not approved, your insurance company may deny coverage for the compression garments.
Q: Can I appeal if Form ODM01905 is denied?
A: Yes, if Form ODM01905 is denied, you have the right to appeal the decision with your insurance company.
Q: Is Form ODM01905 specific to Ohio?
A: Yes, Form ODM01905 is specific to the state of Ohio and may not be applicable in other states.
Form Details:
Download a fillable version of Form ODM01905 by clicking the link below or browse more documents and templates provided by the Ohio Department of Medicaid.