Form ODM07136 Certificate of Medical Necessity: Insulin Pumps - Ohio

What Is Form ODM07136?

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.

FAQ

Q: What is the ODM07136 Certificate of Medical Necessity?
A: ODM07136 is a certificate used in Ohio to verify the medical necessity of insulin pumps.

Q: What is an insulin pump?
A: An insulin pump is a small device that delivers insulin continuously to manage diabetes.

Q: Who needs to fill out the ODM07136 Certificate of Medical Necessity?
A: The ODM07136 form needs to be filled out by a healthcare provider who is recommending the use of an insulin pump for a patient.

Q: What information is required on the ODM07136 form?
A: The form requires information about the patient's medical condition, history, and the healthcare provider's recommendation for an insulin pump.

Q: Is there a cost associated with submitting the ODM07136 form?
A: There may be fees associated with the submission of the form. It is advisable to contact the Ohio Department of Medicaid or the healthcare provider for more information.

Q: What happens after the ODM07136 form is submitted?
A: After submission, the form will be reviewed by the Ohio Department of Medicaid to determine if the use of an insulin pump is medically necessary for the patient.

Q: How long does it take to receive a decision after submitting the ODM07136 form?
A: The processing time for the form may vary. It is recommended to contact the Ohio Department of Medicaid for an estimated timeline.

Q: Can the ODM07136 form be used for other medical equipment besides insulin pumps?
A: No, the ODM07136 form is specifically for verifying the medical necessity of insulin pumps in Ohio.