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Form ODM01901 Certificate of Medical Necessity: Lactation Pumps - Ohio
What Is Form ODM01901?
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 Form ODM01901?
A: Form ODM01901 is the Certificate of Medical Necessity for Lactation Pumps in Ohio.
Q: What is the purpose of Form ODM01901?
A: The purpose of Form ODM01901 is to certify the medical necessity of lactation pumps.
Q: Who needs to fill out Form ODM01901?
A: The form needs to be filled out by the individual's healthcare provider.
Q: What information is required on Form ODM01901?
A: The form requires information such as the individual's name, date of birth, diagnosis, and the healthcare provider's details.
Q: What happens after Form ODM01901 is filled out?
A: After the form is filled out, it needs to be submitted to the Ohio Department of Medicaid for review and approval.
Form Details:
- Released on July 1, 2018;
- The latest edition provided by the Ohio Department of Medicaid;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form ODM01901 by clicking the link below or browse more documents and templates provided by the Ohio Department of Medicaid.
