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 ODM07134?
A: Form ODM07134 is the Certificate of Medical Necessity for Osteogenesis Stimulators in Ohio.
Q: What is a Certificate of Medical Necessity?
A: A Certificate of Medical Necessity is a form used to document the medical necessity of a specific treatment or device.
Q: What are Osteogenesis Stimulators?
A: Osteogenesis stimulators are devices used to enhance the healing process of bone fractures or fusions.
Q: Why is a Certificate of Medical Necessity required?
A: A Certificate of Medical Necessity is required to ensure that the use of osteogenesis stimulators is medically justified and meets the coverage criteria.
Q: Who needs to fill out Form ODM07134?
A: The healthcare provider responsible for prescribing or recommending the use of osteogenesis stimulators needs to fill out Form ODM07134.
Q: Is Form ODM07134 specific to Ohio?
A: Yes, Form ODM07134 is specific to Ohio. Each state may have its own version of a Certificate of Medical Necessity.
Q: Can patients fill out Form ODM07134 themselves?
A: No, patients cannot fill out Form ODM07134 themselves. It should be completed by the healthcare provider.
Q: What information is required on Form ODM07134?
A: Form ODM07134 requires information about the patient, the healthcare provider, the diagnosis, and the medical necessity of osteogenesis stimulator treatment.
Q: Are there any fees associated with submitting Form ODM07134?
A: There are no fees associated with submitting Form ODM07134. It is a documentation form for medical necessity.
Form Details:
Download a fillable version of Form ODM07134 by clicking the link below or browse more documents and templates provided by the Ohio Department of Medicaid.