Form ODM03402 Certificate of Medical Necessity: Transcutaneous Electrical Nerve Stimulation (Tens) Units - Ohio

What Is Form ODM03402?

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 ODM03402?
A: ODM03402 is a form called 'Certificate of Medical Necessity: Transcutaneous Electrical Nerve Stimulation (TENS) Units - Ohio'.

Q: What is a Transcutaneous Electrical Nerve Stimulation (TENS) unit?
A: A Transcutaneous Electrical Nerve Stimulation (TENS) unit is a portable device that uses mild electrical currents to provide pain relief.

Q: What is the purpose of the ODM03402 form?
A: The ODM03402 form is used to certify the medical necessity of a TENS unit for patients in Ohio.

Q: Who needs to fill out the ODM03402 form?
A: The ODM03402 form needs to be filled out by a healthcare provider who is prescribing a TENS unit for a patient in Ohio.

Q: What information is required on the ODM03402 form?
A: The ODM03402 form requires information about the patient, their medical condition, the prescribing healthcare provider, and supporting documentation.

Q: Is the ODM03402 form specific to Ohio?
A: Yes, the ODM03402 form is specific to Ohio and is used for patients in Ohio who require a TENS unit.

Q: What happens after the ODM03402 form is filled out?
A: After the ODM03402 form is filled out, it will be reviewed by the Ohio Department of Medicaid to determine if the TENS unit is medically necessary.

Q: Does the ODM03402 form guarantee coverage for a TENS unit?
A: No, the approval of coverage for a TENS unit is at the discretion of the Ohio Department of Medicaid based on medical necessity.

Q: Is there a cost associated with the ODM03402 form?
A: No, there is no cost associated with the ODM03402 form. However, the TENS unit itself may have costs that vary depending on insurance coverage.