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 ODM02912?
A: Form ODM02912 is the Certificate of Medical Necessity for Incontinence Items.
Q: What is the purpose of Form ODM02912?
A: The purpose of Form ODM02912 is to certify the medical necessity of incontinence items.
Q: Who should fill out Form ODM02912?
A: Form ODM02912 should be filled out by a healthcare provider who is treating a patient with incontinence.
Q: Are there any fees associated with Form ODM02912?
A: No, there are no fees associated with Form ODM02912.
Form Details:
Download a fillable version of Form ODM02912 by clicking the link below or browse more documents and templates provided by the Ohio Department of Medicaid.