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Standardized Authorization Forms for Home Health and Hearing Aid Services

Date: 10/24/18

Heritage Health (Medicaid):

Nebraska Total Care is issuing the following guidance for Home Health and Hearing Aid providers related to updates to the prior authorization request process:

The Nebraska Medicaid and Long-Term Care Administrative Simplification committee has now approved a standardized Home Health authorization form to be used by all MCO’s, effective immediately.  Please access and utilize the Home Health Authorization Request Form MS-72 (search MS-72) on a go forward basis.

  • Please ensure you continue to submit all supporting clinical documentation to substantiate the medical necessity of services along with the standardized Home Health authorization request form
  • The Home Health authorization form can be completed and attached for submission via the provider portal when appropriate

The Nebraska Medicaid and Long-Term Care Administrative Simplification committee has now approved a revised and standardized MS-76 form to be utilized for Hearing Aid authorization requests, effective immediately.  A fillable version of the Hearing Aid Authorization Request Form MS-76 (search MS-76) should be utilized on a go forward basis.

  • Please ensure you continue to submit all supporting clinical documentation to substantiate the medical necessity of services along with the standardized Hearing Aid MS-76  authorization request form
  • The Hearing Aid authorization form can be completed and attached for submission via the provider portal when appropriate

If you have questions, please contact Provider Relations.

 

Update 7/15/19: Physician's Report on Hearing Loss DM-5H (search DM-5H)