AOPA would like to provide some additional information regarding
a June 2004 federal court decision in California that dealt with
what information a DMERC may request to determine if services are
medically necessary. The findings, in brief, were that the DMERC
could not request additional information over and above the
Certificate of Medical Necessity (CMN), which suppliers were
required to submit for motorized wheelchairs. Several recent
comments on the list serve encouraged O&P professionals to
consider using this decision as the basis for refusing to supply to
the DMERCs additional medical information over and above the
prescription.
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