Wednesday, April 24, 2024

2nd Starband for Medicaid Patient?

Matthew Kirby

I have a patient who has been in a Starband cranial remolding helmet for close to 6 months. She was a very severe case, & we started early . She is close to outgrowing her current helmet, & her measurements are still indicated to continue. Insurance is NC Medicaid, which states “1 per beneficiary”. Has anybody had success with billing a 2nd helmet through NC MCD, due to medical necessity? Any other tips?

Thank you for your time.

Matthew Kirby, CPO
CarePartners HealthServices
Orthotics & Prosthetics Clinician
1 Doctors Drive, Asheville, NC 28801
[ph] 828.254.3392, [fax] 828.254.4380

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