Footwear not obtained through Medical Grade Footwear Program
Is this a contracted item
Yes, Mobility & Functional Support
Is prior approval required
No
Comments
These items are required temporarily to heal a particular issue. If a permanent or long term solution is required the patient is referred to the MGF Program. There is no overlap of these Items.
Functional and product assessments should be conducted.
These items are required temporarily to heal a particular issue. If a permanent or long term solution is required the patient is referred to the MGF Program. There is no overlap of these Items.
Functional and product assessments should be conducted.
Order Form – Mobility and Functional Support – D0992